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延迟驾驶许可与成年早期的健康、教育和就业有关吗?

Is Delayed Driving Licensure Associated With Emerging Adult Health, Education, and Employment?

机构信息

Department of Health & Exercise Science, Colorado State University, Fort Collins, Colorado.

Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut; Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), New Haven, Connecticut.

出版信息

J Adolesc Health. 2022 May;70(5):751-756. doi: 10.1016/j.jadohealth.2022.01.128. Epub 2022 Mar 5.

Abstract

PURPOSE

Driving licensure remains a major developmental milestone for adolescents as they become more independent to access important health, education, and employment opportunities. Today, more teens are delaying driving licensure than before. We investigated associations of delayed licensure with health, education, and employment 4 years after high school.

METHODS

We analyzed data from all seven annual assessments (W1-W7) of the NEXT Generation Health Study, a nationally representative cohort survey starting at 10th grade (W1, 2009-2010). The independent variable was delaying driving licensure (DDL [delaying ≥1 year] vs. No-DDL), defined as participants receiving driver licensure ≥1 year after the initial legal eligibility time until W7. Outcome variables were self-reported health, education, and employment at W7. Covariates included sex, race/ethnicity, family affluence, parental education, and urbanicity. Multinomial logistic regressions were conducted considering complex survey features.

RESULTS

No-DDL versus DDL was associated with a higher likelihood of (1) excellent (adjusted odds ratio [AOR] = 2.06, p < .001), good (AOR = 1.74, p < .001), and fair (AOR = 1.34, p = .008) health compared with poor health; (2) completing a 4-year college or graduate school [AOR = 2.71, p < .001] and tech/community college [AOR = 1.92, p = .004] compared with high school or less; and (3) working ≥30 hours/week (AOR = 7.63, p = .011) and working <30 hours/week (AOR = 1.54, p = .016) compared with not working.

DISCUSSION

Among emerging adults, no delay in driving licensure was associated with better self-reported health, higher education, and more working hours four years after leaving high school. Although earlier driving licensure increases driving exposure and risk, avoiding DDL appears to provide advantages for health, education, and employment during early adulthood.

摘要

目的

驾驶执照仍然是青少年迈向独立的重要发展里程碑,因为他们有更多机会获得重要的健康、教育和就业机会。如今,越来越多的青少年推迟获得驾驶执照。我们研究了高中毕业后 4 年延迟获得驾照与健康、教育和就业的关联。

方法

我们分析了全国代表性队列调查“下一代健康研究”(NEXT Generation Health Study)所有 7 次年度评估(W1-W7)的数据,该调查从 10 年级(W1,2009-2010 年)开始。自变量为延迟获得驾驶执照(DDL [延迟≥1 年]与无 DDL),定义为参与者在初始法定资格时间之后≥1 年获得驾驶执照,直至 W7。结果变量为 W7 时的自我报告健康、教育和就业状况。协变量包括性别、种族/民族、家庭富裕程度、父母教育程度和城市性。考虑到复杂的调查特征,采用多项逻辑回归进行分析。

结果

与无 DDL 相比,DDL 与以下情况的可能性更高相关:(1)自我报告健康状况良好(调整后优势比 [AOR] 为 2.06,p<0.001)、较好(AOR 为 1.74,p<0.001)和一般(AOR 为 1.34,p=0.008),而非较差;(2)完成 4 年制大学或研究生院学业(AOR 为 2.71,p<0.001)和技术/社区学院(AOR 为 1.92,p=0.004),而非高中或以下学历;(3)每周工作≥30 小时(AOR 为 7.63,p=0.011)和每周工作<30 小时(AOR 为 1.54,p=0.016),而非不工作。

讨论

在刚成年的人群中,延迟获得驾驶执照与高中毕业后 4 年自我报告健康状况较好、受教育程度较高和工作时间较长有关。尽管提前获得驾驶执照会增加驾驶风险,但避免延迟获得驾驶执照似乎为成年早期的健康、教育和就业提供了优势。

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