Reeder A I, Chalmers D J, Marshall S W, Langley J D
Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, New Zealand.
Soc Sci Med. 1997 Nov;45(9):1357-76. doi: 10.1016/s0277-9536(97)00061-0.
Motorcycle riding is a significant cause of serious injuries to young males. Little is known about the psychological and social characteristics of these riders, despite such knowledge being potentially important for the targeting of appropriate injury prevention interventions. Using problem-behaviour theory to broadly guide and structure the research, the present study focused on identifying predictors of motorcycle riding. Previous research investigating differences between riders and non-riders has tended to be inconclusive, methodologically limited, and lacking in explicit theoretical foundations. The present research was based on the birth cohort enrolled in the Dunedin Multidisciplinary Health and Development Study (DMHDS), a comprehensive New Zealand longitudinal study of health, development, attitudes, and behaviours. Logistic regression models were built using prior measures of health risk behaviour, other psychological and social factors, and motorcycle riding history as potential predictors of any motorcycle use at the age of 18 years. The strongest predictors were early motorcycle riding, including illegal on-road driving at age 13 (OR 4.0; 95% CI 1.7, 9.1), below average reading skills (OR 2.4; 95% CI 1.3, 4.6) and fighting in a public place at age 15 (OR 2.9; 95% CI 1.2, 6.9). It was of particular interest that this profile tended to fit less well those subgroups of riders with greatest exposure to on-road motorcycle driving. Although based on small numbers, this finding was consistent with earlier cross-sectional research that linked casual and unlicensed driving with less protective motorcycling opinions and behaviours. Some implications for injury prevention and public policies regarding motorcycling are discussed. In particular, stricter enforcement of present licensing regulations and stronger penalties for their violation could help to reduce the number of less responsible riders.
骑摩托车是导致年轻男性受重伤的一个重要原因。尽管了解这些骑手的心理和社会特征对于针对性地采取适当的伤害预防干预措施可能很重要,但目前对此知之甚少。本研究以问题行为理论为广泛指导并构建研究框架,重点在于确定骑摩托车的预测因素。先前关于骑手与非骑手差异的研究往往没有定论,在方法上存在局限性,且缺乏明确的理论基础。本研究基于参与达尼丁多学科健康与发展研究(DMHDS)的出生队列,这是一项对健康、发展、态度和行为进行全面研究的新西兰纵向研究。使用健康风险行为的先前测量指标、其他心理和社会因素以及骑摩托车历史作为18岁时是否骑摩托车的潜在预测因素,构建了逻辑回归模型。最强的预测因素是早期骑摩托车,包括13岁时的非法上路驾驶(比值比4.0;95%置信区间1.7,9.1)、阅读技能低于平均水平(比值比2.4;95%置信区间1.3,4.6)以及15岁时在公共场所打架(比值比2.9;95%置信区间1.2,6.9)。特别有趣的是,这种情况与那些在道路上骑摩托车暴露程度最高的骑手亚组不太相符。尽管样本数量较少,但这一发现与早期的横断面研究一致,该研究将随意和无证驾驶与防护性较差的骑摩托车观念及行为联系起来。文中讨论了对摩托车伤害预防和公共政策的一些启示。特别是,更严格地执行现行驾照法规以及对违规行为加重处罚,有助于减少责任意识较差的骑手数量。