Vernick J S, Li G, Ogaitis S, MacKenzie E J, Baker S P, Gielen A C
Johns Hopkins School of Public Health, Baltimore, Maryland 21205, USA.
Am J Prev Med. 1999 Jan;16(1 Suppl):40-6. doi: 10.1016/s0749-3797(98)00115-9.
We sought evidence in the research literature to determine if (1) high school-aged persons who enroll in a driver education course have fewer motor vehicle-related crashes or violations, or are more likely to obtain a drivers license, than those who do not enroll in driver education courses, and (2) the availability of high school driver education courses is associated with lower community rates of motor vehicle crashes among young drivers.
To be included, a study must: (1) assess the effects of driver education courses or legislation for high school-aged persons; (2) present non-self-reported data for at least one of the following outcome measures: driver licensure rates, motor vehicle-related violations, or crashes; (3) include some form of no intervention comparison group; (4) adequately control for potentially confounding variables; (5) randomly assign participants to control or treatment groups, if a controlled trial.
Nine studies met our inclusion criteria. Based on these studies, there is no convincing evidence that high school driver education reduces motor vehicle crash involvement rates for young drivers, either at the individual or community level. In fact, by providing an opportunity for early licensure, there is evidence that these courses are associated with higher crash involvement rates for young drivers.
Although few driver education curricula have been carefully evaluated, in the absence of evidence that driver education reduces crash involvement rates for young persons, schools and communities should consider other ways to reduce motor vehicle-related deaths in this population, such as graduated licensing.
我们在研究文献中寻找证据,以确定:(1)参加驾驶员教育课程的高中生与未参加驾驶员教育课程的高中生相比,机动车相关碰撞或违规行为是否更少,或获得驾照的可能性是否更高;(2)高中驾驶员教育课程的可获得性是否与年轻驾驶员社区机动车碰撞率较低相关。
纳入的研究必须:(1)评估针对高中生的驾驶员教育课程或立法的效果;(2)至少针对以下一项结果指标提供非自我报告的数据:驾照获得率、机动车相关违规行为或碰撞事故;(3)包括某种形式的无干预对照组;(4)充分控制潜在的混杂变量;(5)如果是对照试验,将参与者随机分配到对照组或治疗组。
九项研究符合我们的纳入标准。基于这些研究,没有令人信服的证据表明高中驾驶员教育能降低年轻驾驶员在个人或社区层面的机动车碰撞参与率。事实上,通过提供提前获得驾照的机会,有证据表明这些课程与年轻驾驶员更高的碰撞参与率相关。
尽管很少有驾驶员教育课程经过仔细评估,但在缺乏证据表明驾驶员教育能降低年轻人碰撞参与率的情况下,学校和社区应考虑其他方法来减少该人群中与机动车相关的死亡,如分级驾照制度。