Factors associated with young drivers' car crash injury: comparisons among learner, provisional, and full licensees

The difference in physical and mental fatigue development between novice young adult and experienced middle-aged adult drivers during simulated automated driving

INTRODUCTION

Novice young adult drivers are at higher risk of being involved in an accident. Many studies have studied young adult drivers' risk-taking behaviors under manual driving conditions. However, limited studies have examined novice young adult drivers' fatigue during driving. Such issues could be more prominent in automated driving conditions. Studying novice young adult driver fatigue development under automated driving could provide a better understanding of the young adult driver's crash factors, and in turn, prevent the accidents. Therefore, this study is designed to understand the novice young adult driver's fatigue under automated driving.

METHOD

In this study, 16 participants from novice young adult drivers (≤19 years old) and experienced middle-aged adult (≥21 years old) driver groups were recruited for a 1.5-hour automated driving task. The subjectively rated fatigue and discomfort questionnaire and electrocardiogram were used to measure fatigue development.

RESULTS

The results showed that novice young adult drivers developed fatigue faster and more severely than experienced middle-aged adult drivers under automated driving. Specifically, novice young adult drivers had a higher heart rate reduction and higher subjective ratings on the factors of over-drained, drowsy, uninterested, stiff joints, tense muscles, and numbness as compared with experienced middle-aged adult drivers. Novice young adult drivers were found to have an earlier onset of mental fatigue than experienced middle-aged adult drivers at 30 min of driving, while their physical fatigue was found to have a later onset at 60 min and 90 min of driving.

CONCLUSIONS

Novice young adult drivers develop both physical and mental fatigue earlier than experienced middle-aged adult drivers during automated driving.

PRACTICAL APPLICATIONS

The result suggests that fatigue alarm features should be considered when designing automated vehicles for novice young adult drivers.

Speeding behavior among teenage drivers during the learner and early independent driving stage: A case study approach

INTRODUCTION

Speed is a primary contributing factor in teenage driver crashes. Yet, there are significant methodological challenges in measuring real-world speeding behavior.

METHOD

This case study approach analyzed naturalistic driving data for six teenage drivers in a longitudinal study that spanned the learner and early independent driving stages of licensure in Maryland, United States. Trip duration, travel speed and length were recorded using global position system (GPS) data. These were merged with maps of the Maryland road system, which included posted speed limit (PSL) to determine speeding events in each recorded trip. Speeding was defined as driving at the speed of 10 mph higher than the posted speed limit and lasting longer than 6 s. Using these data, two different speeding measures were developed: (1) Trips with Speeding Episodes, and (2) Verified Speeding Time. Conclusions & Practical Applications: Across both measures, speeding behavior during independent licensure was greater than during the learner period. These measures improved on previous methodologies by using PSL information and eliminating the need for mapping software. This approach can be scaled for use in larger samples and has the potential to advance understanding about the trajectory of speeding behaviors among novice teenage drivers.

Applying multilevel analysis and the Driver Behavior Questionnaire (DBQ) on unsafe actions under a road safety policy

The aims of this research are: to investigate and develop a multilevel analysis of unsafe actions or risky behaviors; to study the influence of road safety policy factors on risky behaviors; and to analyze personal characteristics that influence risky behaviors. Data were collected using 1,474 samples from locations countrywide at the district level, including 76 clusters, via the Driver Behavior Questionnaire (DBQ) and road safety policy. The results indicate that, for the district-level model, the participation factor directly and negatively influenced risky behaviors, and government support indirectly had a negative impact through participation. Thus, people's participation in the area caused a decrease in unsafe behaviors. Meanwhile, safety policy support in the area partially caused people to participate at a significant level. At the personal level, income, having a driver's license, past violations, and past accidents significantly affected risky behaviors, especially having a driver's license, which had a negative influence. This meant that people who had a driver's license facilitated a positive effect in terms of decreasing risky behaviors, while people with past violations and past accidents influenced this situation positively. The more traffic law violations and accidents the participants had, the more they engaged in unsafe actions. Based on the findings, acknowledging and solving the problem of unsafe driving at a spatial level can address the issue by supporting different measures to help people in the area improve the situation. In addition, we should assist people who have a driver's license by offering them useful training to decrease traffic law violations and inform them about accidents.

Introducing accompanied driving in Denmark. Safety-related differences between youth licensing with immediate or delayed access to solo driving

In Denmark, the legal license age was lowered from 18 to 17, to allow practice with an experienced driver before solo driving from age 18. The change gives the candidate driver a choice between: a) licensing at age 17 followed by a phase of accompanied driving until solo driving at age 18 (L17), and b) licensing at age 18 (or older) giving immediate access to solo driving (L18). The purpose of this study is: First, to explore safety-related differences between youth choosing the L17 or the L18 option, with a particular focus on safety attitude and self-assessed driving skills. Second, to map patterns in the use of accompanied driving and its predictors as well as the interaction between the L17 driver and the accompanying person (ACP). A sample of 632 drivers (53% male) between 17 and 19 years of age completed a survey. Among the participants 61% licensed through L17 and 39% through L18. Our results identify different risk profiles between L17 and L18. A higher score on perceptual-motor skills, lower score on safety skills and lower support to speed limits predicted L17. Female L17 were more safety-oriented compared to male L17. L17 who had experienced a supportive atmosphere and engagement in complex traffic situations during the drive were more likely to indicate that accompanied driving had improved their driving skills. However, results also indicate that the amount of experience obtained by L17 may be insufficient to obtain a safety benefit. Measures to address speeding and other risk-taking behaviours among male candidate drivers are needed to ensure a safety benefit of the Danish accompanied driving scheme. In addition, requirements may be needed to increase the amount of accompanied driving. Finally, parent guidelines could support the creation of a positive atmosphere during the drive.

Alcohol- and speeding-related fatal crashes among novice drivers age 18-20 not fully licensed at the time of the crash

INTRODUCTION

Some teens may intentionally delay their driving licensure until age 18 or later, thereby skipping the learning and driver safety benefits provided by graduated driver licensing (GDL) programs. Delaying driving initiation could elevate teen crash risk once they begin driving. This study compares the prevalence of alcohol use and speeding among individuals aged 18-20 y/o who were not fully licensed drivers (NFLD) at the time of the fatal crash with that of their fully licensed counterparts (FLD).

MATERIALS AND METHODS

Data came from the 2010-2017 Fatality Analysis Reporting System (FARS). Census data were added to measure mean household income at drivers' zip code. Bivariate (chi-square) and logistic regressions were used to assess the likelihood young drivers were alcohol-positive and/or speeding at the time of the crash as a function of drivers' license status, demographic, socioeconomic, and the strength of GDL programs in the state.

RESULTS

Compared with females and White drivers age 18-20 y/o, males, Latino, and Black drivers were more likely to be NFLD at the time of the fatal crash (p < .0001). Living in zip codes with low median household income (p < .001) and the strength of GDL restrictions (p < .0001) were associated with individuals being NFLD at the time of the fatal crash. Alcohol-related fatal crashes were more prevalent among NFLD than FLD (p < .02).

CONCLUSIONS

The study provides indirect evidence suggesting that alcohol use may be more detrimental for NFLD than for FLD.

Combinations of factors contribute to young driver crashes

INTRODUCTION

Motor-vehicle crashes are a leading cause of death in adolescence and young adults. A multitude of factors, including skill level, inexperience, and risk taking behaviors are associated with young drivers' crashes. This research investigated whether combinations of factors underlie crashes involving young drivers.

METHOD

A retrospective longitudinal study was conducted on population-wide one- and two-car crashes in Great Britain during years 2005-2012 per driver age (17-20, 21-29, 30-39, 40-49) and sex. Reporting officers provided their assessment of the factors contributing to crashes. Principal components analysis was conducted to identify combinations of factors underlying young drivers' crashes. Factor combinations, including challenging driving conditions, risk taking behaviors, and inexperience were implicated in young drivers' crashes.

RESULTS

Combinations of factors reveal new insights into underlying causes of crashes involving young drivers. One combination revealed that slippery roads due to poor weather pose greater risk to young drivers who are inexperienced and likely to exceed the appropriate speed. The findings motivate new policy recommendations, such as educating young drivers about the importance of adjusting their speed to the road conditions.

Impacts of graduated driver licensing regulations

We evaluate the impact of the Graduated Driver Licensing (GDL) system introduced in Victoria, Australia as they influence both injury and fatality rates. Since 1990, the Victorian GDL scheme has undergone several modifications including the introduction of new requirements and the stricter enforcement of existing regulations. Our evaluation of the GDL is based on monthly mortality and morbidity data for drivers 18-25 for the period January 2000 to June 2017. We estimate the immediate and long-term impacts of each policy change to the GDL system. Our results indicate that several initiatives in the GDL system have had impacts on both fatalities and injuries requiring hospitalisation when differentiated by gender. In a number of cases we observe that reactions to these measures are common to both genders. These include: the signalling of the proposed GDL changes in the media, the introduction of an extra probationary year for those under 21, the total alcohol ban for the entire probationary period, and limits on peer passengers for the first year. Stricter mobile phone restrictions appear to have had no impact on injuries for either males or females although they were associated with lower fatality rates for both. In addition, we found an indication that in the period prior to the introduction of the mandatory requirement of 120 h supervised driving, there was a rise in male driver injuries possibly caused by a rush of more inexperienced learners to obtain their probationary licence.

Identifying the causes of road traffic collisions: Using police officers' expertise to improve the reporting of contributory factors data

Worldwide, road crashes are a major course of death and serious injury. Police reports provide a rich source of data on the proximal causes (e.g., impairment by alcohol, failure to look properly) of road traffic collisions. Yet, road safety research has raised concerns about the quality and reliability of police reported data. In the UK crash report form, contributory factors are categorised (e.g., vehicle defects, driver error or reaction) to aid police officers in identifying appropriate factors. However, discord between the classification of contributory factors in crash reports and police officers' own categorical perceptions may lead to misunderstanding, and in turn, misreporting of contributory factors. The current investigation recruited 162 police officers to report their perceptions of the relations among contributory factors in the UK crash report form. Hierarchical clustering analysis was used to identify an optimal category structure based on police officers' perceptions. The clustering analysis identified a classification system with seven or eleven categories of contributory factors, maximising the internal coherence of categories and minimising discord with police officers' perceptions. The findings also yield new insights into police officers' perceptions of crash causation and demonstrate how statistical techniques can be used to inform the design of road traffic collision report forms.

The Teen Driver

For many teenagers, obtaining a driver's license is a rite of passage, conferring the ability to independently travel to school, work, or social events. However, immaturity, inexperience, and risky behavior put newly licensed teen drivers at risk. Motor vehicle crashes are the most common cause of mortality and injury for adolescents and young adults in developed countries. Teen drivers (15-19 years of age) have the highest rate of motor vehicle crashes among all age groups in the United States and contribute disproportionately to traffic fatalities. In addition to the deaths of teen drivers, more than half of 8- to 17-year-old children who die in car crashes are killed as passengers of drivers younger than 20 years of age. This policy statement, in which we update the previous 2006 iteration of this policy statement, is used to reflect new research on the risks faced by teen drivers and offer advice for pediatricians counseling teen drivers and their families.

A new approach for assessing and training drivers' speed management

Motor vehicle crashes are the leading cause of death and injury for teens and speeding is a major contributor, particularly driving too fast for conditions (CDC, 2015, 2013; NHTSA, 2012; Lam, 2003; McKnight & McKnight, 2003). Speed management is a type of tacit knowledge learned through experience that combines speed perception with decisions about safety. Effective training and assessment of speed management requires a safe method for accumulating practice that includes realistic perceptual cues. This study investigated whether speed can be manipulated in an online environment using special effects technology without distorting speed perception. A forced-choice experiment revealed that drivers' perception of speed was not influenced by the special effects technology, indicating that critical perceptual information was not altered by the speed manipulation of the videos. The experiment also looked at the role of experience in detecting speed differences and found that experienced drivers were able to make judgments about speed more quickly than inexperienced drivers. Implications of these findings for training and assessment are discussed.

Age, gender and deterrability: Are younger male drivers more likely to discount the future?

Utilizing the Classical Deterrence theory and Stafford and Warr's (1993) reconceptualized model of deterrence, the current study examined whether age, gender, and discounting the future tendencies influence perceptions of being apprehended for speeding offences. Licensed motorists (N=700; 57% female) in Queensland (Australia) were recruited to complete a self-report questionnaire that measured perceptual deterrence, speeding related behaviors and discounting the future tendencies. Data were analyzed utilizing descriptive, bivariate and multivariate regressions. Significant (albeit weak) positive correlations were found between age and perceptions of apprehension certainty. Males were significantly more likely to report higher incidences of speeding (including while avoiding detection) compared to females. In contrast, females were more likely to perceive high levels of apprehension certainty and consider impending penalties to be more severe. At a multivariate level, discounting the future tendencies (in addition to being male, reporting lower levels of perceptual severity and swiftness, and more instances of punishment avoidance) were predictive of lower perceptual certainty levels. This study is one of the first to reveal that being male and having a tendency to discount the consequences of the future may directly influence drivers' perceptual deterrence levels.

An evaluation of the effect of Ohio's graduated driver licensing law on motor vehicle crashes and crash outcomes involving drivers 16 to 20 years of age

OBJECTIVE

Nationally, motor vehicle crashes are the leading cause of death among youth ages 16 to 20 years. Graduated driver licensing (GDL) laws have been implemented to reduce motor vehicle crashes among teen drivers. Studies have shown decreases in teen crash rates and crash-related fatality rates following enactment of GDL laws. However, GDL laws typically apply to teens only until their 18th birthday; therefore, the effect, if any, that GDL laws have on youth drivers ages 18 to 20 years and whether these programs should be extended to include these older youth warrant further study. The objective of this study was to evaluate the effects of Ohio's 2007 revised GDL law on motor vehicle crashes and crash-related injuries for crashes involving teen drivers ages 16 to 20 years, with a focus on the effects on crashes involving drivers ages 18 to 20 years.

METHODS

Cross-sectional analysis of motor vehicle crashes involving drivers ages 16 to 20 years in Ohio in the pre-GDL (2004-2006) and post-GDL (2008-2010) periods was performed. Descriptive statistics and population-based crash rates for drivers and occupants ages 16 to 20 years were calculated, as well as rate ratios and 95% confidence intervals (CIs) comparing crashes in the pre-GDL and post-GDL periods.

RESULTS

Compared with the pre-GDL period, the post-GDL period was associated with lower crash rates for drivers age 16 years (relative risk [RR] = 0.94; 95% CI, 0.90-0.98), age 17 years (RR = 0.90; 95% CI, 0.88-0.93), age 18 years (RR = 0.95; 95% CI, 0.92-0.97), and ages 16-17 years combined (RR = 0.92; 95% CI, 0.90-0.95). Crash rate was higher for the post-GDL period for drivers age 19 years (RR = 1.04; 95% CI, 1.01-1.07), age 20 years (RR = 1.09; 95% CI, 1.05-1.13), and ages 18-20 years combined (RR = 1.02; 95% CI, 1.00-1.03).

CONCLUSIONS

Unlike previous studies, this investigation used linked data to evaluate the outcomes of all occupants in crashes involving drivers ages 16-20 years. The post-GDL period was associated with lower crash, injury crash, and fatal crash involvement among drivers and occupants ages 16-17 years but higher overall crash involvement for drivers and occupants ages 19 years, 20 years, and 18-20 years combined. These findings support extending GDL restrictions to novice drivers ages 18 through 20 years to reduce crashes in that group.

The problem of correlation between the concepts of "violent" and "dangerous driving" in modern national and foreign psychology

At present people in nearly all the countries of the world confront with the problem of "aggressive driving", which is particularly acute in the cities. The concept of "aggressive driving" exists in many countries of the world. But there are some differences in approaches to the definition of the content of this notion, which results in giving different names for this kind of driving. For example, in most European countries, as well as in some Asian countries people use the terms "careless driving" and "dangerous driving" ("dangerous driving"). In the United States and Australia a broader concept like "aggressive behaviour on the road" is in use. In foreign countries, there are laws and rules of the road, according to which "aggressive" driving is punishable by a fine, and in some cases, even carries criminal penalties. In Russia, the problem of "aggressive driving" nowadays has started to be treated at the legislative level, and on May, 2016 the Government of the Russian Federation enacted a regulation No. 477 “On amending the road traffic regulations of the Russian Federation ", which introduced the concept of "dangerous driving ", and on 08.06.16 the “Law on dangerous driving” was adopted. The term "dangerous driving" is not easy for understand and it raises questions among drivers, who are not completely aware of what exactly is considered to be "dangerous driving" and how to implement this notion in practice. This article provides an overview of current foreign and national researches, concerning the problem of "aggressive" and "dangerous driving", identifies the differences and similarities between the concepts of "aggressive" and "dangerous driving" as they are understood in Russia and abroad, and describes the factors that influence the emergence of aggression in drivers

Girls crash too: trends in single vehicle crash rates in young and adult, male and female drivers

Young adult drivers (YADs) are over-represented in crashes mainly because of their age and inexperience. Studying single vehicle crashes by age and sex may identify new approaches to intervention. In 2014, male YAD (17-19 years) crash casualty rates were 11.4 times higher than older drivers (30-59 years), compared with 17.6 times higher in 2005, and 1.9 times female YAD, compared with 2.5 times higher in 2005. Crash casualty rates involving male and female YADs are declining. Action is needed to address YAD crash casualties involving both males and females. Graduated driver licensing is a universal approach that has the potential to do this.

Modeling the effect of operator and passenger characteristics on the fatality risk of motorcycle crashes

BACKGROUND

In Iran more than 25% of crash fatalities belong to motorcycle operators and passengers in the recent years, from which about 20% are related to passenger fatalities.

METHODS

The aim of this study was to investigate the motorcycle operator and passenger characteristics as well as other contributory factors that may affect the fatality risk of motorcyclists involved in traffic crashes. To this end, motorcycle crash data between 2009 and 2012 was extracted from Iran traffic crash database and a logistic regression analysis was performed to obtain odds ratio estimates for each of the study variables.

RESULTS

The fatality risk of motorcyclists has a direct relationship with the number of pillion passengers carried. Results also indicate that the amount of increase in the likelihood of having a fatality in a motorcycles crash is considerably higher when the operator is accompanied by a male passenger of the same age. Furthermore, results showed that if the crash is occurred in the darkness, on curves, in rural areas and on highways, then the crash would be more likely to be fatal. Moreover, the head-on collisions, older operators, unlicensed operators and not using a safety helmet were found to increase the likelihood of a fatality in a motorcycle crash.

CONCLUSIONS

Preventative measures such as, imposing stricter rules regarding safety helmet usage and confining the number of pillion passengers to one, might be implemented to reduce the fatality risk in motorcycle crashes. In addition, more appropriate infrastructures for penalizing offending motorcyclists could also reduce the frequency of law violations such as not wearing helmet or riding without motorcycle license, which in turn, would result into a reduction in the fatality risk of motorcycle crashes.

Young Drivers and Their Passengers: A Systematic Review of Epidemiological Studies on Crash Risk

PURPOSE

A systematic review of the literature was conducted to appraise the evidence from epidemiological studies of crash risk in young drivers accompanied by passengers, compared with solo driving.

METHODS

Databases searched were the Cochrane Library, Embase, Scopus, Transportation Research Information Services, and Web of Science for studies published between January 1, 1989 and August 1, 2013. Epidemiological studies were selected for review if they focused on crashes of young drivers (≤24 years old) and included both a no-passenger comparison group and some measure of exposure to enable calculation of estimates.

RESULTS

Fifteen articles (17 studies) were selected; seven studies reported on fatal crashes and 10 on nonfatal or combined fatal/nonfatal crashes. Studies on fatal crashes showed increased risk, compared with solo driving, for young drivers with at least one passenger (significant estimates ranging from 1.24 to 1.89) and two or more passengers versus solo driving (1.70-2.92). Increased risk was also found for fatal crashes and for combined or nonfatal crashes with male versus female passengers (1.53-2.66) and for younger versus older drivers (1.42-3.14).

CONCLUSIONS

Results more clearly indicated an increased risk for passenger presence in fatal crashes than that in nonfatal or combined fatal/nonfatal crashes. Findings of this review, based on correlational studies, support licensing policies that limit the presence and number of young passengers for young drivers.

An Analysis of Young Driver Crash Types and the Associated Lifetime Care Cost in Victoria, Australia

OBJECTIVE

The elevated crash involvement rate of young drivers is well documented. Given the higher crash risk of young drivers and the need for innovative policy and programs, it remains important to fully understand the type of crashes young drivers are involved in, and knowledge of the lifetime care cost of crashes can support effective policy development. The aim of this article is to document the number and type of young driver crashes, as well as the associated lifetime care cost over a 9-year period (2005-2013) in Victoria, Australia.

METHODS

In Victoria, Australia, the Transport Accident Commission (TAC) has legislated responsibility for road safety and the care of persons injured in road crashes, irrespective of fault. TAC claims data for the period 2005-2013 were used to document the number and type of young driver crashes. Lifetime care costs (past and future payment liabilities) were calculated by Taylor Fry actuarial consultancy. License and population data were used to define the crash involvement rate of young drivers.

RESULTS

Over the 9-year period, 16,817 claims were lodged to the TAC by drivers 18-25 years of age following a crash. There were 646 fewer drivers aged 18-25 killed and injured in 2013, compared to 2005, representing an unadjusted change of -28.7% (-29.8% males; -28.4% females). The total lifetime care cost of young drivers killed and injured in Victoria for the period 2005-2013 was estimated to be AU$634 million (US$493 million). Differences between males and females, single- and multivehicle crashes, and fatalities and injuries were found to be statistically significant. Run-off-road crashes and crashes from opposing direction were overrepresented in the lifetime care costs for young driver claimants. Twenty-eight injured drivers were classified as high-severity claims. These 28 claimants require additional long-term care, which was estimated to be AU$219 million; of these 28, 24 were male (85.7%). The long-term care costs for these 28 drivers (0.16%) accounts for 34.5% of the total lifetime care cost of all 18- to 25-year-old injured drivers.

CONCLUSIONS

By using no-fault lifetime care costs that account for medical and like expenses, rehabilitation, and social reintegration costs, a more accurate understanding of the cost of young driver crashes can be determined. Application of these costs to specific crash types highlights new priorities and opportunities for developing programs to reduce young driver crashes.

Changes in driver cannabinoid prevalence in 12 U.S. states after implementing medical marijuana laws

OBJECTIVE

To determine if cannabinoid prevalence increased among fatal-crash-involved drivers in 12 U.S. states after implementing medical marijuana laws.

METHODS

Time series analyses of 1992 to 2009 driver cannabinoid prevalence from the Fatality Analysis Reporting System.

RESULTS

Increased driver cannabinoid prevalence associated with implementing medical marijuana laws was detected in only three states: California, with a 2.1 percentage-point increase in the percentage of all fatal-crash-involved drivers who tested positive for cannabinoids (1.1% pre vs. 3.2% post) and a 5.7 percentage-point increase (1.8% vs. 7.5%) among fatally-injured drivers; Hawaii, with a 6.0 percentage-point increase (2.5 vs. 8.5) for all drivers and a 9.6 percentage-point increase (4.9% vs. 14.4%) among fatally-injured drivers; and Washington, with a 3.4 percentage-point increase (0.7% vs. 4.1%) for all drivers and a 4.6 percentage-point increase (1.1% vs. 5.7%) among fatally-injured drivers. Changes in prevalence were not associated with the ease of marijuana access afforded by the laws.

DISCUSSION

Increased prevalence of cannabinoids among drivers involved in fatal crashes was only detected in a minority of the states that implemented medical marijuana laws. The observed increases were one-time changes in the prevalence levels, rather than upward trends, suggesting that these laws may indeed provide marijuana access to a stable population of patients as intended, without increasing the numbers of new users over time. Although this study provides some insight into the potential impact of these laws on public safety, differences between states in drug testing practices and regularity, along with the fairly recent implementation of most medical marijuana laws, suggest that the long-term impact of these laws may not yet be known.

PRACTICAL APPLICATIONS

It is recommended that nationwide standardization of drug testing procedures and criteria be considered to improve the consistency of testing both between and within jurisdictions.

Peer influence on speeding behaviour among male drivers aged 18 and 28

Despite extensive research, preventive efforts and general improvements in road safety levels, the accident risk of young male drivers remains increased. Based on a standardized survey of a random sample of 2018 male drivers at the age of 18 and 28, this study looked into attitudes and behaviours related to traffic violations of male drivers. More specifically, the role of peer influence on speeding was examined in both age groups. In regression analyses it could be shown that the descriptive subjective norm, i.e., the perception of friends' speeding, was the most important predictor of speeding in both age groups. Other significant factors were: negative attitude towards speed limits, injunctive subjective norm, and the perceived risk of having an accident when speeding. In the older age group it was more common to drive faster than allowed and their speeding was largely in line with the perceived level of their friends' speeding. In the younger age group a higher discrepancy between own and friends' speeding was found indicating that young male drivers are socialized into increased speeding behaviour based on peer pressure. By contrast for the 28-year-olds peer pressure mainly seems to maintain or justify individual speeding behaviour. It is suggested that preventive measures should take these different influences of peer pressure into account by using a peer-based approach for the 18-year-olds and a more individual approach for the 28-year-olds.

The effect of the learner license Graduated Driver Licensing components on teen drivers' crashes

BACKGROUND

Most studies evaluating the effectiveness of Graduated Driver Licensing (GDL) have focused on the overall system. Studies examining individual components have rarely accounted for the confounding of multiple, simultaneously implemented components. The purpose of this paper is to quantify the effects of a required learner license duration and required hours of supervised driving on teen driver fatal crashes.

METHODS

States that introduced a single GDL component independent of any other during the period 1990-2009 were identified. Monthly and quarterly fatal crash rates per 100,000 population of 16- and 17-year-old drivers were analyzed using single-state time series analysis, adjusting for adult crash rates and gasoline prices. Using the parameter estimates from each state's time series model, the pooled effect of each GDL component on 16- and 17-year-old drivers' fatal crashes was estimated using a random effects meta-analytic model to combine findings across states.

RESULTS

In three states, a six-month minimum learner license duration was associated with a significant decline in combined 16- and 17-year-old drivers' fatal crash rates. The pooled effect of the minimum learner license duration across all states in the sample was associated with a significant change in combined 16- and 17-year-old driver fatal crash rates of -.07 (95% Confidence Interval [CI] -.11, -.03). Following the introduction of 30 h of required supervised driving in one state, novice drivers' fatal crash rates increased 35%. The pooled effect across all states in the study sample of having a supervised driving hour requirement was not significantly different from zero (.04, 95% CI -.15, .22).

CONCLUSION

These findings suggest that a learner license duration of at least six-months may be necessary to achieve a significant decline in teen drivers' fatal crash rates. Evidence of the effect of required hours of supervised driving on teen drivers' fatal crash rates was mixed.

Seat-belt use still low in Kuwait: self-reported driving behaviours among adult drivers

Kuwait mandated seat-belt use by drivers in 1976 and by front seat passengers in 1994. The study objectives were to identify and estimate current factors associated with seat-belt use and levels of potentially unsafe driving behaviours in Kuwait. In 2010, 741 adults were surveyed regarding driving habits and history. Only 41.6% of drivers reported always using a seat belt. Front seat passenger belt use was more common (30.5%) than rear seat belt use (6.5%). Distracted driving behaviours were common, including mobile phone use ('always' or 'almost always': 51.1%) and texting/SMS (32.4%). Logistic regression indicated that drivers who were young (18-19 years), male, Kuwaiti nationals or non-Kuwaiti Arabs, drove over the speed limit, had traffic violation tickets or >1 car crashes in the last year, were less likely to use seat belts. Targeted initiatives to increase public awareness and to enforce car-safety legislation, including use of seat belts, are necessary to decrease the health burden of car crashes in Kuwait.

Can anti-speeding messages based on protection motivation theory influence reported speeding intentions?

The study investigated the effects of anti-speeding messages based on protection motivation theory (PMT) components: severity, vulnerability, rewards, self-efficacy, response efficacy, and response cost, on reported speeding intentions. Eighty-three participants aged 18-25 years holding a current Australian driver's license completed a questionnaire measuring their reported typical and recent speeding behaviors. Comparisons were made between 18 anti-speeding messages used on Australian roads and 18 new anti-speeding messages developed from the PMT model. Participants reported their reactions to the 36 messages on the perceived effectiveness of the message for themselves and for the general population of drivers, and also the likelihood of themselves and other drivers driving within the speed limit after viewing each message. Overall the PMT model-derived anti-speeding messages were better than jurisdiction-use anti-speeding messages in influencing participants' reported intention to drive within the speed limit. Severity and vulnerability were the most effective PMT components for developing anti-speeding messages. Male participants reported significantly lower intention to drive within the speed limit than did female participants. However, males reported significantly higher intention to drive within the speed limit for PMT-derived messages compared with jurisdiction-based messages. Third-person effects were that males reported anti-speeding messages to be more effective for the general driving population than for themselves. Females reported the opposite effect - that all messages would be more effective for themselves than for the general driving population. Findings provided support for using a sound conceptual basis as an effective foundation for anti-speeding message development as well as for evaluating proposed anti-speeding messages on the target driver population.

Graduated driver licensing program component calibrations and their association with fatal crash involvement

Graduated driver licensing (GDL) programs are specialized licensing systems for beginner drivers adopted in all U.S. states, Australia, Canada, and New Zealand. GDL programs reduce novice drivers' exposure to high-risk driving situations while they gain driving experience. Several studies document the success of GDL programs overall in reducing young teen crash rates. However, little is known about which specific components of these programs (e.g., nighttime driving restrictions) and which calibrations of these components (e.g., 10 PM, 11 PM, 12 AM, or 1 AM), are associated with the largest crash reductions. The goal of this study was to identify the GDL component calibrations associated with the largest reductions in fatal crash involvements for 16-17-year-olds. Driver fatal crash involvements for all U.S. states from 1986 to 2007 were analyzed using Poisson regression models to estimate the association of various GDL component calibrations with 16- and 17-year-old driver fatal crash incidence, after adjusting for potential confounders. We found clear evidence that (a) a minimum learner permit holding period of 9-12 months and (b) a passenger restriction allowing only one teen passenger for 6 months or longer are the calibrations for the learner permit holding period and passenger restriction components associated with the largest reductions in 16-17-year-old driver fatal crash involvements. Additionally, the data suggest that (a) disallowing learner driving until age 16, (b) disallowing intermediate licensure until age 16½ to 17, and (c) a nighttime driving restriction starting at 10 PM or earlier are the calibrations for these components associated with the largest reductions in 16-year-old driver fatal crashes. There was no clear evidence to support particular calibrations for supervised driving hours or unrestricted license ages.

Graduated driver licensing for new drivers: effects of three states' policies on crash rates among teenagers

BACKGROUND

Evidence is mixed on the effects of graduated driver licensing (GDL) on motor vehicle crashes involving drivers aged 18 years.

PURPOSE

This study examined the effects of GDL on crashes involving drivers aged 18 years in three states: Maryland, where GDL applies to novice drivers of all ages, and Florida and Michigan, where GDL applies only to new drivers aged <18 years. In addition, this study sought to confirm positive effects of GDL among drivers aged 16 and 17 years.

METHODS

Monthly rates for three levels of crash severity (fatal/disabling injury, nondisabling injury, and possible injury/property damage only [PDO]) for drivers aged 16, 17, and 18 years were calculated using crash records and census data. Data for Maryland spanned 1998 to 2009, for Florida 1990 to 2009, and Michigan 1992 to 2009. GDL's effects on teen driver crashes by age were estimated using time-series analyses, conducted in 2012.

RESULTS

Crash rates for drivers aged 16 and 17 years declined in all three states following implementation or revision of GDL. For drivers aged 18 years, revision of an existing GDL law in Maryland was followed by a 6.9% decrease in possible-injury/PDO crashes; in Michigan, GDL implementation was followed by a 3.6% increase in possible-injury/PDO crashes; and in Florida, GDL had no effect.

CONCLUSIONS

GDL led to expected declines in crash rates for drivers aged 16 and 17 years. However, the findings suggest that when GDL applies only to novice drivers aged <18 years, rather than to all novice drivers, crash rates among drivers aged 18 years may increase. In order to potentially extend the safety benefits of GDL, the age at which GDL for new drivers should be applied requires further attention.

Stereotype threat and hazard perception among provisional license drivers

Stereotype threat refers to the negative impact a stereotype about one's group can have on one's performance in domains relevant to the stereotype. In the current paper, we explore whether the negative stereotype of provisional license drivers (PLDs) might produce stereotype threat in a driving-related hazard perception task. We manipulate threat by asking participants to self-identify as PLDs in a categorization condition, or by reminding PLD participants explicitly of the stereotype of PLDs in an explicit stereotype condition. Results reveal increments in hazard perception in the categorization condition, and decrements in hazard perception in the explicit stereotype condition. Mediation analysis reveals that hazard perception performance is fully mediated by increased effort in the categorization condition and by decreased effort in the explicit stereotype condition. We discuss these findings in terms of their implications for stereotype threat and its mediators, and for public policy that explicitly discriminates between PLDs and other driver groups.

Speeding by young novice drivers: What can personal characteristics and psychosocial theory add to our understanding?

PURPOSE

Young novice drivers continue to be overrepresented in fatalities and injuries arising from crashes even with the introduction of countermeasures such as graduated driver licensing (GDL). Enhancing countermeasures requires a better understanding of the variables influencing risky driving. One of the most common risky behaviours performed by drivers of all ages is speeding, which is particularly risky for young novice drivers who, due to their driving inexperience, have difficulty in identifying and responding appropriately to road hazards. Psychosocial theory can improve our understanding of contributors to speeding, thereby informing countermeasure development and evaluation. This paper reports an application of Akers' social learning theory (SLT), augmented by Gerrard and Gibbons' prototype/willingness model (PWM), in addition to personal characteristics of age, gender, car ownership, and psychological traits/states of anxiety, depression, sensation seeking propensity and reward sensitivity, to examine the influences on self-reported speeding of young novice drivers with a Provisional (intermediate) licence in Queensland, Australia.

METHOD

Young drivers (n=378) recruited in 2010 for longitudinal research completed two surveys containing the Behaviour of Young Novice Drivers Scale, and reported their attitudes and behaviours as pre-Licence/Learner (Survey 1) and Provisional (Survey 2) drivers and their sociodemographic characteristics.

RESULTS

An Akers' measurement model was created. Hierarchical multiple regressions revealed that (1) personal characteristics (PC) explained 20.3%; (2) the combination of PC and SLT explained 41.1%; (3) the combination of PC, SLT and PWM explained 53.7% of variance in self-reported speeding. Whilst there appeared to be considerable shared variance, the significant predictors in the final model included gender, car ownership, reward sensitivity, depression, personal attitudes, and Learner speeding.

CONCLUSIONS

These results highlight the capacity for psychosocial theory to improve our understanding of speeding by young novice drivers, revealing relationships between previous behaviour, attitudes, psychosocial characteristics and speeding. The findings suggest multi-faceted countermeasures should target the risky behaviour of Learners, and Learner supervisors should be encouraged to monitor their Learners' driving speed. Novice drivers should be discouraged from developing risky attitudes towards speeding.

Increased Cardiovascular and Renal Disease but not Reduced Life Expectancy Among Diabetic Participants in the General Northern Greek Population

We compared life expectancy and causes of death based on death certificates of 269 diabetic participants (group A) and 5659 nondiabetic participants (group B) who died from January 1, 1991 to December 31, 2010, in 3 small towns of Northern Greece. Age at death was significantly ( P = .011) higher in group A (77.2 ± 8.7 years) than in group B (75.7 ± 18.9 years). Males with diabetes lived longer with a mean difference of 4.7 (2.8-6.6) years ( P < .001), whereas females without diabetes lived longer, with a mean difference of 2.3 (1.1-5.6) years ( P = .004). Diabetic participants died more frequently of myocardial infarction ( P = .001), chronic renal failure ( P < .001), followed by pneumonia ( P = .010) and hyperosmolar non-ketotic coma ( P < .001). Nondiabetic participants died more frequently of lung cancer ( P < .001), old age ( P < .001), and car accidents ( P = .004). In conclusion, the cardiovascular and renal disease burden among diabetic participants did not reduce life expectancy, especially in men.

Early driving experience and influence on risk perception in young rural people

Young people, particularly males and those from a rural area, are over represented in road crashes; this occurs in vehicle dependent countries around the world, including Australia. The attitudes, experiences and behaviours of young drivers are some of the key factors which affect their potential to have an early on road driving experience that is crash free. This paper considers the views of young people, some of whom were brought up on rural properties, and had significant, responsible roles in agricultural work, including task related driving from a very early age. This early responsibility and associated awareness of risk of injury in farm related tasks can affect risk perception and impact on later risk taking behaviours. Ten focus groups were conducted with young people attending schools in four towns in rural New South Wales, Australia. These were recorded and analysed using qualitative methodology. The results indicate that risk factors in driving, on and off road, are clearly identified and understood; the majority of young people in rural areas are not "high" risk takers or sensation seekers. They also indicate that, in rural NSW, early vehicle handling, before the age for obtaining a license for driving on roads, is customary practice within the community. Attitudes towards speeding, however, reflect that it is tolerable behaviour, and almost inevitable, and often not considered to be risky. Drink driving is considered more risky, and less acceptable, at both the personal and community levels. Future intervention strategies to reduce crash rates in young rural drivers should aim to address the attitudes and actions associated with speeding on rural roads.

An investigation of the risk factors causing severe injuries in crashes involving gravel trucks

OBJECTIVE

Gravel trucks that transport heavy materials such as gravel, sand, dirt, or crushed rock require great skill and attention for safe driving, especially when they carry excessive loads or drive at unwarranted speeds that tend to cause serious accidents. Very few studies in the past have attempted to examine the effect of risk factors on the severity of injury associated with gravel truck crashes. This study intends to assess the impact of risk factors on the severity of injury associated with gravel truck crashes.

METHODS

Factors that contribute to 2 severity levels of fatalities or injuries and property damage only were examined by using the binary logit model. This article also estimates the effects of risk factors on various types of crashes involving gravel trucks; for example, head-on, angle, sideswipe, and rear-end.

RESULTS

Some factors associated with lack of driver awareness, geometric improvements to roads or intersections, and the desire to achieve higher salaries by making more runs in a day were found to have a significant effect on causing severe injuries in gravel truck accidents.

CONCLUSIONS

Some policy recommendations to prevent gravel truck-involved crashes that resulted in serious injuries include mandating gravel truck operators and companies to strictly enforce the maximum legal driving hours and improve the wage system of a low pay base and high-bonus by runs, in addition to a required driver training program, mandating gravel truck drivers to attend a traffic safety program for the education and awareness of risky driving behaviors--for example, overloading, speeding, and prolonged driving--before obtaining a professional driver's license.

Sleep deprivation does not mimic alcohol intoxication on field sobriety testing

Previous research shows that sleep deprivation (SD) produces cognitive impairment similar to that caused by alcohol intoxication. Individual studies suggest that SD also causes deficits in motor skills that could be mistaken for intoxication. Consequently, SD often is used as a defense when an impaired driver is charged with driving while intoxicated. Twenty-nine adult subjects participated in two test sessions each, one after a full night's rest and the other after wakefulness of at least 24 h. Subjects consumed prescribed amounts of alcohol during each session. Law enforcement officers conducted field sobriety tests identical to those with which a driver would be assessed at roadside. Researchers also measured clinical responses of visual function and vital signs. The presence and number of validated impairment clues increase with increasing blood alcohol concentration but not with SD. Thus, SD does not affect motor skills in a manner that would lead an officer to conclude that the suspect is intoxicated, unless intoxication also is present.

A practical approach for applying best practices in behavioural interventions to injury prevention

Behavioural science when combined with engineering, epidemiology and other disciplines creates a full picture of the often fragmented injury puzzle and informs comprehensive solutions. To assist efforts to include behavioural science in injury prevention strategies, this paper presents a methodological tutorial that aims to introduce best practices in behavioural intervention development and testing to injury professionals new to behavioural science. This tutorial attempts to bridge research to practice through the presentation of a practical, systematic, six-step approach that borrows from established frameworks in health promotion and disease prevention. Central to the approach is the creation of a programme theory that links a theoretically grounded, empirically tested behaviour change model to intervention components and their evaluation. Serving as a compass, a programme theory allows for systematic focusing of resources on the likely most potent behavioural intervention components and directs evaluation of intervention impact and implementation. For illustration, the six-step approach is applied to the creation of a new peer-to-peer campaign, Ride Like a Friend/Drive Like You Care, to promote safe teen driver and passenger behaviours.

Using the U.S. National Household Travel Survey to estimate the impact of passenger characteristics on young drivers' relative risk of fatal crash involvement

Motor vehicle crashes are the main cause of morbidity and mortality in teenagers and young adults in the United States. Driving exposure and passenger presence, which can both vary by driver and passenger characteristics, are known to influence crash risk. Some studies have accounted for driving exposure in calculating young driver fatal crash risk in the presence of passengers, but none have estimated crash risk by driver sex and passenger age and sex. One possible reason for this gap is that data collection on driving exposure often precludes appropriate analyses. The purpose of this study was to examine, per 10 million vehicle trips (VT) and vehicle-miles traveled (VMT), the relative risk of fatal crash involvement in 15-20-year-old male and female drivers as a function of their passenger's age and sex, using solo driving as the referent. The Fatality Analysis Reporting System provided fatal motor vehicle crash data from 1999 to 2003 and the 2001 National Household Travel Survey (NHTS) provided VT and VMT. The NHTS collects driving exposure for both household and non-household members (e.g., friends, colleagues), but demographic characteristics only on household members. Missing age and sex of non-household passengers were imputed with hot deck using information from household passengers' trips with non-household drivers, thereby enabling the calculation of crash rate and relative risk estimates based upon driver and passenger characteristics. Using this approach, the highest risk was found for young male drivers with 16-20-year-old passengers (relative risk [RR] per 10 million VT=7.99; 95% confidence interval [CI], 7.34-8.69; RR per 10 million VMT=9.94; 95% CI, 9.13-10.81). Relative risk was also high for 21-34-year-old passengers, again particularly when both drivers and passengers were male. These effects warrant further investigation and underscore the importance of considering driving exposure by passenger characteristics in understanding crash risk. Additionally, as all imputation techniques are imperfect, a more accurate estimation of U.S. fatal crash risk per distance driven would require national surveys to collect data on non-household passenger characteristics.

Associations between parenting styles and teen driving, safety-related behaviors and attitudes

OBJECTIVE

The goal was to explore the association between parenting style and driving behaviors.

METHODS

The 2006 National Young Driver Survey gathered data on driving safety behaviors from a nationally representative sample of 5665 ninth-, 10th-, and 11th-graders. A parenting style variable was based on adolescent reports and separated parents into 4 groups, (1) authoritative (high support and high rules/monitoring), (2) authoritarian (low support and high rules/monitoring), (3) permissive (high support and low rules/monitoring), and (4) uninvolved (low support and low rules/monitoring). Associations between parenting style and driving behaviors and attitudes were assessed.

RESULTS

One half of parents were described as authoritative, 23% as permissive, 8% as authoritarian, and 19% as uninvolved. Compared with teens with uninvolved parents, those with authoritative parents reported one half the crash risk in the past year (odds ratio [OR]: 0.47 [95% confidence interval [CI]: 0.26-0.87]), were 71% less likely to drive when intoxicated (OR: 0.29 [95% CI: 0.19-0.44]), and were less likely to use a cellular telephone while driving (OR: 0.71 [95% CI: 0.50-0.99]). Teens with authoritative or authoritarian parents reported using seat belts nearly twice as often (authoritative: OR: 1.94 [95% CI: 1.49 -2.54]; authoritarian: OR: 1.85 [95% CI: 1.08 -3.18]) and speeding one half as often (authoritative: OR: 0.47 [95% CI: 0.36-0.61]; authoritarian: OR: 0.63 [95% CI: 0.40-0.99]) as teens with uninvolved parents. No significant differences in crash risk or seat belt use were found between permissive and uninvolved parents.

CONCLUSIONS

Clinicians should encourage parents to set rules and to monitor teens' driving behaviors, in a supportive context.

Novice drivers' risky driving behavior, risk perception, and crash risk: findings from the DRIVE study

OBJECTIVES

We explored the risky driving behaviors and risk perceptions of a cohort of young novice drivers and sought to determine their associations with crash risk.

METHODS

Provisional drivers aged 17 to 24 (n = 20 822) completed a detailed questionnaire that included measures of risk perception and behaviors; 2 years following recruitment, survey data were linked to licensing and police-reported crash data. Poisson regression models that adjusted for multiple confounders were created to explore crash risk.

RESULTS

High scores on questionnaire items for risky driving were associated with a 50% increased crash risk (adjusted relative risk = 1.51; 95% confidence interval = 1.25, 1.81). High scores for risk perception (poorer perceptions of safety) were also associated with increased crash risk in univariate and multivariate models; however, significance was not sustained after adjustment for risky driving.

CONCLUSIONS

The overrepresentation of youths in crashes involving casualties is a significant public health issue. Risky driving behavior is strongly linked to crash risk among young drivers and overrides the importance of risk perceptions. Systemwide intervention, including licensing reform, is warranted.

Effect of a Graduated Licensing System on Motor Vehicle Crashes andAssociated Injuries Involving Drivers Less Than 18 Years-of-Age

OBJECTIVES

The rate of motor vehicle crashes in the United States is higher among adolescent drivers than among any other age group. This study was conducted to determine whether implementation of a graduated driver's licensing program is associated with a reduced the rate of motor vehicle crashes and injuries involving adolescent driver.

METHODS

Time periods before and after establishment of Delaware's GDL program were compared. The one year "before" period spanned January 1, 1998, through December 31, 1998, and the 3-year "after" period spanned January 1, 2000, to December 31, 2002. Following enactment of the GDL program on July 1, 1999, we delayed data collection during the "after" period for 6 months to allow for full implementation of the program. Information was obtained for all Delaware registered drivers between ages 16 and 17 years were involved in motor vehicle crashes involving property damage or injury from 1998 to 2002. The rate of crashes involving property damage, EMS transport, injury, hospitalization, and death were determined pre- and post-GDL,. Length of hospitalization and hospital charges were compared, and the presence and age of passengers, along with time of day were determined.

RESULTS

The total number of licensed 16- and 17-year-old drivers in Delaware was 14,320 during 1998 (the before period), 16,849 for 2000, 14,098 for 2001, and 14,276 for 2002, for a total of 45,223 licensed drivers studied during the after period. The proportion of hospitalizations, injuries, crashes involving property damage and total number of crashes involving registered 16- and 17-year-old drivers after GDL each decreased by at least 30%. In addition, this GDL program was associated with a reduction in nighttime crashes and in crashes involving cars with multiple passengers in comparison with the time period before GDL.

CONCLUSIONS

Two years after implementation, the hospitalization rate, injury rate, and crash rate decreased significantly with enactment of the GDL program in the State of Delaware. The Delaware's GDL program appears successful in decreasing motor vehicle crashes and resultant injuries in adolescent drivers.

Postural stability and vehicle kinematics during an evasive lane change manoeuvre: a driver training study

The purpose of this study was to investigate the effect of a 2-day driver-training course that emphasised postural stability maintenance during critical driving situations on postural stability and vehicle kinematics during an evasive lane change manoeuvre. Following training, the trainee group experienced enhanced postural stability during specific phases of the task. In terms of vehicle kinematics, the main adaptation to training was that trained drivers reduced the extent to which they experienced vehicle decelerations during rapid turning compared to controls. Such a strategy may confer a safety benefit due to the increased risks associated with simultaneous braking while turning during an evasive manoeuvre. The newly learned strategy was consistent with the strategy used by a group of highly skilled drivers (driving instructors). Taken together, the results of the study suggest postural stability may be a useful variable to consider in relation to the skill-based component of hierarchical driver training programmes. The findings of this study provide some preliminary evidence to suggest that postural stability may be an important consideration when instructing individuals on how to safely negotiate obstacles during driving.

Relationships between young drivers' personality characteristics, risk perceptions, and driving behaviour

Research has shown that inexperienced drivers underestimate the risks associated with a range of driving situations. In addition, personality factors are an important influence on both risk perceptions and driving behaviour. The study investigated the strength of relationship between personality factors, risk perceptions, and driving behaviour among young, mainly inexperienced drivers. One-hundred and fifty-nine students aged between 17 and 20 completed an online questionnaire assessing five facets of personality, four components of risk perceptions, and one measure of driving behaviour. Using structural equation modeling as a means of assessing the overall fit of each model, 39% of the variance in young drivers' speeding was accounted for by Excitement-Seeking, Altruism, their Aversion to Risk Taking, and their own likelihood of having an accident, with Altruism and Aversion to Risk Taking both showing moderate negative relationships. Road safety interventions should examine whether they strengthen young drivers' appreciation of the impact of their actions on others through positive reinforcement of altruistic norms.

The influence of driver distraction on the severity of injuries sustained by teenage drivers and their passengers

Studies show that teenage drivers are at a higher risk for crashes. Opportunities to engage in technology and non-technology based distractions appear to be a particular concern among this age group. An ordered logit model was developed to predict the likelihood of a severe injury for these drivers and their passenger using a national crash database (the 2003, U.S. DOT-General Estimate System [GES]). As one would expect, speeding substantially increases the likelihood of severe injuries for teenage drivers and their passengers. The results of the analysis also reveal that teenage drivers have an increased likelihood of more severe injuries if distracted by a cell phone or by passengers than if the source of distraction was related to in-vehicle devices or if the driver was inattentive. Additionally, passengers of teenage drivers are more likely to sustain severe injuries when their driver is distracted by devices or passengers than with a non-distracted or inattentive driver. This supports the previous literature on teenage drivers and extends our understanding of injuries for this age group related to distraction-related crashes.

Women drivers' behavior in well-known versus less familiar locations

INTRODUCTION

Through observations this study sought to examine the effects of road familiarity on driving performance.

METHOD

Severe and minor traffic violations, dangerous behaviors, and speeding were assessed in well known and in less familiar locations.

RESULTS

As compared to less known locations, drivers in well known locations performed more severe and minor violations, more dangerous behaviors, and they drove above the speed limit more often.

DISCUSSION

The results are discussed in the context of Theory of Risk Homeostasis (later re-labeled as Target Risk Theory), the psychological effect of familiarity on driving performance, and the phenomenon of automatic driving. Presenting the risk of driving in familiar locations would assist to elevate safe driving.

Is Speeding a Form of Gambling in Adolescents?

Speeding is a major contributor to motor vehicle accidents, which are the leading cause of death in adolescents. This study compares the extent to which adolescents with gambling behavior and substance use reported driving over the posted speed limits ("speeding"). Florida adolescents ages 13-17 (n = 1051) were surveyed, and asked about gambling activities, problems related to gambling, substance use, demographic questions, and speeding. Of the 562 respondents who were drivers, the gender distribution was 52.1% male and 47.9% female. Of those respondents, 76.9% were Caucasian, 6.8% were African American, 10.1% were Hispanic, and 6.1% were Native American/Asian/Other. Simple correlation analysis revealed that self-reported speeding is significantly related to gambling behavior and substance use. When a linear regression model was used, four factors showed the most significant influence on self-reported speeding: past year gambling tendency, age, trouble with the police due to drinking, and tranquilizer usage. Gambling behavior and high-risk speeding (driving ≥ 10 mph over speed limit) also were noted to be positively correlated. Our data indicate a relationship between risky driving, gambling, and other risk-taking behaviors in adolescents, and support the hypothesis that speeding may be a form of gambling behavior in this age group.

Adolescents, accidents and the need to extend our scope of research

Accidents in adolescence result in mortality and disability that in many cases could have been prevented. The issue is a multi-factorial complex phenomenon, where new research ideas are needed to improve outcome. This short communication presents several research ideas that could provide new relevant answers.

Probationary and non-probationary drivers' nighttime crashes in Western Australia, 1996-2000

INTRODUCTION

This study was designed to explore the temporal aspects of crashes for probationary and non-probationary drivers.

METHODS

Data from the West Australian Road Injury Database from 1996-2000 were used to calculate age-sex-specific crash rates per 100,000 person-days and to plot proportions of fatal and hospital crashes by time for probationary and non-probationary drivers. The population attributable risk was used to estimate the potential number of lives saved by nighttime driving restriction in the probationary period.

RESULTS

Probationary drivers were seven times more likely to crash than non-probationary drivers. While the highest number of crashes was in the daytime, probationary drivers had a higher proportion of fatal or hospitalization crashes at night than non-probationary drivers.

CONCLUSION

Restrictions on driving at night could form part of graduated driver training. Even if some probationary drivers disobeyed the restriction, a substantial reduction in car occupant fatalities and hospitalizations could result.

Graduated driver licensing research in 2003 and beyond

This paper updates the comprehensive summary of graduated driver licensing (GDL) published in the January 2003 special issue of the Journal of Safety Research. It summarizes recent research not included in the special issue as well as research in progress or planned research. The most active research areas are risk factors for beginning teen drivers and evaluations of GDL programs. Results in each area strengthen the case for GDL. Additional research is producing valuable information about specific GDL implementation issues and the roles of parents and driver education in helping teenagers learn to drive safely.