Trends and subgroup differences in transportation-related risk and safety behaviors among high school students, 1991-1997
ABSTRACT To examine national trends in transportation-related injury risk and safety behaviors among U.S. high school students.
To examine secular trends in riding with a driver who had been drinking, driving after drinking, and using seat belts, bicycle helmets, and motorcycle helmets, we used logistic regression to analyze data from national Youth Risk Behavior Surveys (YRBS) conducted in 1991, 1993, 1995, and 1997. The YRBS is a self-administered, anonymous survey that uses a national probability sample of U.S. students in public and private schools from grades 9-12 (N = 55,734 for all years combined).
The percentages of students who rode with a driver who had been drinking (36.6% in 1997), drove after drinking alcohol (16.9% in 1997), always wore seat belts (33.2% in 1997), and always wore a motorcycle helmet when riding a motorcycle (45.0% in 1997) remained stable between 1991 and 1997. From 1991 to 1997, the percentage of bicycle riders who always wore a helmet when bicycling showed a small but statistically significant increase (1.1% in 1991 to 3.8% in 1997), but helmet use remained low.
Many young people place themselves at unnecessary risk for motor vehicle- and bicycle-related crash injuries and fatalities. Improved motor vehicle- and bicycle-related injury prevention strategies are needed that specifically target adolescents.
- SourceAvailable from: Hsing-Fang Hsieh
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- "We controlled for sex in all our models because sex differences are typically found in risky driving research (Jackson, Sher, Cooper, & Wood, 2002). Male teenagers are more likely than females to ride in a car with a driver who has been drinking (Everett et al., 2001) and to engage in high-risk driving influences (Elliott, Shope, Raghunathan, & Waller, 2006). We did not study sex differences because this was not a focus of an already somewhat complicated and innovative cascade analysis approach. "
ABSTRACT: We apply a developmental cascade approach to study the longitudinal, cross-domain effects of negative family influence, deviant peer associations, and individual substance use on risky driving among a sample of low- income African American youth. Participants (N = 681)were followed from age 16 to age 21. Using structural equation modeling,we examined conceptual models of pathways to risky driving. Results indicated strong associations between domains within time points among negative family environment, deviant peer associations, individual substance use, and risky driving. Deviant peer associations were related to future risky driving. Alcohol and marijuana use also predicted later deviant peer relationships. The pathways were observed both between ages 16 and 18 and between ages 18 and 21. Consistent with the cascade hypotheses, we found that risks in one domain manifested as risks in the same domain across time in addition to spreading to other domains.Journal of Applied Developmental Psychology 04/2015; 38:11-21. DOI:10.1016/j.appdev.2015.03.002 · 1.85 Impact Factor
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ABSTRACT: To monitor behaviors that place adolescents at increased risk for premature morbidity and mortality, the Centers for Disease Control and Prevention developed the Youth Risk Behavior Surveillance System (YRBSS). This system measures six categories of behaviors, including behaviors that contribute to violence and unintentional injuries; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; unhealthy dietary behaviors; and inadequate physical activity. This article summarizes how some education and health agencies and nongovernmental organizations, in collaboration with community agencies, school boards, parents, and youth, use YRBSS data to describe risk behaviors, create awareness, supplement staff development, set and monitor program goals, develop health education programs, support health-related legislation, and seek funding. Ways in which YRBSS data are distributed electronically also are summarized.Journal of School Health 02/2002; 72(1):13-7. DOI:10.1111/j.1746-1561.2002.tb06504.x · 1.43 Impact Factor
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ABSTRACT: In 1999, alcohol related motor vehicle crashes in the United States claimed 15786 lives and injured more than 300000 persons. Drinking and driving behavior is shaped by individual and environmental level influences. In this study, the association between each state's driving under the influence of alcohol (DUI) countermeasures and self reported alcohol impaired driving was explored. Mothers Against Drunk Driving's (MADD's) Rating the States 2000 survey, which graded states on their DUI countermeasures from 1996-99, was used as an index of each state's comprehensive DUI prevention activities. Information on alcohol impaired driving from residents of each state was obtained from the 1997 Behavioral Risk Factor Surveillance System (BRFSS) survey. The association between the MADD state grades and alcohol impaired driving was assessed using multiple logistic regression. Of the 64162 BRFSS respondents who reported drinking any alcohol during the past month, 2.1% of women and 5.8% of men reported at least one episode of alcohol impaired driving in the past month. Those living in states with a MADD grade of "D" were 60% more likely to report alcohol impaired driving than those from states with a MADD grade of "A" (odds ratio 1.6, 95% confidence interval 1.3 to 2.1). The association existed for men and women. These findings suggest that stronger state level DUI countermeasures are associated with lower rates of self reported alcohol impaired driving.Injury Prevention 07/2002; 8(2):106-10. · 1.89 Impact Factor