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Journal Article

Citation

Ivers RQ, Senserrick TM, Boufous S, Stevenson MR, Chen HY, Woodward M, Norton R. Am. J. Public Health 2009; 99(9): 1638-1644.

Affiliation

The George Institute for International Health.

Copyright

(Copyright © 2009, American Public Health Association)

DOI

10.2105/AJPH.2008.150367

PMID

19608953

PMCID

PMC2724457

Abstract

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=20822) completed a detailed questionnaire regarding driving behavior; 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.


Language: en

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