@article{ref1,
title="Young driver licensing and crash outcomes in Ohio: can comprehensive driver education policy protect those most at risk? [conference abstract #130]",
journal="Injury prevention",
year="2022",
author="Walshe, Elizabeth A. and Wyner, Abraham J. and Cheng, Shukai and Zhang, Robert and Gonzalez, Alexander K. and Oppenheimer, Natalie and Romer, Dan and Winston, Flaura K.",
volume="28",
number="Suppl 1",
pages="A46-A47",
abstract="SAVIR 2022 Conference Abstracts  Statement of Purpose Despite graduated driver licensing laws (GDL), novice driver crashes remain high in the US. This is a significant, yet preventable, public health problem. Indeed, not all states mandate driver education for novices, and only 15 states include professional behind-the-wheel (BTW) driver training. Furthermore, these programs are only mandated for drivers under age 18. In Ohio, where driver education including BTW training (plus GDL) is required for license applicants <18 years, we conducted a large population-based, prospective study to examine differences in licensing examination and crash outcomes for drivers <18 versus 18-24 years, who are exempt.  Methods/Approach State-wide licensing data in Ohio from 2018 were linked with subsequent police-reported crash records. The sample included N= 136,643 first-time license applicants aged 16-24, of which N= 129,897 received a license. First licensing examination outcome (pass/fail) and first police-reported crash in the initial 2- and 12-months post-licensure (3,789 and 16,215 crashes respectively) were profiled by age, sex, time in learner permit, and tract-level sociodemographics. Regression models assessed the association between age at licensure and crash outcomes, while controlling for covariates.  Results License applicants age 18 were up to 73% more likely to fail their first license examination, and up to 54% and 31% more likely to have a first crash in the first 2- and 12-months post-licensure (respectively) when compared to license applicants age 16. The relationship between age and crash outcomes remained when controlling for time in learner permit and tract-level SES.  Conclusion In Ohio, drivers licensed at age 18 were at highest risk for crashes post-licensure, and 16 year-olds were among the lowest risk age groups.  Significance Ohio's driver license policies may offer protection against crashes for the most at-risk new drivers, a finding that should be tested in a randomized trial.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2022-SAVIR.119",
url="http://dx.doi.org/10.1136/injuryprev-2022-SAVIR.119"
}