Sleep-Deprived Young Drivers and the Risk for Crash The DRIVE Prospective Cohort Study
Sleep-Deprived Young Drivers and the Risk for Crash The DRIVE Prospective Cohort Study
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DOI：
10.1001/jamapediatrics.2013.1429
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发表时间：
2013-07-01
期刊：
影响因子：
26.1
通讯作者：
Ivers, Rebecca Q.
中科院分区：
文献类型：
--
作者：
Martiniuk, Alexandra L. C.;Senserrick, Teresa;Ivers, Rebecca Q.
睡眠时间短在青少年和年轻人中很常见，睡眠时间短是机动车碰撞的一个危险因素。目的评估睡眠时间与机动车碰撞风险之间的关系，包括碰撞发生的时间和碰撞类型（单车、多车、越野车和十字路口）。前瞻性队列研究。背景：澳大利亚新南威尔士州。问卷调查从20822名17至24岁的新驾照司机中获得。参与者在2003年6月至2004年12月期间持有第一阶段的临时执照，预期与执照和警方报告的撞车数据相关联，平均随访2年。对19327名参与者的子样本进行了分析，这些参与者有完整的信息。每晚睡眠时间不超过6小时。主要结果和测量主要结果变量是警方报告的撞车事故。采用多变量泊松回归模型研究睡眠时间对坠机风险的影响。结果：平均而言，报告每晚睡眠6小时或更少的人与报告睡眠超过6小时的人相比，发生撞车的风险更高（相对风险[RR]， 1.21; 95% CI, 1.04-1.41）。周末睡眠不足与车祸风险增加显著相关（RR, 1.55; 95% CI, 1.21-2.00）。每晚睡眠较少的人（平均和周末）在晚上8点到早上6点之间发生车祸的可能性更大（午夜至凌晨5点59分，RR为1.86；95% CI为1.11-3.13；晚上8点至晚上11点59分，RR为1.66；95% CI为1.15-2.39）。结论和相关性每晚睡眠不足会显著增加年轻司机发生车祸的风险。周末晚上睡眠不足会增加发生越野车祸和深夜发生车祸的风险。这为政府和卫生保健提供者解决年轻司机中与睡眠有关的撞车事故提供了理由。
IMPORTANCE Short sleep duration is common in adolescents and young adults, and short sleep duration is a risk factor for motor vehicle crash.OBJECTIVE To assess the association between hours of sleep and the risk for motor vehicle crash, including the time of day of crash and types of crash (single, multiple vehicle, run off road, and intersection).DESIGN Prospective cohort study.SETTING New South Wales, Australia.PARTICIPANTS Questionnaire responses were obtained from 20 822 newly licensed drivers aged 17 to 24 years. Participants held a first-stage provisional license between June 2003 and December 2004 prospectively linked to licensing and police-reported crash data, with an average of 2 years of follow-up. Analyses were conducted on a subsample of 19 327 participants for which there was full information.EXPOSURE Sleeping 6 or fewer hours per night.MAIN OUTCOMES AND MEASURES The main outcome variable was police-reported crash. Multivariable Poisson regression models were used to investigate the role of sleep duration on the risk for crash.RESULTS On average, those who reported sleeping 6 or fewer hours per night had an increased risk for crash compared with those who reported sleeping more than 6 hours (relative risk [RR], 1.21; 95% CI, 1.04-1.41). Less weekend sleep was significantly associated with an increased risk for run-off-road crashes (RR, 1.55; 95% CI, 1.21-2.00). Crashes for individuals who had less sleep per night (on average and on weekends) were significantly more likely to occur between 8 PM and 6 AM (RR, 1.86; 95% CI, 1.11-3.13, for midnight to 5:59 AM and RR, 1.66; 95% CI, 1.15-2.39, for 8:00 PM to 11:59 PM).CONCLUSIONS AND RELEVANCE Less sleep per night significantly increased the risk for crash for young drivers. Less sleep on weekend nights increased the risk for run-off-road crashes and crashes occurring in the late-night hours. This provides rationale for governments and health care providers to address sleep-related crashes among young drivers.