Risky driving, mental health, and health-compromising behaviours: risk clustering in late adolescents and adults.
Risky driving, mental health, and health-compromising behaviours: risk clustering in late adolescents and adults.
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DOI：
10.1136/injuryprev-2014-041150
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发表时间：
2014-12
期刊：
影响因子：
--
通讯作者：
Fargo JD
中科院分区：
文献类型：
--
作者：
McDonald CC;Sommers MS;Fargo JD
青少年和成年人的健康危害行为同时发生。由于机动车碰撞是这些年龄组死亡和残疾的主要原因，因此了解危险驾驶与其他健康危害行为之间的联系至关重要。我们对一项随机对照试验的数据进行了二次分析，该试验对风险驾驶和问题饮酒筛查呈阳性的参与者进行了干预。使用基线数据，我们研究了18-24岁的青少年（n= 110）和25-44岁的成年人（n= 202）在15岁之前和之后的行为问题，抑郁症状，睡眠，问题饮酒和危险驾驶（敌意，鲁莽和酒后驾驶）之间的关系。我们开发了一个测量模型，整个样本使用验证性因素分析，然后指定为多组结构方程模型。晚期青少年和成年人有一些类似的关联途径，从问题饮酒到酒后驾车;抑郁到鲁莽驾驶; 15岁后的行为问题到敌意驾驶。然而，青少年后期，有更复杂的关系：抑郁症状和行为问题，15岁之前，通过多种途径与更危险的驾驶行为和男性报告更危险的驾驶。危险驾驶与其他危害健康的行为和心理健康因素有关。这是一个多层面的现象，在青春期后期比成年期更明显。为了促进安全驾驶，研究结果支持在驾驶训练和执照期间考虑对青少年后期人群健康构成威胁的行为的必要性。
Health-compromising behaviors in adolescents and adults co-occur. Because motor vehicle crashes are the leading cause of death and disability for these age groups, understanding the association between risky driving and other health compromising behaviors is critical. We performed a secondary analysis of data from a randomized controlled trial of an intervention for participants who screened positive for risky driving and problem drinking. Using baseline data, we examined relationships among conduct behavior problems before and after age 15, depressive symptoms, sleep, problem drinking, and risky driving (hostile, reckless and drinking and driving) in late adolescents ages 18–24 (n= 110) and adults ages 25–44 (n= 202). We developed a measurement model for the entire sample using confirmatory factor analysis, which was then specified as a multi-group structural equation model. Late adolescents and adults had some similar associations for pathways through problem drinking to drinking and driving; depression to reckless driving; and conduct behavior problems after 15 to hostile driving. Late adolescents, however, had more complex relationships: depressive symptoms and conduct behavior problems before 15 were associated with more risky driving behaviors through multiple pathways and males reported more risky driving. Risky driving is associated with other health-compromising behaviors and mental health factors. It is a multidimensional phenomenon more pronounced in late adolescence than adulthood. In order to promote safe driving, the findings support the need to consider behaviors that are a health threat in the late adolescent population during driving training and licensure.
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DOI：
10.1111/j.1553-2712.2010.00818.x
发表时间：
2010-08
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
Bernstein J;Heeren T;Edward E;Dorfman D;Bliss C;Winter M;Bernstein E
通讯作者：
Bernstein E
影响因子：
26.1
作者：
Martiniuk, Alexandra L. C.;Senserrick, Teresa;Ivers, Rebecca Q.
通讯作者：
Ivers, Rebecca Q.
影响因子：
5.9
作者：
Hanna, Christian L.;Laflamme, Lucie;Moller, Jette
通讯作者：
Moller, Jette
影响因子：
5.9
作者：
Begg, Dorothy;Sullman, Mark;Samaranayaka, Ari
通讯作者：
Samaranayaka, Ari
影响因子：
168.9
作者：
Catalano, Richard F.;Fagan, Abigail A.;Shek, Daniel T. L.
通讯作者：
Shek, Daniel T. L.