Unlicensed driving and other related health risk behaviors: A study of Montana high school students
Unlicensed driving and other related health risk behaviors: A study of Montana high school students
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DOI：
10.1016/j.aap.2013.01.013
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发表时间：
2013-05-01
影响因子：
5.9
通讯作者：
Moller, Jette
中科院分区：
文献类型：
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作者：
Hanna, Christian L.;Laflamme, Lucie;Moller, Jette
目的：健康风险行为往往集中在年轻人中，尤其是年轻司机。人们对年轻无证司机的健康风险状况知之甚少。本研究调查了年轻无证驾驶者的健康风险行为，并与持证驾驶同龄人和非驾驶同龄人进行比较。方法：对参与蒙大拿州青少年风险行为监测系统且符合获得驾驶执照年龄的高中生进行了研究（n = 5985），并根据他们自我报告的汽车驾驶和驾照实践（有证驾驶、无证驾驶和无证驾驶）进行分类。考虑了十种健康风险行为，其中四种与乘车/驾驶有关。使用多项逻辑回归来编制采用这些行为的特定性别比值比（95％置信区间），以有执照的驾驶员为参考，并根据年龄和种族/民族进行调整。结果：健康风险行为在无执照驾驶员中往往比其他群体更常见，尽管某些行为在所有群体中都很普遍（即饮酒和不使用安全带）。因此，对于男女学生来说，无证驾驶与大多数健康风险行为之间都存在显着关联，除了女学生中与醉酒司机发生肢体冲突和骑行外。结论：年轻无证驾驶者比有证驾驶者更有可能在汽车驾驶/骑行或其他方面采取多种健康风险行为，特别是饮酒和吸烟。这对任何简单化的方法提出了挑战，因为青少年无证驾驶并不是一个孤立的行为，表明采取了公共卫生和交通安全举措。 (C) 2013 Elsevier Ltd. 保留所有权利。
Purpose: Health risk behaviors tend to cluster in young people, not least among young drivers. Less is known about the health risk profile of young unlicensed drivers. This study investigates health risk behaviors among young unlicensed drivers compared to both their licensed and driving peers, and their non-driving peers.Methods: High school students participating in the Youth Risk Behavior Surveillance System in Montana (US) and age-eligible to have a driver's license were studied (n = 5985), categorized according to their self-reported car driving and license practice (licensed driving, unlicensed driving, and non-driving). Ten health risk behaviors, of which four were related to car riding/driving, were considered. Multinomial logistic regression was used to compile sex-specific odds ratios (with 95% confidence intervals) of adopting those behaviors using licensed drivers as a reference and adjusting for age and race/ethnicity.Results: Health risk behaviors tended to be more common among unlicensed drivers than other groups, although some behaviors were prevalent in all groups (i.e., alcohol use and lack of seat belt use). As a consequence, for both male and female students, there was a significant association between unlicensed driving and most health risk behaviors, except for being involved in a physical fight and riding with a drinking driver among female students.Conclusions: Young unlicensed drivers are more likely than licensed drivers to adopt several health risk behaviors both in car driving/riding or otherwise, in particular alcohol use and cigarette smoking. This challenges any simplistic approach as unlicensed driving in youth is not an isolated act suggesting public health and traffic safety initiatives. (C) 2013 Elsevier Ltd. All rights reserved.