Trajectories of risky driving among emerging adults with their mental and psychosomatic health predictors in the 12th grade.

Trajectories of risky driving among emerging adults with their mental and psychosomatic health predictors in the 12th grade.
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DOI:
10.1080/15389588.2021.1949003
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发表时间:
2021
影响因子:
2
通讯作者:
Li K
Li K
中科院分区:
医学4区
文献类型:
--
作者:
Gao X;Vaca FE;Haynie DL;Simons-Morton B;Li K

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识别新兴成年人中危险驾驶的轨迹类别,并检查12年级抑郁和心身症状与所识别轨迹类别的预测关联。数据来自高中最后一年(12年级-第3波[W3])和高中后1-4年(第4-7波[W 4 -7])的下一代健康研究,这是一项从10年级开始的全国代表性研究(2009-2010)。我们用21项检查点自报危险驾驶量表(C-RDS)来衡量危险驾驶。使用W3-7的C-RDS数据,使用潜在类别增长模型(LCGM)识别危险驾驶轨迹类别。自变量为W3抑郁症状和W3心身症状。协变量包括家庭富裕和城市化。使用SAS PROC Traj进行LCGM。多项逻辑回归被用来检查轨迹类和自变量之间的关联,考虑到复杂的调查抽样特征。三个危险的驾驶轨迹被确定为:低(N=583,21.43%,加权及以后),中(N=1423,59.22%),高(N=389,19.35%)风险驾驶类。与低风险驾驶类别相比,当控制协变量时,W3抑郁症状增加一个单位与属于中等风险驾驶类别(校正比值比[AOR]=1.04,95%CI 1.01,1.07)和高风险驾驶类别(AOR=1.05,95%CI 1.02,1.08)的可能性更高显著相关。同样,与低风险驾驶类相比,当控制协变量时,W3心身症状增加一个单位与属于中等(AOR=1.06,95%CI 1.00,1.13)和高(AOR=1.10,95%CI 1.04,1.16)风险驾驶类的可能性较高显著相关。有抑郁和心身症状的高中生在离开高中后的几年内从事危险驾驶的风险更高。这些研究结果表明,预防计划,包括筛查,转诊治疗,并在高中的精神和心身症状的治疗可能是重要的机会,以减少危险驾驶的青年,因为他们从青春期过渡到成年初显。
To identify trajectory classes of risky driving among emerging adults and examine predictive associations of depressive and psychosomatic symptoms in the 12th grade with the identified trajectory classes. Data were from the last year in high school (12th-Grade - Wave 3 [W3]) and years 1-4 after high school (Waves 4-7 [W4-7]) of the NEXT Generation Health Study, a nationally representative study starting with 10th grade (2009-2010). We measured risky driving with the 21-item Checkpoints Self-Reported Risky Driving Scale (C-RDS). Using C-RDS data from W3-7, the latent class growth modeling (LCGM) was used to identify risky driving trajectory classes. Independent variables were W3 depressive symptoms and W3 psychosomatic symptoms. Covariates included family affluence and urbanicity. The LCGM was conducted with SAS PROC Traj. The multinomial logistic regressions were used to examine the associations between the trajectory classes and independent variables, taking complex survey sampling features into account. Three risky driving trajectories were identified: low (N=583, 21.43%, weighted and hereafter), medium (N=1423, 59.22%), and high (N=389, 19.35%) risky driving classes. Compared to the low risky driving class, one unit increase in W3 depressive symptoms was significantly associated with a higher likelihood of belonging to the medium (adjusted odds ratio [AOR]=1.04, 95% CI 1.01, 1.07) and the high (AOR=1.05, 95% CI 1.02, 1.08) risky driving classes, respectfully, when controlling for the covariates. Likewise, compared to the low risky driving class, one unit increase in W3 psychosomatic symptoms was significantly associated with a higher likelihood of belonging to the medium (AOR=1.06, 95% CI 1.00, 1.13) and the high (AOR=1.10, 95% CI 1.04, 1.16) risky driving classes, respectively, when controlling for the covariates. High school students with depressive and psychosomatic symptoms were at higher risk of engaging in risky driving in the immediate years after leaving high school. These findings suggest that prevention programs that incorporate screening, referral to treatment, and treatment of mental and psychosomatic symptoms in high school may be important opportunities to reduce risky driving among youth as they transition from adolescence to emerging adulthood.
DOI: 10.1080/15389588.2020.1852225
发表时间: 2021
影响因子: 2
作者:
Li K;Vaca FE;Courtney JB;Haynie DL;Simons-Morton BG
通讯作者: Simons-Morton BG
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