Real-World Crash Circumstances Among Newly Licensed Adolescent Drivers With and Without Attention-Deficit/Hyperactivity Disorder.
Real-World Crash Circumstances Among Newly Licensed Adolescent Drivers With and Without Attention-Deficit/Hyperactivity Disorder.
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DOI：
10.1016/j.jadohealth.2022.02.008
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发表时间：
2022-08
影响因子：
7.6
通讯作者：
Yerys, Benjamin E.
中科院分区：
文献类型：
--
作者：
Curry, Allison E.;Sartin, Emma B.;Metzger, Kristina B.;McDonald, Catherine C.;Carey, Meghan E.;Power, Thomas J.;Yerys, Benjamin E.
关键词：
患有ADHD的青少年的撞车率高出30-40%。然而，我们仍然不知道哪些因素导致了更高的撞车风险，以及患有ADHD的司机的撞车情况是否不同。我们比较了在获得驾照后48个月内发生车祸的患有和不患有ADHD的青少年和年轻成年司机的车祸责任、驾驶员行为和车祸类型的发生率。在这项探索性回顾性队列研究中，我们确定了新泽西儿童医院（CHOP）初级保健地点的患者，这些患者出生于1987-2000年，是新泽西州居民，末次CHOP访视年龄≥ 12岁，并获得了驾驶执照。我们将CHOP电子健康记录与NJ的许可和崩溃数据库相关联。ADHD诊断基于13个ICD-9-CM/ICD-10-CM编码。使用广义估计方程对数二项回归估计患病率。我们在1,308起车祸中发现了934名患有多动症的司机，在6,676起车祸中发现了5,158名没有多动症的司机。在获得驾照后的48个月内，患有ADHD的司机更有可能因车祸而犯错（PR：1.09 [1.05 - 1.14]），并被认为注意力不集中（1.15 [1.07 - 1.23]）。除了患有多动症的司机在左转弯/掉头时不太可能撞车外，我们没有发现诊断的撞车类型有实质性差异。分析还表明，患有ADHD的女性可能比没有ADHD的女性更容易因不安全的速度而与非机动车相撞并撞车。结果表明，对于患有和没有ADHD的司机来说，碰撞情况并没有很大的不同，但强调了几个因素，这些因素可能对患有ADHD的年轻司机特别具有挑战性。
Adolescents with ADHD have 30–40% higher crash rates. However, we still do not understand which factors underlie heightened crash risk and if crash circumstances differ for drivers with ADHD. We compared prevalences of crash responsibility, driver actions, and crash types among adolescent and young adult drivers with and without ADHD who crashed within 48 months of licensure. In this exploratory retrospective cohort study, we identified patients of Children’s Hospital of Philadelphia’s (CHOP) New Jersey primary care locations who were born 1987–2000, NJ residents, had their last CHOP visit ≥ age 12, and acquired a driver’s license. We linked CHOP electronic health records to NJ’s licensing and crash databases. ADHD diagnosis was based on 13 ICD-9-CM/ICD-10-CM codes. Prevalence ratios were estimated using generalized estimating equation log-binomial regression. We identified 934 drivers with ADHD in 1,308 crashes and 5,158 drivers without ADHD in 6,676 crashes. Within 48 months post-licensure, drivers with ADHD were more likely to be at fault for their crash (PR: 1.09 [1.05−1.14]) and noted as inattentive (1.15 [1.07−1.23]). With the exception that drivers with ADHD were less likely to crash while making a left/U-turn, we did not find substantial differences in crash types by diagnosis. Analyses also suggest females with ADHD may have a higher risk of colliding with a non-motor vehicle and crashing due to unsafe speed than females without ADHD. Results suggest crash circumstances do not widely differ for drivers with and without ADHD but highlight several factors that may be particularly challenging for young drivers with ADHD.
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影响因子：
3
作者：
Merkel, Richard L., Jr.;Nichols, J. Quyen;Cox, Daniel J.
通讯作者：
Cox, Daniel J.
影响因子：
5.9
作者：
Curry, Allison E.;Pfeiffer, Melissa R.;Elliott, Michael R.
通讯作者：
Elliott, Michael R.
DOI：
10.1097/chi.0b013e31819c23d0
发表时间：
2009-05
影响因子：
13.3
作者：
Molina BSG;Hinshaw SP;Swanson JM;Arnold LE;Vitiello B;Jensen PS;Epstein JN;Hoza B;Hechtman L;Abikoff HB;Elliott GR;Greenhill LL;Newcorn JH;Wells KC;Wigal T;Gibbons RD;Hur K;Houck PR;MTA Cooperative Group
通讯作者：
MTA Cooperative Group
DOI：
10.1080/15374416.2017.1417860
发表时间：
2018-03
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Danielson ML;Bitsko RH;Ghandour RM;Holbrook JR;Kogan MD;Blumberg SJ
通讯作者：
Blumberg SJ
影响因子：
5.9
作者：
Reimer, Bryan;Mehler, Bruce;Fried, Ronna
通讯作者：
Fried, Ronna