"Development and Crash Injury Risk in Adolescent Latino Males"

描述(申请人提供)：意外伤害仍然是一岁以上儿童死亡的主要原因。对于进入和经历青春期的儿童(10岁至18岁)来说，这并没有什么不同。虽然青春期被描述为力量和韧性的发育期，但专家们强调了这个时期存在的双重悖论。这种二元悖论将青春期描述为与伤害相关的发病率和死亡率增加的时期，尽管它也是获得更大体力和决策能力的时期。由于拉丁裔青春期男性在青春期和成年初期的死亡率高于预期，他们被认为是拉丁裔流行病悖论的反常。在此期间的死亡原因很大程度上归因于机动车碰撞。这项申请中提出的研究将在拉丁裔和青年文化的背景下探索青少年车祸风险的发育来源。这项研究计划的第一部分将涉及对来自国家青少年健康纵向研究的数据集的分析。它将提供关于青少年朋友对普通人群中危险驾驶行为的影响的纵向信息。第二部分将涉及对拉丁裔青少年男性的全面深入采访，以更深入地了解拉丁裔和青年文化以及危险的驾驶行为。最后一个研究部分将利用调查和日记方法，阐明拉美裔青少年危险驾驶的社会背景，以及这种情况在青春期和成年初期的变化。成功完成这项培训和研究后，申请者将获得成为一名独立临床研究员所需的技能。此外，所获得的信息将有助于更广泛地了解拉美裔青少年男性的伤害差异，并将其应用于未来临床接触伤害预防干预措施的发展。

DESCRIPTION (provided by applicant): Unintentional injury remains the leading cause of death in children over age one. This is no different for children entering and traversing the adolescent period of life (age 10 - age 18). While adolescence has been described as a development period of strength and resilience, experts have highlighted the dual paradox that exists during this time of life. This dual paradox describes adolescence as a time of increased injury-related morbidity and mortality rates despite it also being a time of acquiring greater physical strength and capacity for decision-making. Because of their higher than expected mortality rate as they navigate the adolescent and emerging adult period of life, Latino adolescent males have been identified as the anomaly to the Latino Epidemiological Paradox. Cause of death during this time is largely attributed to motor vehicle crashes. The research proposed in this application will explore adolescent developmental sources of crash risk in the context of Latino and youth culture. The first component of this research program will involve analysis of data sets from the National Longitudinal Study of Adolescent Health. It will provide longitudinal information on adolescent friend influence on risky driving behavior in the general population. The second component will involve comprehensive in-depth interviews of Latino adolescent males in order gain greater insight into Latino and youth culture and risky driving behavior. The last research component will utilize survey and diaries methodologies to elucidate the social context of risky driving in Latino adolescents and how this changes over the adolescent and emerging adult periods of life. Successfully completing this training and research, the applicant will acquire a skill set needed to become an independent clinical investigator. Furthermore, the information gained will lead to broader understanding of injury disparity in Latino adolescent males and be applied to future development of a clinical contact injury prevention intervention.