"Development and Crash Injury Risk in Adolescent Latino Males"

描述（由申请人提供）：意外伤害仍然是1岁以上儿童死亡的主要原因。这对于进入和经历青春期（10岁至18岁）的儿童来说没有什么不同。虽然青春期被描述为力量和韧性的发展时期，但专家们强调了生命中这一时期存在的双重矛盾。这一双重悖论将青春期描述为一个与伤害有关的发病率和死亡率增加的时期，尽管它也是一个获得更大体力和决策能力的时期。由于他们的死亡率高于预期，因为他们导航的青少年和新兴的成年期的生活，拉丁美洲青少年男性已被确定为异常的拉丁美洲流行病学Paradigm。这段时间的死亡原因主要是机动车撞车。本申请中提出的研究将在拉丁美洲和青年文化的背景下探索青少年撞车风险的发展来源。这项研究计划的第一个组成部分将涉及对国家青少年健康纵向研究数据集的分析。它将提供关于青少年朋友对一般人群危险驾驶行为影响的纵向信息。第二部分将涉及对拉丁美洲青少年男性的全面深入访谈，以更深入地了解拉丁美洲和青年文化以及危险驾驶行为。最后的研究部分将利用调查和日记的方法来阐明拉丁美洲青少年的危险驾驶的社会背景，以及如何在青少年和新兴的成年人的生活时期的变化。 成功完成这项培训和研究，申请人将获得成为独立临床研究者所需的技能。此外，所获得的信息将导致更广泛的理解伤害的差距在拉丁美洲青少年男性，并适用于未来发展的临床接触性伤害预防干预。

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.