Driving Skills at Licensure and Time to First Crash
Young drivers are overrepresented in crashes, and newly licensed drivers are at high risk, particularly in the months immediately post-licensure. Using a virtual driving assessment (VDA) implemented in the licensing workflow in Ohio, this study examined how driving skills measured at the time of lic...
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| Veröffentlicht in: | Pediatrics (Evanston) 2023-11, Vol.152 (5), p.1 |
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| container_title | Pediatrics (Evanston) |
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| creator | Walshe, Elizabeth A Elliott, Michael R Cheng, Shukai Romer, Daniel Curry, Allison E Grethlein, David Gonzalez, Alexander K Winston, Flaura K |
| description | Young drivers are overrepresented in crashes, and newly licensed drivers are at high risk, particularly in the months immediately post-licensure. Using a virtual driving assessment (VDA) implemented in the licensing workflow in Ohio, this study examined how driving skills measured at the time of licensure contribute to crash risk post-licensure in newly licensed young drivers.
This study examined 16 914 young drivers ( |
| doi_str_mv | 10.1542/peds.2022-060817 |
| format | Article |
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This study examined 16 914 young drivers (<25 years of age) in Ohio who completed the VDA at the time of licensure and their subsequent police-reported crash records. By using the outcome of time to first crash, a Cox proportional hazard model was used to estimate the risk of a crash during the follow-up period as a function of VDA Driving Class (and Skill Cluster) membership.
The best performing No Issues Driving Class had a crash risk 10% lower than average (95% confidence interval [CI] 13% to 6%), whereas the Major Issues with Dangerous Behavior Class had a crash risk 11% higher than average (95% CI 1% to 22%). These results withstood adjusting for covariates (age, sex, and tract-level socioeconomic status indicators). At the same time, drivers licensed at age 18 had a crash risk 16% higher than average (95% CI 6% to 27%).
This population-level study reveals that driving skills measured at the time of licensure are a predictor of crashes early in licensure, paving the way for better prediction models and targeted, personalized interventions. The authors of future studies should explore time- and exposure-varying risks.</description><identifier>ISSN: 0031-4005</identifier><identifier>ISSN: 1098-4275</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2022-060817</identifier><identifier>PMID: 37842724</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Accidents, Traffic - prevention & control ; Adolescent ; Adolescent Health/Medicine ; Age ; Automobile drivers ; Automobile Driving ; Dangerous Behavior ; Drivers licenses ; Humans ; Injury, Violence & Poison Prevention ; Licensure ; Ohio ; Pediatrics ; Population studies ; Prediction models ; Public Health ; Skills ; Teenagers ; Traffic accidents & safety ; Young adults</subject><ispartof>Pediatrics (Evanston), 2023-11, Vol.152 (5), p.1</ispartof><rights>Copyright © 2023 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Nov 2023</rights><rights>Copyright © 2023 by the American Academy of Pediatrics 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-3db46febad060c486f770d9ead63281b55c9d430ba54f2b3fa3281b48a94742c3</citedby><cites>FETCH-LOGICAL-c383t-3db46febad060c486f770d9ead63281b55c9d430ba54f2b3fa3281b48a94742c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37842724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walshe, Elizabeth A</creatorcontrib><creatorcontrib>Elliott, Michael R</creatorcontrib><creatorcontrib>Cheng, Shukai</creatorcontrib><creatorcontrib>Romer, Daniel</creatorcontrib><creatorcontrib>Curry, Allison E</creatorcontrib><creatorcontrib>Grethlein, David</creatorcontrib><creatorcontrib>Gonzalez, Alexander K</creatorcontrib><creatorcontrib>Winston, Flaura K</creatorcontrib><title>Driving Skills at Licensure and Time to First Crash</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Young drivers are overrepresented in crashes, and newly licensed drivers are at high risk, particularly in the months immediately post-licensure. Using a virtual driving assessment (VDA) implemented in the licensing workflow in Ohio, this study examined how driving skills measured at the time of licensure contribute to crash risk post-licensure in newly licensed young drivers.
This study examined 16 914 young drivers (<25 years of age) in Ohio who completed the VDA at the time of licensure and their subsequent police-reported crash records. By using the outcome of time to first crash, a Cox proportional hazard model was used to estimate the risk of a crash during the follow-up period as a function of VDA Driving Class (and Skill Cluster) membership.
The best performing No Issues Driving Class had a crash risk 10% lower than average (95% confidence interval [CI] 13% to 6%), whereas the Major Issues with Dangerous Behavior Class had a crash risk 11% higher than average (95% CI 1% to 22%). These results withstood adjusting for covariates (age, sex, and tract-level socioeconomic status indicators). At the same time, drivers licensed at age 18 had a crash risk 16% higher than average (95% CI 6% to 27%).
This population-level study reveals that driving skills measured at the time of licensure are a predictor of crashes early in licensure, paving the way for better prediction models and targeted, personalized interventions. The authors of future studies should explore time- and exposure-varying risks.</description><subject>Accidents, Traffic - prevention & control</subject><subject>Adolescent</subject><subject>Adolescent Health/Medicine</subject><subject>Age</subject><subject>Automobile drivers</subject><subject>Automobile Driving</subject><subject>Dangerous Behavior</subject><subject>Drivers licenses</subject><subject>Humans</subject><subject>Injury, Violence & Poison Prevention</subject><subject>Licensure</subject><subject>Ohio</subject><subject>Pediatrics</subject><subject>Population studies</subject><subject>Prediction models</subject><subject>Public Health</subject><subject>Skills</subject><subject>Teenagers</subject><subject>Traffic accidents & safety</subject><subject>Young adults</subject><issn>0031-4005</issn><issn>1098-4275</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc9LwzAYhoMobk7vniTgxUv1y68mPYlMp8LAg_Mc0jbdMrt2Ju3A_97WzaGeAl-e7-X9eBA6J3BNBKc3a5uHawqURhCDIvIADQkkKuJUikM0BGAk4gBigE5CWAIAF5IeowGTqkMoHyJ2793GVXP8-u7KMmDT4KnLbBVab7GpcjxzK4ubGk-cDw0eexMWp-ioMGWwZ7t3hN4mD7PxUzR9eXwe302jjCnWRCxPeVzY1ORduYyruJAS8sSaPGZUkVSILMk5g9QIXtCUFeZ7zJVJuOQ0YyN0u81dt-nK5l2rxptSr71bGf-pa-P035_KLfS83mgCIlExE13C1S7B1x-tDY1euZDZsjSVrdugqZIKSEJj0qGX_9Bl3fqqu6-jlEio4KynYEtlvg7B22LfhoDuleheie6V6K2SbuXi9xX7hR8H7AsSoYaJ</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Walshe, Elizabeth A</creator><creator>Elliott, Michael R</creator><creator>Cheng, Shukai</creator><creator>Romer, Daniel</creator><creator>Curry, Allison E</creator><creator>Grethlein, David</creator><creator>Gonzalez, Alexander K</creator><creator>Winston, Flaura K</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231101</creationdate><title>Driving Skills at Licensure and Time to First Crash</title><author>Walshe, Elizabeth A ; Elliott, Michael R ; Cheng, Shukai ; Romer, Daniel ; Curry, Allison E ; Grethlein, David ; Gonzalez, Alexander K ; Winston, Flaura K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-3db46febad060c486f770d9ead63281b55c9d430ba54f2b3fa3281b48a94742c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accidents, Traffic - prevention & control</topic><topic>Adolescent</topic><topic>Adolescent Health/Medicine</topic><topic>Age</topic><topic>Automobile drivers</topic><topic>Automobile Driving</topic><topic>Dangerous Behavior</topic><topic>Drivers licenses</topic><topic>Humans</topic><topic>Injury, Violence & Poison Prevention</topic><topic>Licensure</topic><topic>Ohio</topic><topic>Pediatrics</topic><topic>Population studies</topic><topic>Prediction models</topic><topic>Public Health</topic><topic>Skills</topic><topic>Teenagers</topic><topic>Traffic accidents & safety</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walshe, Elizabeth A</creatorcontrib><creatorcontrib>Elliott, Michael R</creatorcontrib><creatorcontrib>Cheng, Shukai</creatorcontrib><creatorcontrib>Romer, Daniel</creatorcontrib><creatorcontrib>Curry, Allison E</creatorcontrib><creatorcontrib>Grethlein, David</creatorcontrib><creatorcontrib>Gonzalez, Alexander K</creatorcontrib><creatorcontrib>Winston, Flaura K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walshe, Elizabeth A</au><au>Elliott, Michael R</au><au>Cheng, Shukai</au><au>Romer, Daniel</au><au>Curry, Allison E</au><au>Grethlein, David</au><au>Gonzalez, Alexander K</au><au>Winston, Flaura K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Driving Skills at Licensure and Time to First Crash</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>152</volume><issue>5</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><issn>1098-4275</issn><eissn>1098-4275</eissn><abstract>Young drivers are overrepresented in crashes, and newly licensed drivers are at high risk, particularly in the months immediately post-licensure. Using a virtual driving assessment (VDA) implemented in the licensing workflow in Ohio, this study examined how driving skills measured at the time of licensure contribute to crash risk post-licensure in newly licensed young drivers.
This study examined 16 914 young drivers (<25 years of age) in Ohio who completed the VDA at the time of licensure and their subsequent police-reported crash records. By using the outcome of time to first crash, a Cox proportional hazard model was used to estimate the risk of a crash during the follow-up period as a function of VDA Driving Class (and Skill Cluster) membership.
The best performing No Issues Driving Class had a crash risk 10% lower than average (95% confidence interval [CI] 13% to 6%), whereas the Major Issues with Dangerous Behavior Class had a crash risk 11% higher than average (95% CI 1% to 22%). These results withstood adjusting for covariates (age, sex, and tract-level socioeconomic status indicators). At the same time, drivers licensed at age 18 had a crash risk 16% higher than average (95% CI 6% to 27%).
This population-level study reveals that driving skills measured at the time of licensure are a predictor of crashes early in licensure, paving the way for better prediction models and targeted, personalized interventions. The authors of future studies should explore time- and exposure-varying risks.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>37842724</pmid><doi>10.1542/peds.2022-060817</doi></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Accidents, Traffic - prevention & control Adolescent Adolescent Health/Medicine Age Automobile drivers Automobile Driving Dangerous Behavior Drivers licenses Humans Injury, Violence & Poison Prevention Licensure Ohio Pediatrics Population studies Prediction models Public Health Skills Teenagers Traffic accidents & safety Young adults |
| title | Driving Skills at Licensure and Time to First Crash |
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