Trajectory Outcomes of Teens that Ride with Impaired Drivers & Drive Impaired

与残疾驾驶员一起乘坐的青少年的轨迹结果

基本信息

批准号：
10678581
负责人：
FEDERICO E VACA
金额：
$ 48.48万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10678581
关键词：
Adolescent Adolescent and Young Adult Adult Affect Age Alcohol consumption Alcohols American Automobile Driving Behavior Cause of Death Cessation of life Development Drunk driving Education Employment Enrollment Exposure to Family Future Generations Health Health Status Health behavior Heavy Drinking High School Student Household Impairment Impulsivity Individual Injury Intervention Investigation Knowledge Lead Marijuana Methods Modeling Nature Outcome Participant Pharmaceutical Preparations Predictive Factor Prevalence Prevention Process Reporting Research Risk Schools Science Shapes Statutes and Laws System Teenagers United States National Institutes of Health Vehicle crash Work Youth adolescent alcohol and drug use adolescent health alcohol consequences base behavioral impairment behavioral outcome binge drinking college disability emerging adult emerging adulthood health data high school higher education impaired driving performance innovation marijuana legalization marijuana use multilevel analysis next generation novel parental monitoring peer social substance use theories transportation access trend

项目摘要

7. PROJECT SUMMARY Riding with an Impaired (RWI) driver and Driving While Impaired (DWI) is prevalent among high school students. Motor vehicle crashes have remained the leading cause of death among adolescents for decades. In 2015, the U.S. encountered the largest percent increase in motor vehicle crash fatalities in 50 years. This included a significant increase in alcohol-impaired driving fatalities with 1 alcohol-impaired driving death occurring every 51 minutes and 1 in every 5 deaths occurring in passengers. Still, alcohol and marijuana continue as the drugs of choice for American youth and despite a slow secular decline in use during high school, annual prevalence remains high. Several factors predict future RWI/DWI in high school students, such as heavy episodic drinking, perceived peer norms of alcohol/substance use, low parental monitoring knowledge, and exposure to RWI. Recent studies also demonstrate the intimate relationship between RWI/DWI and household-adult exposure and behavior modeling. Extensive adolescent alcohol/drug use trajectory-related research has explored emerging adulthood outcomes (e.g. health, employment, college enrollment). However, despite the well-known relationship between transportation access and these domains, little is known about these outcomes as a direct result of exposure and engagement in RWI/DWI. Further, current studies largely do not explain how RWI/DWI exposure and participation develops. Given the complexity of the processes that may affect RWI/DWI, a social ecological theoretical framework is needed for systematic and full characterization of the relationships (multi-level influences), and interactions (social environmental) that shape emerging adulthood outcomes. We propose a highly novel multistage mixed methods study that employs the Ecodevelopmental Theoretical (ET) framework to characterize adolescent RWI/DWI behaviors and determine their association with health, employment, and higher education enrollment in emerging adulthood. First, we will analyze 7 waves of longitudinal adolescent health data (NIH's NEXT Generation Health Study - following U.S. 10th graders since Spring semester of the 2009-2010 academic year until the current date) in order to characterize RWI/DWI trajectory classes and their relationship to health, employment, and higher education enrollment in emerging adulthood. Next, we will use mixed methods to generate ET- driven hypotheses about how RWI/DWI exposure and participation develops and affects emerging adulthood outcomes within the context of peer, family, school, and environmental influences. Finally, we will use system dynamics modeling to build an explanatory model for observed outcome differences according to RWI/DWI trajectory classes. Our final theory driven explanatory model will advance the understanding of adolescent RWI/DWI behaviors and inform the subsequent development of an innovative and multi-level intervention focused on prevention of RWI/DWI and the enhancement of successful transitions of adolescents into emerging adulthood.

7. 项目概要与残障驾驶员一起骑行 (RWI) 和残障驾驶 (DWI) 在高中中很普遍学生。几十年来，机动车事故一直是青少年死亡的主要原因。在 2015 年，美国机动车事故死亡人数出现 50 年来最大百分比增幅。这酒精驾驶死亡人数显着增加，其中 1 人因酒精驾驶死亡每 51 分钟发生一次，乘客死亡人数中每 5 人就有 1 人死亡。尽管如此，酒精和大麻继续作为美国年轻人的首选药物，尽管在高峰期使用量长期缓慢下降学校，每年的患病率仍然很高。有几个因素可以预测高中生未来的 RWI/DWI，例如偶尔酗酒、同伴对酒精/药物使用的认知规范、父母监督程度低知识和接触 RWI。最近的研究还表明，两者之间存在着密切的关系。 RWI/DWI 和家庭成人暴露和行为建模。青少年大量饮酒/吸毒与轨迹相关的研究探讨了新出现的成年结果（例如健康、就业、大学注册）。然而，尽管交通便利与这些领域之间的关系众所周知，对于这些由于暴露和参与 RWI/DWI 的直接结果而导致的结果知之甚少。更远，目前的研究很大程度上没有解释 RWI/DWI 暴露和参与是如何发展的。鉴于复杂性对于可能影响 RWI/DWI 的过程，需要一个社会生态理论框架来系统地以及关系（多层次影响）和相互作用（社会环境）的全面表征塑造新兴的成年结局。我们提出了一种高度新颖的多阶段混合方法研究采用生态发展理论 (ET) 框架来描述青少年 RWI/DWI 行为并确定它们与新兴市场的健康、就业和高等教育入学率的关系成年期。首先，我们将分析 7 波纵向青少年健康数据（NIH 的 NEXT Generation 健康研究 - 自 2009-2010 学年春季学期起跟踪美国十年级学生直至当前日期），以描述 RWI/DWI 轨迹类别及其与健康、就业、和成年初期的高等教育入学率。接下来，我们将使用混合方法来生成 ET- 关于 RWI/DWI 暴露和参与如何发展和影响成年初期的驱动假设同伴、家庭、学校和环境影响下的结果。最后，我们将使用系统动力学建模，根据 RWI/DWI 为观察到的结果差异建立解释模型轨迹类。我们最终的理论驱动的解释模型将增进对青少年的理解 RWI/DWI 行为并为创新和多层次干预的后续发展提供信息重点是预防 RWI/DWI 和促进青少年成功过渡到即将成年。

项目成果

期刊论文数量（17）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A qualitative assessment of individual and social-environmental factors informing decisions to ride with an impaired driver and drive while impaired.

对个人和社会环境因素的定性评估，为与受损驾驶员一起骑行和受损驾驶做出决策提供依据。

DOI：
10.1080/15389588.2021.1983370
发表时间：
2021
期刊：
Traffic injury prevention
影响因子：
2
作者：
Vaca,FedericoE;Camenga,DeepaR;Li,Kaigang;Iannotti,RonaldJ;Banz,Barbara;Grayton,Candice;Zuniga,Vanessa;Curry,Leslie;Mayes,Linda;Haynie,Denise;Simons-Morton,Bruce
通讯作者：
Simons-Morton,Bruce

Time to licensure for driving among U.S. teens: Survival analysis of interval-censored survey data.

DOI：
10.1080/15389588.2021.1939871
发表时间：
2021
期刊：
Traffic injury prevention
影响因子：
2
作者：
Vaca FE;Li K;Gao X;Zagnoli K;Wang H;Haynie DL;Fell JC;Simons-Morton B;Romano E
通讯作者：
Romano E

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

DOI：
10.1080/15389588.2021.1949003
发表时间：
2021
期刊：
Traffic injury prevention
影响因子：
2
作者：
Gao X;Vaca FE;Haynie DL;Simons-Morton B;Li K
通讯作者：
Li K

Factors Contributing to Delay in Driving Licensure Among U.S. High School Students and Young Adults.

DOI：
10.1016/j.jadohealth.2020.05.003
发表时间：
2021-01
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
0
作者：
Vaca FE;Li K;Tewahade S;Fell JC;Haynie DL;Simons-Morton BG;Romano E
通讯作者：
Romano E