年轻驾驶员的个人和社会环境因素会影响其与受损驾驶员同乘和受损驾驶的决定：顺序混合方法评估。

IF 1.6 3区工程技术 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Traffic Injury Prevention Pub Date : 2024-11-01 DOI:10.1080/15389588.2024.2368595

Federico E. Vaca , Deepa R. Camenga , Kaigang Li , Vanessa Zuniga , Barbara Banz , Ronald J. Iannotti , Candice Grayton , Bruce Simons-Morton , Denise L. Haynie , Leslie A. Curry

{"title":"年轻驾驶员的个人和社会环境因素会影响其与受损驾驶员同乘和受损驾驶的决定：顺序混合方法评估。","authors":"Federico E. Vaca , Deepa R. Camenga , Kaigang Li , Vanessa Zuniga , Barbara Banz , Ronald J. Iannotti , Candice Grayton , Bruce Simons-Morton , Denise L. Haynie , Leslie A. Curry","doi":"10.1080/15389588.2024.2368595","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To contextually examine facilitators of young driver decisions to ride with an impaired driver (RWI) or drive while impaired (DWI).</div></div><div><h3>Methods</h3><div>Data were from the NIH’s NEXT Generation Health Study (NEXT), a 7-year longitudinal nationally representative study with a U.S. probability cohort of 10th graders starting in 2009–2010. Using a multistage sequential explanatory mixed methods approach, we conducted latent class analysis (<em>n</em> = 2,783) to identify RWI/DWI trajectories from adolescence to young adulthood (Stage-1). We then conducted in-depth qualitative interviews with purposively sampled young adults (<em>N</em> = 105, 26.30 ± 0.43 y/o) from four identified RWI/DWI trajectory classes (Stage-2): 31 Abstainers (consistently low probability), 33 Escalators (low-to-high probability), 14 Decliners (high-to-low probability), and 27 Persisters (consistently high probability). In Stage-2, the qualitative interview guide was informed by Stage-1 findings and Ecodevelopmental Theory. Using directed content analysis, we applied inductive and deductive theory-grounded codes to interview transcripts. With data immersion, reflexivity, and team dialogue, we derived themes from the code, “Facilitators of RWI and/or DWI”. Demographics and validated measures of resiliency, health-related quality of life, Timeline Follow Back for alcohol and marijuana, and recent engagement in RWI/DWI were collected during the interviews.</div></div><div><h3>Results</h3><div>Based on the interview transcripts, five themes emerged around RWI/DWI facilitators during and after high school: (1) beliefs about alcohol/drug effects; (2) trust of others; (3) trust of self; (4) parental disapproval; and (5) transportation factors. Participants who RWI confidently placed their trust in their assessment of the driver’s impairment and their own in the context of close relationships. Those who DWI described desire to maintain simple/easy vehicle access while avoiding tickets/towing. The joint display of the quantitative and qualitative data is presented.</div></div><div><h3>Conclusions</h3><div>Notable misperceptions exist about how alcohol/drugs impact driving in the RWI/DWI context, particularly regarding the subtle signs of impairment. Youth commonly relied on their own assessment of impairment before driving themselves or riding with a potentially impaired driver, sometimes to avoid parental disapproval. Some engage in RWI/DWI to avoid discord with parents. DWI may relate to needing easy/immediate vehicle access. Pragmatic remedy considerations could include educating youth and young drivers about impairment, enhancing safe public transportation, and expanding ride-share programing.</div></div>","PeriodicalId":54422,"journal":{"name":"Traffic Injury Prevention","volume":"25 1","pages":"Pages S15-S24"},"PeriodicalIF":1.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Individual and social-environmental factors among young drivers informing decisions to ride with an impaired driver and drive impaired: A sequential mixed methods assessment\",\"authors\":\"Federico E. Vaca , Deepa R. Camenga , Kaigang Li , Vanessa Zuniga , Barbara Banz , Ronald J. Iannotti , Candice Grayton , Bruce Simons-Morton , Denise L. Haynie , Leslie A. Curry\",\"doi\":\"10.1080/15389588.2024.2368595\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To contextually examine facilitators of young driver decisions to ride with an impaired driver (RWI) or drive while impaired (DWI).</div></div><div><h3>Methods</h3><div>Data were from the NIH’s NEXT Generation Health Study (NEXT), a 7-year longitudinal nationally representative study with a U.S. probability cohort of 10th graders starting in 2009–2010. Using a multistage sequential explanatory mixed methods approach, we conducted latent class analysis (<em>n</em> = 2,783) to identify RWI/DWI trajectories from adolescence to young adulthood (Stage-1). We then conducted in-depth qualitative interviews with purposively sampled young adults (<em>N</em> = 105, 26.30 ± 0.43 y/o) from four identified RWI/DWI trajectory classes (Stage-2): 31 Abstainers (consistently low probability), 33 Escalators (low-to-high probability), 14 Decliners (high-to-low probability), and 27 Persisters (consistently high probability). In Stage-2, the qualitative interview guide was informed by Stage-1 findings and Ecodevelopmental Theory. Using directed content analysis, we applied inductive and deductive theory-grounded codes to interview transcripts. With data immersion, reflexivity, and team dialogue, we derived themes from the code, “Facilitators of RWI and/or DWI”. Demographics and validated measures of resiliency, health-related quality of life, Timeline Follow Back for alcohol and marijuana, and recent engagement in RWI/DWI were collected during the interviews.</div></div><div><h3>Results</h3><div>Based on the interview transcripts, five themes emerged around RWI/DWI facilitators during and after high school: (1) beliefs about alcohol/drug effects; (2) trust of others; (3) trust of self; (4) parental disapproval; and (5) transportation factors. Participants who RWI confidently placed their trust in their assessment of the driver’s impairment and their own in the context of close relationships. Those who DWI described desire to maintain simple/easy vehicle access while avoiding tickets/towing. The joint display of the quantitative and qualitative data is presented.</div></div><div><h3>Conclusions</h3><div>Notable misperceptions exist about how alcohol/drugs impact driving in the RWI/DWI context, particularly regarding the subtle signs of impairment. Youth commonly relied on their own assessment of impairment before driving themselves or riding with a potentially impaired driver, sometimes to avoid parental disapproval. Some engage in RWI/DWI to avoid discord with parents. DWI may relate to needing easy/immediate vehicle access. Pragmatic remedy considerations could include educating youth and young drivers about impairment, enhancing safe public transportation, and expanding ride-share programing.</div></div>\",\"PeriodicalId\":54422,\"journal\":{\"name\":\"Traffic Injury Prevention\",\"volume\":\"25 1\",\"pages\":\"Pages S15-S24\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Traffic Injury Prevention\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/org/science/article/pii/S1538958824001528\",\"RegionNum\":3,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Traffic Injury Prevention","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/org/science/article/pii/S1538958824001528","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

目的方法：数据来自美国国立卫生研究院（NIH）的 "NEXT一代健康研究"（NEXT Generation Health Study）：数据来自美国国立卫生研究院的 NEXT 世代健康研究（NEXT），这是一项为期 7 年的纵向全国代表性研究，从 2009-2010 年开始对美国 10 年级学生进行概率队列研究。我们采用多阶段顺序解释混合方法，进行了潜类分析（n = 2783），以确定从青少年到青年期（第一阶段）的 RWI/DWI 轨迹。然后，我们从四个已确定的 RWI/DWI 轨迹类别（Stage-2）中有目的性地抽取了一些年轻人（N = 105，26.30 ± 0.43 y/o），对他们进行了深入的定性访谈：31 名戒断者（持续低概率）、33 名升级者（低概率到高概率）、14 名下降者（高概率到低概率）和 27 名坚持者（持续高概率）。在第二阶段，定性访谈指南参考了第一阶段的调查结果和生态发展理论。通过定向内容分析，我们对访谈记录进行了以归纳和演绎理论为基础的编码。通过数据沉浸、反思和团队对话，我们从代码 "RWI 和/或 DWI 的促进因素 "中得出了主题。在访谈过程中，我们还收集了人口统计学数据，并对复原力、与健康相关的生活质量、酗酒和吸食大麻的时间线以及最近参与 RWI/DWI 的情况进行了有效测量：根据访谈记录，围绕高中期间和高中毕业后的 RWI/DWI 促进因素，出现了五个主题：（1）对酒精/毒品影响的信念；（2）对他人的信任；（3）对自己的信任；（4）父母的不认可；以及（5）交通因素。在亲密关系的背景下，酒后驾车的参与者自信地相信他们对驾驶员的损伤程度和自己的评估。酒后驾车者则表示希望在避免开罚单/拖车的同时，保持简单/方便的车辆进出。结论：结论：在酒驾/醉驾情况下，人们对酒精/药物如何影响驾驶存在明显的误解，尤其是对酒精/药物损伤的细微迹象。青少年在自己驾车或与可能有酒精损伤的驾驶员同乘之前，通常会依赖于自己对酒精损伤的评估，有时是为了避免父母的反对。有些人进行 RWI/DWI 是为了避免与父母不和。酒后驾车可能与需要方便/立即获得车辆有关。务实的补救措施可包括对青少年和年轻驾驶者进行关于驾驶能力受损的教育、加强安全的公共交通以及扩大共乘计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Individual and social-environmental factors among young drivers informing decisions to ride with an impaired driver and drive impaired: A sequential mixed methods assessment

Objective

To contextually examine facilitators of young driver decisions to ride with an impaired driver (RWI) or drive while impaired (DWI).

Methods

Data were from the NIH’s NEXT Generation Health Study (NEXT), a 7-year longitudinal nationally representative study with a U.S. probability cohort of 10th graders starting in 2009–2010. Using a multistage sequential explanatory mixed methods approach, we conducted latent class analysis (n = 2,783) to identify RWI/DWI trajectories from adolescence to young adulthood (Stage-1). We then conducted in-depth qualitative interviews with purposively sampled young adults (N = 105, 26.30 ± 0.43 y/o) from four identified RWI/DWI trajectory classes (Stage-2): 31 Abstainers (consistently low probability), 33 Escalators (low-to-high probability), 14 Decliners (high-to-low probability), and 27 Persisters (consistently high probability). In Stage-2, the qualitative interview guide was informed by Stage-1 findings and Ecodevelopmental Theory. Using directed content analysis, we applied inductive and deductive theory-grounded codes to interview transcripts. With data immersion, reflexivity, and team dialogue, we derived themes from the code, “Facilitators of RWI and/or DWI”. Demographics and validated measures of resiliency, health-related quality of life, Timeline Follow Back for alcohol and marijuana, and recent engagement in RWI/DWI were collected during the interviews.

Results

Based on the interview transcripts, five themes emerged around RWI/DWI facilitators during and after high school: (1) beliefs about alcohol/drug effects; (2) trust of others; (3) trust of self; (4) parental disapproval; and (5) transportation factors. Participants who RWI confidently placed their trust in their assessment of the driver’s impairment and their own in the context of close relationships. Those who DWI described desire to maintain simple/easy vehicle access while avoiding tickets/towing. The joint display of the quantitative and qualitative data is presented.

Conclusions

Notable misperceptions exist about how alcohol/drugs impact driving in the RWI/DWI context, particularly regarding the subtle signs of impairment. Youth commonly relied on their own assessment of impairment before driving themselves or riding with a potentially impaired driver, sometimes to avoid parental disapproval. Some engage in RWI/DWI to avoid discord with parents. DWI may relate to needing easy/immediate vehicle access. Pragmatic remedy considerations could include educating youth and young drivers about impairment, enhancing safe public transportation, and expanding ride-share programing.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Traffic Injury Prevention PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

10.00%

发文量

137

审稿时长

3 months

期刊介绍： The purpose of Traffic Injury Prevention is to bridge the disciplines of medicine, engineering, public health and traffic safety in order to foster the science of traffic injury prevention. The archival journal focuses on research, interventions and evaluations within the areas of traffic safety, crash causation, injury prevention and treatment. General topics within the journal''s scope are driver behavior, road infrastructure, emerging crash avoidance technologies, crash and injury epidemiology, alcohol and drugs, impact injury biomechanics, vehicle crashworthiness, occupant restraints, pedestrian safety, evaluation of interventions, economic consequences and emergency and clinical care with specific application to traffic injury prevention. The journal includes full length papers, review articles, case studies, brief technical notes and commentaries.