Drinking, Substance Use and the Operation of Motor Vehicles by Young Adolescents in Canada 英文参考文献.docVIP

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Drinking, Substance Use and the Operation of Motor Vehicles by Young Adolescents in Canada 英文参考文献.doc

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Drinking, Substance Use and the Operation of Motor Vehicles by Young Adolescents in Canada 英文参考文献

Drinking,SubstanceUseandtheOperationofMotor VehiclesbyYoungAdolescentsinCanada WilliamPickett1,2,3*,ColleenDavison2,3,MichaelTorunian4,StevenMcFaull5,PatriciaWalsh4, WendyThompson5 1DepartmentofEmergencyMedicine,Queen’sUniversity,Kingston,Ontario,Canada,2ClinicalResearchCentre,KingstonGeneralHospital,Kingston,Ontario,Canada, 3DepartmentofCommunityHealthandEpidemiology,Queen’sUniversity,Kingston,Ontario,Canada,4StrategicPolicyandResearchSection,DivisionofChildhoodand Adolescence,PublicHealthAgencyofCanada,Ottawa,Ontario,Canada,5InjurySection,HealthSurveillanceandEpidemiologyDivision,PublicHealthAgencyofCanada, Ottawa,Ontario,Canada Abstract Background: Impaired driving is a recognized cause of major injury. Contemporary data are lacking on exposures to impaired driving behaviours and related injury among young adolescents, as well as inequities in these youth risk behaviours. MethodsandFindings:Cycle6(2009/10)oftheHealthBehaviourinSchool-AgedChildrensurveyinvolved26,078students enrolledin436Canadianschools.Weprofiledcross-sectionallythereporteduseofalcohol,marijuana,orotherillicitdrugs by on-road and off-road vehicle operators when young adolescents (mean age 13.3 (61.6) years) were either driving or ridingasapassenger.Comparisonsweremadeacrossvulnerablesubgroups.Multi-levellogisticregressionanalyseswere usedtoquantifytheeffectsofthedrivingbehavioursonrisksformotorvehicle-relatedinjury.Attributableriskfractions werealsoestimated.Atotalof10%(63%)ofparticipantsreportedrecentoperationofanon-roadoroff-roadmotorvehicle after consuming alcohol, marijuana, or other illicit drugs, while 21% (63%) reported riding as a passenger with a driver underthesameconditions.Largerproportionsofyouthreportingtheseriskbehavioursweremales,andfromolderage groups, rural communities, and socio-economically disadvantaged populations. The behaviours were consistently associated with increased risks for motor vehicle-related injury at the individual level (RR 2.35; 95% CI: 1.54 to 3.58 for fr