drinking, substance use and the operation of motor vehicles by young adolescents in canada喝酒,物质使用和机动车辆的操作在加拿大青少年.pdfVIP

Drinking, Substance Use and the Operation of Motor Vehicles by Young Adolescents in Canada 1,2,3 2,3 4 5 4 William Pickett *, Colleen Davison , Michael Torunian , Steven McFaull , Patricia Walsh , Wendy Thompson5 1 Department of Emergency Medicine, Queen’s University, Kingston, Ontario, Canada, 2 Clinical Research Centre, Kingston General Hospital, Kingston, Ontario, Canada, 3 Department of Community Health and Epidemiology, Queen’s University, Kingston, Ontario, Canada, 4 Strategic Policy and Research Section, Division of Childhood and Adolescence, Public Health Agency of Canada, Ottawa, Ontario, Canada, 5 Injury Section, Health Surveillance and Epidemiology Division, Public Health Agency of Canada, 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. Methods and Findings: Cycle 6 (2009/10) of the Health Behaviour in School-Aged Children survey involved 26,078 students enrolled in 436 Canadian schools. We profiled cross-sectionally the reported use of alcohol, marijuana, or other illicit drugs by on-road and off-road vehicle operators when young adolescents (mean age 13.3 (61.6) years) were either driving or riding as a passenger. Comparisons were made across vulnerable subgroups. Multi-level logistic regression analyses were used to quantify the effects of the driving behaviours on risks for motor vehicle-related injury. Attributable risk fractions were also estimated. A total of 10% ( 63%) of participants reported recent operation of an on-road o