原创力文档road traffic crash circumstances and consequences among young unlicensed drivers a swedish cohort study on socioeconomic disparities道路交通事故情况和后果年轻人无照司机瑞典队列研究社会经济差异.pdfVIP
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road traffic crash circumstances and consequences among young unlicensed drivers a swedish cohort study on socioeconomic disparities道路交通事故情况和后果年轻人无照司机瑞典队列研究社会经济差异
Hanna et al. BMC Public Health 2010, 10:14
/1471-2458/10/14
RESEARCH ARTICLE Open Access
Road traffic crash circumstances and
consequences among young unlicensed drivers:
A Swedish cohort study on socioeconomic
disparities
Christina L Hanna1†, Marie Hasselberg1†, Lucie Laflamme1†, Jette Möller2*†
Abstract
Background: Young car drivers run a higher risk of road traffic crash and injury not only because of their lack of
experience but also because of their young age and their greater propensity for adopting unsafe driving practices.
Also, low family socioeconomic position increases the risk of crash and of severe crash in particular. Whether this
holds true for young unlicensed drivers as well is not known. Increasing attention is being drawn to the
prevalence and practice of unlicensed driving among young people as an important contributor to road traffic
fatalities.
Methods: This is a population-based cohort study linking Swedish national register data for a cohort of 1 616 621
individuals born between 1977 and 1991. Crash circumstances for first-time road traffic crash (RTC) were compared
considering licensed and unlicensed drivers. The socioeconomic distribution of injury was assessed considering
household socioeconomic position, social welfare benefits, and level of urbanicity of the living area. The main
outcome measure is relative risk of RTC.
Results: RTCs involving unlicensed drivers were over-represented among male drivers, suspected impaired drivers,
severe injuries, crashes occurring in higher speed limit areas, and in fair road conditions. Unlicensed drivers from
families in a lower socioeconomic position showed increased relative risks for RTC in the range of 1.75 to 3.25.
Those living in rural areas had an increased relative risk for a severe RTC of 3.29 (95% CI 2.47 - 4.39) compared to
those l
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