Young drivers diagnosed with ADHD are more likely to crash, issue traffic and pass cows, and engage in more risky driving behaviors than those without ADHD, according to a study published today by the Children's Hospital of Philadelphia (CHOP) Pediatrics.
The interdisciplinary research team of the CHOP Center for Injury and Prevention Research and the ADHD Management Center analyzed detailed crash details and traffic violations for new licensed drivers to conduct large-scale large-scale research on this first issue.
By highlighting specific types of crashes and traffic violations, this study identifies risky driving behaviors that people with ADHD may be more likely to engage in, such as driving while drunk, not wearing a seat belt, and speed. Because these behaviors can be changed, these findings indicate that clinicians and families can work with a group of youth at risk to practice safe driving behaviors and reduce the risk of collapse.
"What this research suggests is that we have to go beyond current drug recommendations and delay the age of licensing to reduce the risk of crash in ADHD youth," says Allison Carey, Ph.D., MPH, research research firm and senior scientist and director of epidemiology and biostatistics at the Center for Research And prevention of CHOP injury and assistant professor of pediatrics at the University of Pennsylvania School of Medicine. "Their higher rate of quotes suggests that risky driving behaviors may explain why they crash more. More research is required to objectively measure whether and how these behaviors contribute specifically to the crash risk."
According to the Centers for Disease Control and Prevention (CDC), about 6.1 million children aged 2-17 living in the United States have been diagnosed with ADHD, and many of the youth with ADHD are potential drivers, safe transportation is a growing concern. And families to protect these drivers as well as others.
In the retrospective study, the researchers looked at the records of 14,936 adolescents who had six primary CHOP treatments in New Jersey and received a moderate driver's license between January 2004 and December 2014. The study team linked adolescent electronic health data with the New Driver Licensing Records of the G & 39 traffic violations, and crash data reported by the police. In this group, researchers identified 1,769 adolescents with ADHD diagnosed in childhood who received a moderate driver's license during the study period, and compared their crash results to those of drivers without ADHD.
Although the risk of crash is higher for all new licensed drivers, the study found that it was 62 percent higher in those with ADHD in the first month after receiving the license, and 37 percent higher in the first four years after the license was granted, without Dependence on their age when authorized. Drivers with ADHD also experienced higher rates of specific crash types, including driving with passengers, breakdowns, single-vehicle malfunctions, injury and alcohol, the latter risk was 109 percent higher than those without ADHD.
Rates of movement and contraceptive disorders were significantly higher among young drivers with ADHD than those without ADHD. Of these drivers, nearly 37% were traffic offenses and nearly 27% were traffic violations in their first year, compared with 25% and 18% respectively among their peers without ADHD. Drivers with ADHD had higher rates of alcohol or drug violations and escalators (including speed, failure to use seat belts, use of electronic equipment). Their rate was 3.5 times that of young drivers without ADHD in the first year of driving and 1.5 times of young drivers without ADHD in the first four years of driving.
"We need further research to understand the specific mechanisms in which the symptoms of ADHD affect the risk of collapse so that we can develop skills training and behavioral interventions to reduce the risk of new drivers with ADHD," says Thomas J. Power, ABPP, Author and Director of the ADHD Management Center at CHOP. "There are not enough studies to be done today on older adolescents and young adults with ADHD, especially studies focused on promoting safe driving behavior."
Licensing, and car crash risk among youth with ADHD
Carrie et al., "Longitudinal Study of Accidents, Interruptions and Suspensions among Young Drivers with ADHD". Pediatrics, Online May 20, 2019. DOI: 10.1542 / peds.2018-2305.
Adolescents with ADHD are getting more traffic violations for risky driving and have a higher risk of collapse (2019, May 20)
May 20, 2019
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