Risky Driving, Mental Health, and Health-Compromising Behaviors: Risk Clustering in Late Adolescents and Adults
Published Date:May 09 2014
Source:Inj Prev. 20(6):365-372.
Conduct Behavior Problems
Factor Analysis, Statistical
Midwestern United States
Randomized Controlled Trials As Topic
Pubmed Central ID:PMC4225190
Funding:K99 NR013548/NR/NINR NIH HHS/United States
K99NR013548/NR/NINR NIH HHS/United States
R00 NR013548/NR/NINR NIH HHS/United States
R49CE523225/CE/NCIPC CDC HHS/United States
T32 NR007100/NR/NINR NIH HHS/United States
T32NR007100/NR/NINR NIH HHS/United States
Health-compromising behaviors in adolescents and adults co-occur. Because motor vehicle crashes are the leading cause of death and disability for these age groups, understanding the association between risky driving and other health compromising behaviors is critical.
We performed a secondary analysis of data from a randomized controlled trial of an intervention for participants who screened positive for risky driving and problem drinking. Using baseline data, we examined relationships among conduct behavior problems before and after age 15, depressive symptoms, sleep, problem drinking, and risky driving (hostile, reckless and drinking and driving) in late adolescents ages 18–24 (n= 110) and adults ages 25–44 (n= 202). We developed a measurement model for the entire sample using confirmatory factor analysis, which was then specified as a multi-group structural equation model.
Late adolescents and adults had some similar associations for pathways through problem drinking to drinking and driving; depression to reckless driving; and conduct behavior problems after 15 to hostile driving. Late adolescents, however, had more complex relationships: depressive symptoms and conduct behavior problems before 15 were associated with more risky driving behaviors through multiple pathways and males reported more risky driving.
Risky driving is associated with other health-compromising behaviors and mental health factors. It is a multidimensional phenomenon more pronounced in late adolescence than adulthood. In order to promote safe driving, the findings support the need to consider behaviors that are a health threat in the late adolescent population during driving training and licensure.
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