Paediatrician knowledge, attitudes, and counselling patterns on teen driving.
Inj Prev
; 18(1): 10-5, 2012 Feb.
Article
en En
| MEDLINE
| ID: mdl-21606471
ABSTRACT
BACKGROUND:
Motor vehicle crashes (MVCs) are the leading cause of death among teenagers. Little is known about the content of US paediatrician counselling about teen driving.OBJECTIVE:
To examine US paediatrician knowledge, attitudes, and counselling patterns regarding teen driving.METHODS:
A random sample questionnaire was mailed to American Academy of Pediatrics members in 2009 (n=1606; response=875 (55%)). Analysis was limited to 596 paediatricians who provide adolescent checkups. Questions addressed counselling and attitudes towards roles in promoting safe driving. Logistic regression assessed the relationship between counselling topics and practice characteristics.RESULTS:
Most (89%) respondents provide some counselling about driving. Two topics commonly discussed by paediatricians were seatbelts (87%) and alcohol use (82%). Less frequently discussed were cell phones (47%), speeding (43%), and dangers of transporting teen passengers (41%). Topics rarely discussed were night driving (21%), graduated driver licensing laws (13%), safe cars (9%), driver education (9%), fatigue (25%), and parental limit setting (23%). Only 10% ever recommend a parent-teen driver agreement. Paediatricians who had a patient injured or killed in an MVC were more likely to discuss night driving (OR=2.86). Physicians caring for a high proportion of adolescents (OR=1.83) or patients with private insurance (OR=1.85) counsel more about the risks of driving with teen passengers.CONCLUSIONS:
Paediatricians in the USA support counselling on teen driving during routine office visits, but omit many important risk factors. Few recommend parent-teen driver agreements. Methods that help clinicians efficiently and effectively counsel families about teen driving should be developed.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Pediatría
/
Conducción de Automóvil
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Pautas de la Práctica en Medicina
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Accidentes de Tránsito
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Conocimientos, Actitudes y Práctica en Salud
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Consejo
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Año:
2012
Tipo del documento:
Article