Unsafe motor vehicle practices among substance-using college students.

This study examines the relationship between substance use and behaviors that increase the risk for motor vehicle crashes and crash-related injuries. The investigation uses National College Health Risk Behavior Survey data collected in 1995 by the Centers for Disease Control and Prevention. These data are representative of 2- and 4-year undergraduate college students in private and public colleges and universities in the United States. Smokers, episodic heavy drinkers, marijuana users and users of illegal drugs in combination with alcohol were significantly more likely to drive after drinking alcohol and ride with a driver who had been drinking alcohol and significantly less likely to wear safety belts while driving or while riding in a car as a passenger. This study indicates that college students who are substance users are more likely to behave in a manner which increases their risk for motor vehicle crashes and motor vehicle crash injuries.

[1]  D. Trichopoulos,et al.  Adolescents in high-risk trajectory: clustering of risky behavior and the origins of socioeconomic health differentials. , 1997, Preventive medicine.

[2]  H. Wechsler,et al.  Binge drinking, tobacco, and illicit drug use and involvement in college athletics. A survey of students at 140 American colleges. , 1997, Journal of American college health : J of ACH.

[3]  D Machin,et al.  Smoking and attitudes to seat belt usage. , 1982, Public health.

[4]  L. Kann,et al.  Reliability of the Youth Risk Behavior Survey Questionnaire. , 1995, American journal of epidemiology.

[5]  J K Wells,et al.  Drugs in fatally injured young male drivers. , 1985, Public health reports.

[6]  McGinnis Jm,et al.  Actual causes of death in the United States. , 1993 .

[7]  N. Rigotti,et al.  Increased levels of cigarette use among college students: a cause for national concern. , 1998, JAMA.

[8]  L. Kann,et al.  Overview of the Youth Risk Behavior Surveillance System. , 1993, Public health reports.

[9]  R. Waxweiler,et al.  Patterns of alcohol use and the risk of drinking and driving among US high school students. , 1995, American journal of public health.

[10]  Allan F. Williams,et al.  CHARACTERISTICS OF DRIVERS NOT USING SEAT BELTS IN A HIGH BELT USE STATE , 1996 .

[11]  C. Slovis,et al.  Drinking on campus. Undergraduate intoxication requiring emergency care. , 1996, Archives of pediatrics & adolescent medicine.

[12]  R J Brison,et al.  Risk of automobile accidents in cigarette smokers. , 1990, Canadian journal of public health = Revue canadienne de sante publique.

[13]  C. S. Cook,et al.  Testing reckless drivers for cocaine and marijuana. , 1994 .

[14]  J. Gfroerer,et al.  Substance use in the US college-age population: differences according to educational status and living arrangement. , 1997, American journal of public health.

[15]  David Haber,et al.  Guide to clinical preventive services: a challenge to physician resourcefulness , 1993 .

[16]  D. Sleet,et al.  Prevalence of alcohol-impaired driving. Results from a national self-reported survey of health behaviors. , 1997, JAMA.

[17]  M. Piles,et al.  The relationship between college females' drinking and their sexual behaviors. , 1996, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[18]  Thomas D. Snyder,et al.  Digest of Education Statistics , 1994 .

[19]  F. Liddell.  Motor vehicle accidents (1973-6) in a cohort of Montreal drivers. , 1982, Journal of epidemiology and community health.

[20]  J. Difranza,et al.  The relationship of smoking to motor vehicle accidents and traffic violations. , 1986, New York state journal of medicine.

[21]  Patrick M. O'Malley,et al.  College students and young adults , 1991 .

[22]  Jean T. Shope,et al.  ADOLESCENT DRIVING: CHARACTERISTICS ASSOCIATED WITH SINGLE-VEHICLE AND INJURY CRASHES , 1996 .

[23]  J J Sacks,et al.  Smoking and injuries: an overview. , 1994, Preventive medicine.

[24]  P. Clifford,et al.  Patterns and predictors of simultaneous and concurrent use of alcohol, tobacco, marijuana, and hallucinogens in first-year college students. , 1992, Journal of substance abuse.

[25]  J. Schorling,et al.  Tobacco, alcohol and other drug use among college students. , 1994, Journal of substance abuse.

[26]  H Wechsler,et al.  Correlates of college student binge drinking. , 1995, American journal of public health.

[27]  T. Heeren,et al.  Reducing alcohol-impaired driving in Massachusetts: the Saving Lives Program. , 1996, American journal of public health.

[28]  T. Heeren,et al.  Lower legal blood alcohol limits for young drivers. , 1994, Public health reports.

[29]  H. Wechsler,et al.  Health and behavioral consequences of binge drinking in college. A national survey of students at 140 campuses. , 1994, JAMA.

[30]  S. Srinivasan,et al.  Alcohol consumption among adolescents and young adults: the Bogalusa Heart Study, 1981 to 1991. , 1995, American journal of public health.

[31]  B Barnwell,et al.  SUDAAN User's Manual: Software for Analysis of Correlated Data, Release 6.40, , 1995 .

[32]  M. Blacconiere,et al.  A multiple discriminant analysis of smoking status and health-related attitudes and behaviors. , 1990, American journal of preventive medicine.

[33]  K. Maull,et al.  Comparability of Alcohol and Drug Use in Injured Drivers , 1992, Southern medical journal.

[34]  B Barnwell,et al.  SUDAAN User's Manual, Release 7.5, , 1997 .

[35]  G W Mercer,et al.  Alcohol, drugs, and impairment in fatal traffic accidents in British Columbia. , 1995, Accident; analysis and prevention.

[36]  M L Chipman,et al.  Risk factors for injury: similarities and differences for traffic crashes and other causes. , 1995, Accident; analysis and prevention.

[37]  I. Rossow,et al.  Alcohol-related violence: the impact of drinking pattern and drinking context. , 1996, Addiction.

[38]  D. Machin,et al.  Cigarette smoking, road traffic accidents and seat belt usage. , 1983, Public health.

[39]  H. Wechsler,et al.  Changes in binge drinking and related problems among American college students between 1993 and 1997. Results of the Harvard School of Public Health College Alcohol Study. , 1998, Journal of American college health : J of ACH.

[40]  Barry A. McLellan,et al.  The relative influence of alcohol and seatbelt usage on severity of injury from motor vehicle crashes , 1990 .

[41]  J. Eiser,et al.  Smoking, seat-belts, and beliefs about health. , 1979, Addictive behaviors.

[42]  P. Gruenewald,et al.  Drinking and driving: drinking patterns and drinking problems. , 1996, Addiction.

[43]  D J Beirness,et al.  Seat belt use among drinking drivers in Minnesota. , 1994, American journal of public health.

[44]  P F Waller,et al.  Crash characteristics and injuries of victims impaired by alcohol versus illicit drugs. , 1995, Accident; analysis and prevention.