Driving and telephoning: Relative accident risk when using hand-held and hands-free mobile phones

Experimental research shows that using mobile phones while driving leads to impaired driving, and it has been suggested that this driving impairment to a large extent is a result of cognitive, rather than physical, distractions. This notion is partly supported by empirical data showing that use of hands-free phones is associated with impaired driving in much the same way as use of hand-held phones. In the present study, accident risk when using hand-held and hands-free phones was investigated in a sample of 4307 drivers who were involved in accidents in 2007. In addition, data from a similar survey from 1997 (N = 5007) were used in order to get more observations. Relative risk was estimated using "quasi-induced exposure" in multiple-vehicle accidents. Results from the two surveys combined showed a significant increase in accident risk for hand-held mobiles and for hand-held and hands-free phones together. A non-significant tendency towards increased risk for hands-free mobiles was also detected. However, analyses of data from 2007 separately did not result in statistically significant relative risk estimates for any of the mobile types. Hand-held users were more inclined to attribute the accident to mobile phone use than were hands-free users. Keywords: Driver distraction;