Are there sex differences in crash and crash-related injury between men and women? A 13-year cohort study of young drivers in Australia.
Crash
Gender
Novice driver
Road injury
Sex disaggregated
Young driver
Journal
SSM - population health
ISSN: 2352-8273
Titre abrégé: SSM Popul Health
Pays: England
ID NLM: 101678841
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
10
12
2020
revised:
19
04
2021
accepted:
06
05
2021
entrez:
27
5
2021
pubmed:
28
5
2021
medline:
28
5
2021
Statut:
epublish
Résumé
Young men have long been known to be disproportionately impacted by road crash and crash-related injury compared to young women and older drivers. However, there is limited insight into how sex differences in crash and crash-related injury changes over time as men and women get older and gain more driving experience. To explore sex differences in crash and crash-related injury, we undertook a sex disaggregated analysis in a large longitudinal cohort of over 20,000 young drivers in New South Wales, Australia, for up to 13 years after they first attained their independent car driver licence. DRIVE Study survey data from 2003-04 were linked with police, hospital and deaths data up to 2016. Sex differences were analysed using cumulative incidence curves investigating time to first crash and in negative binominal regression models adjusted for driver demographics and crash risk factors. After adjusting for demographics and driving exposure, compared with women, men had 1.25 (95% CI 1.18-1.33), 2.07 (1.75-2.45), 1.28 (95% CI 1.13-1.46), 1.32 (95% CI 1.17-1.50) and 1.59 (95% CI 1.43-1.78) times higher rates of any crash, single vehicle crash, crash on streets with a speed limit of 80 km/h or above, crash in wet conditions and crash in the dark, respectively. By contrast, men were less likely to be involved in crashes that resulted in hospitalisation compared to women 0.73 (95% CI 0.55-0.96). Young men are at increased risk of crash, and this risk persists as they get older and gain more driving experience. Despite lower risk of crash, women are at higher risk of crash related injury requiring hospitalisation. These differences in men's and women's risk of crash and injury signal the need for better understanding of how sex and/or gender may contribute to risk of crash and injury across the life-course.
Sections du résumé
BACKGROUND
BACKGROUND
Young men have long been known to be disproportionately impacted by road crash and crash-related injury compared to young women and older drivers. However, there is limited insight into how sex differences in crash and crash-related injury changes over time as men and women get older and gain more driving experience. To explore sex differences in crash and crash-related injury, we undertook a sex disaggregated analysis in a large longitudinal cohort of over 20,000 young drivers in New South Wales, Australia, for up to 13 years after they first attained their independent car driver licence.
METHODS
METHODS
DRIVE Study survey data from 2003-04 were linked with police, hospital and deaths data up to 2016. Sex differences were analysed using cumulative incidence curves investigating time to first crash and in negative binominal regression models adjusted for driver demographics and crash risk factors.
RESULTS
RESULTS
After adjusting for demographics and driving exposure, compared with women, men had 1.25 (95% CI 1.18-1.33), 2.07 (1.75-2.45), 1.28 (95% CI 1.13-1.46), 1.32 (95% CI 1.17-1.50) and 1.59 (95% CI 1.43-1.78) times higher rates of any crash, single vehicle crash, crash on streets with a speed limit of 80 km/h or above, crash in wet conditions and crash in the dark, respectively. By contrast, men were less likely to be involved in crashes that resulted in hospitalisation compared to women 0.73 (95% CI 0.55-0.96).
CONCLUSIONS
CONCLUSIONS
Young men are at increased risk of crash, and this risk persists as they get older and gain more driving experience. Despite lower risk of crash, women are at higher risk of crash related injury requiring hospitalisation. These differences in men's and women's risk of crash and injury signal the need for better understanding of how sex and/or gender may contribute to risk of crash and injury across the life-course.
Identifiants
pubmed: 34041353
doi: 10.1016/j.ssmph.2021.100816
pii: S2352-8273(21)00091-4
pmc: PMC8141461
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100816Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
None.
Références
Am J Public Health. 2011 Dec;101 Suppl 1:S353-8
pubmed: 21778511
Prev Med. 2003 May;36(5):561-8
pubmed: 12689801
Accid Anal Prev. 2019 Mar;124:174-179
pubmed: 30660833
Traffic Inj Prev. 2014;15(8):855-65
pubmed: 24484526
Inj Prev. 2007 Dec;13(6):376-81
pubmed: 18056312
J Safety Res. 2014 Jun;49:113-20
pubmed: 24913475
J Safety Res. 2015 Jun;53:1-9
pubmed: 25933991
J Safety Res. 2010 Apr;41(2):123-8
pubmed: 20497797
Inj Prev. 2010 Feb;16(1):17-20
pubmed: 20179030
Traffic Inj Prev. 2003 Sep;4(3):249-54
pubmed: 14522649
Lancet. 2016 Jun 11;387(10036):2383-401
pubmed: 27174305
Accid Anal Prev. 2008 Sep;40(5):1781-8
pubmed: 18760108
Accid Anal Prev. 2018 May;114:62-70
pubmed: 28622848
Traffic Inj Prev. 2010 Jun;11(3):222-7
pubmed: 20544565
Inj Prev. 2017 Feb;23(1):8-9
pubmed: 27466233
Accid Anal Prev. 2013 Nov;60:334-43
pubmed: 23602605
Inj Prev. 2006 Dec;12(6):385-9
pubmed: 17170187
Soc Sci Med. 2005 Jan;60(2):287-95
pubmed: 15587501
Am J Public Health. 2009 Sep;99(9):1638-44
pubmed: 19608953
CMAJ. 2009 Nov 24;181(11):807-12
pubmed: 19917659
JAMA Pediatr. 2013 Jul;167(7):647-55
pubmed: 23689363
Traffic Inj Prev. 2009 Jun;10(3):209-19
pubmed: 19452361
Inj Prev. 2017 Jun;23(3):186-189
pubmed: 28550102
Accid Anal Prev. 2014 Nov;72:146-60
pubmed: 25061920
Ann Intern Med. 2017 Aug 15;167(4):268-274
pubmed: 28693043
Am J Public Health. 2011 Dec;101(12):2368-73
pubmed: 22021321
Inj Control Saf Promot. 2003 Sep;10(3):123-30
pubmed: 12861910
Traffic Inj Prev. 2003 Mar;4(1):64-73
pubmed: 14522664
Accid Anal Prev. 2016 Sep;94:28-34
pubmed: 27240126
Traffic Inj Prev. 2018 Jan 2;19(1):9-17
pubmed: 28548584
J Adolesc Health. 2012 Nov;51(5):484-90
pubmed: 23084170
Res Integr Peer Rev. 2016 May 3;1:2
pubmed: 29451543
Traffic Inj Prev. 2008 Mar;9(1):65-9
pubmed: 18338297
Front Psychol. 2016 Sep 27;7:1412
pubmed: 27729877
Health Res Policy Syst. 2016 Oct 10;14(1):75
pubmed: 27724961
Inj Prev. 2020 Oct;26(Supp 1):i46-i56
pubmed: 31915274
Accid Anal Prev. 2010 Nov;42(6):2007-12
pubmed: 20728655