Paediatrician knowledge, attitudes, and counselling patterns on teen driving

Jeffrey C. Weiss, Joseph O'Neil, Jean T. Shope, Karen G. O'Connor, Rebecca A. Levin

Research output: Contribution to journalArticle

9 Citations (Scopus)

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 parenteteen 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 parenteteen driver agreements. Methods that help clinicians efficiently and effectively counsel families about teen driving should be developed.

Original languageEnglish
Pages (from-to)10-15
Number of pages6
JournalInjury Prevention
Volume18
Issue number1
DOIs
StatePublished - Feb 2012

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Counseling
Motor Vehicles
Pediatricians
Office Visits
Cell Phones
Licensure
Insurance
Fatigue
Cause of Death
Logistic Models
Alcohols
Pediatrics
Physicians
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Paediatrician knowledge, attitudes, and counselling patterns on teen driving. / Weiss, Jeffrey C.; O'Neil, Joseph; Shope, Jean T.; O'Connor, Karen G.; Levin, Rebecca A.

In: Injury Prevention, Vol. 18, No. 1, 02.2012, p. 10-15.

Research output: Contribution to journalArticle

Weiss, Jeffrey C. ; O'Neil, Joseph ; Shope, Jean T. ; O'Connor, Karen G. ; Levin, Rebecca A. / Paediatrician knowledge, attitudes, and counselling patterns on teen driving. In: Injury Prevention. 2012 ; Vol. 18, No. 1. pp. 10-15.
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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 parenteteen 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 parenteteen driver agreements. Methods that help clinicians efficiently and effectively counsel families about teen driving should be developed.",
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