Associations of mental health with driving while impaired and risky driving in emerging adults

Traffic Inj Prev. 2021;22(2):114-119. doi: 10.1080/15389588.2020.1852225. Epub 2021 Jan 26.

Abstract

Objective: Examined cross-sectional associations of driving while impaired (DWI) and risky driving with mental and psychosomatic health among U.S. emerging adults.

Methods: Data were from years 1-4 after high school (waves 4-7) of the NEXT Generation Health Study, a nationally representative study starting with 10th grade (2009-2010). Outcome variables were DWI (dichotomous variable: 1 day vs. 0 days in the last 30 days) and risky driving Checkpoints Self-Reported Risky Driving Scale (C-RDS). Independent variables included depressive symptoms and psychosomatic symptoms. Multivariate logistic and linear regressions were conducted with complex survey features considered.

Results: Higher depressive and psychosomatic symptoms were associated with modestly higher likelihood of DWI (Adjusted odds ratio [AOR] ranged from 1.02 to 1.03 and from 1.04 to 1.05, respectively) and higher C-RDS scores (b ranged from 0.06 to 0.12 and from 0.08 to 0.23, respectively) in years 1-4 after high school.

Conclusions: Depressive and psychosomatic symptoms were associated with greater DWI and risky driving in all 4 years after high school. Negative mental and psychosomatic health should be targeted components of DWI and risky driving prevention to lower fatal motor vehicle crashes among emerging adults.

Keywords: Emerging adults; depressive symptoms; driving while impaired; psychosomatic symptoms; risky driving.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Accidents, Traffic / psychology
  • Accidents, Traffic / statistics & numerical data*
  • Adolescent
  • Adult
  • Automobile Driving / psychology
  • Automobile Driving / statistics & numerical data*
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / psychology*
  • Humans
  • Male
  • Mental Health / statistics & numerical data*
  • Odds Ratio
  • Risk Factors
  • Risk-Taking
  • Self Report*
  • Surveys and Questionnaires
  • Young Adult