title: A neglected risky behavior among children and adolescents: underage driving and injury in New South Wales, Australia.
abstract: OBJECTIVE
  Among different causes of injury, roads and traffic-related incidents contributed most to all child deaths. The majority of childhood and adolescent traffic-related deaths are young people killed as pedestrians or bicyclists. Underage driving is a particular risky behavior much neglected. This study aimed to describe some characteristics related to motor-vehicle crashes and crash-related injury in which the vehicle was driven by a young person who was under the legal age of obtaining a learner license in New South Wales, Australia.
  
  
  METHODS
  Data used in this study were made available from the Roads and Traffic Authority of NSW for the period between 1996 and 2000. Crash information was collected and reported by NSW police at the scene of these motor-vehicle crash incidents.
  
  
  RESULTS
  There were 526 crashes involving an underage driver recorded within the study period. The majority (79.5%) of these underage drivers were males with slightly more than half (58.0%) aged 15 years, and nearly 30% aged 14 years. Among these, 83.6% involved the driver of the vehicle being killed or injured. Among the injured or killed passengers, 128 (73.6%) were nonadult passengers under the age of 18 years. Seventy of these crashes occurred while the car was in pursuit by police. The adjusted relative risk of injury to at least one occupant in the vehicle should a crash occur for female underage drivers was two times (OR=2.01, 95% CI=1.27-3.20) as compared to male underage drivers.
  
  
  CONCLUSIONS
  Underage driving poses a serious problem in terms of crash outcomes. Experimental driving and late-night outings for adolescents should be discouraged. Well-designed studies are required to further investigate the relationship between underage driving and on road risk-taking behavior among licensed adolescents.
  
  
  CONCLUSIONS
  Data obtained from this study indicate that adults, particularly parents, should discourage underage adolescents from experimenting driving and should actively cultivate a positive attitude toward driving.
authors.affiliation: Royal Alexandra Hospital for Children, Locked Bag 4001, NSW 2145, Westmead, Australia. lawrencl@chw.edu.au
authors.forename: Lawrence T
authors.initials: LT
authors.lastname: Lam
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality / Q000706:statistics & numerical data*; D000293:Adolescent; D000367:Age Factors; D001334:Automobile Driving / Q000331:legislation & jurisprudence / Q000523:psychology*; D001642:Bicycling; D002648:Child; D005260:Female; D006801:Humans; D008004:Licensure; D008297:Male; D033242:Minors / Q000523:psychology; D009517:New South Wales / Q000453:epidemiology; D012309:Risk-Taking; D016138:Walking; D014947:Wounds and Injuries / Q000453:epidemiology*