title: Predictors of driving after alcohol and drug use among adolescents in Valencia (Spain).
abstract: BACKGROUND
  Driving under the influence of alcohol and drugs has been identified as a risk factor for road traffic crashes. We have assessed the prevalence and predictor factors for driving after alcohol and drug use by adolescents.
  
  
  METHODS
  A cross-sectional survey involving 11,239 students aged 14-18 years from 252 private and public schools in the Valencia region of Spain was conducted. The prevalence and predictors of driving after alcohol use, alcohol and drug use, or drug use during the previous 6 months were measured.
  
  
  RESULTS
  Of the students who reported driving (20%), 45.1% indicated driving after alcohol and drug use. The consumption of various drugs was higher among students who drove a vehicle compared with those who did not. The likelihood of driving after consuming alcohol, or alcohol and drugs, increased in line with the number of standard drink units per week, reports of any lifetime alcohol- or drug-related problems, and poor family relationship. In addition, masculine gender and early alcohol use increased the likelihood of driving after consuming alcohol.
  
  
  CONCLUSIONS
  Driving after alcohol and drug use is quite prevalent among adolescents in the Valencia region of Spain. There is a need for implementation of targeted policies for adolescents. This should focus on education and information on alcohol/drug use and driving.
authors: Dirección General de Drogodependencias, Conselleria de Sanitat, Generalitat Valenciana, Valencia, Spain.
authors: Sofía
authors: S
authors: Tomas Dols
authors: Francisco Javier
authors: FJ
authors: Alvarez González
authors: Noelia
authors: N
authors: Llorens Aleixandre
authors: Antonio
authors: A
authors: Vidal-Infer
authors: María José
authors: MJ
authors: Torrijo Rodrigo
authors: Juan Carlos
authors: JC
authors: Valderrama-Zurián
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control* / Q000706:statistics & numerical data*; D000293:Adolescent; D000435:Alcoholic Intoxication / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003617:Dangerous Behavior; D005260:Female; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects* / Q000453:epidemiology*; D011159:Population Surveillance; D013030:Spain; D019966:Substance-Related Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires
chemical_list: D013287:Illicit Drugs