Teenage driver crash incidence and factors influencing crash injury by rurality.

BACKGROUND: Previous research has identified teenage drivers as having an increased risk for motor-vehicle crash injury compared with older drivers, and rural roads as having increased crash severity compared with urban roads. Few studies have examined incidence and characteristics of teen driver-involved crashes on rural and urban roads. METHODS: All crashes involving a driver aged 10 through 18 were identified from the Iowa Department of Transportation crash data from 2002 through 2008. Rates of overall crashes and fatal or severe injury crashes were calculated for urban, suburban, rural, and remote rural areas. The distribution of driver and crash characteristics were compared between rural and urban crashes. Logistic regression was used to identify driver and crash characteristics associated with increased odds of fatal or severe injury among urban and rural crashes. RESULTS: For younger teen drivers (age 10 through 15), overall crash rates were higher for more rural areas, although for older teen drivers (age 16 through 18) the overall crash rates were lower for rural areas. Rural teen crashes were nearly five times more likely to lead to a fatal or severe injury crash than urban teen crashes. Rural crashes were more likely to involve single vehicles, be late at night, involve a failure to yield the right-of-way and crossing the center divider. CONCLUSIONS: Intervention programs to increase safe teen driving in rural areas need to address specific risk factors associated with rural roadways. IMPACT ON INDUSTRY: Teen crashes cause lost work time for teen workers as well as their parents. Industries such as safety, health care, and insurance have a vested interest in enhanced vehicle safety, and these efforts should address risks and injury differentials in urban and rural roadways.

Incidence and characteristics of school bus crashes and injuries.

OBJECTIVE: Studies of school bus crashes have focused on the biomechanics of catastrophic collisions, with very few examining crash incidence. METHODS: Crashes in the state of Iowa were examined from January 2002 through December 2005. School bus crashes were identified through the Iowa Crash Data, a comprehensive database of all reported crashes in the State of Iowa. School bus mileage data were provided by the Iowa Department of Education. School bus crash, fatality, and injury rates were calculated and differences in crash and injury characteristics between school buses and other vehicles were examined. RESULTS: The school bus crash, fatality and non-fatal injury rates were 320.7, 0.4 and 13.6 per 100 million bus miles travelled, respectively. School bus crash fatality and injury rates were 3.5 and 5.4 times lower than overall all vehicle crash fatality and injury rates, respectively. Drivers of other vehicles were more likely to have caused the crash than the bus driver (P<0.001). CONCLUSIONS: School buses experience low crash rates, and the majority of crashes do not lead to injury. Buses are among the safest forms of road transportation, and efforts to educate drivers of other vehicles may help reduce crashes with buses.

Evaluation of Iowa's graduated driver's licensing program.

The effectiveness of Iowa's graduated driver's licensing (GDL) program was evaluated for a 4-year period before and after implementation in 1999. Since some changes had occurred in the crash reporting format, changes in crash rates for younger drivers were compared to those for 35-44-year-old drivers (middle-age group of drivers) who were used as a control group. After implementation of GDL, the 14-, 16- and 17-year-old age groups experienced a greater decrease in crash rate than the middle-age control group while 15-year-old experienced a smaller decrease. This suggests that the crash rate for 15-year-old drivers may actually have increased when downward trends were adjusted for. Iowa's GDL program allows holders of the instruction permit to travel unaccompanied to and from school and school-endorsed activities after obtaining a minor school license. Fifteen-year-old with minor school licenses account for up to 26.7% of 15-year-old license holders yet represent up to 74.8% of 15-year-old drivers involved in crashes (depending on the year) from 1998 to 2004. As a result, 15-year-old drivers with minor school licenses are involved in 7.2-8.9 times more crashes, are 7.7 times more likely to have one or more sanctions, and are 4.8 times more likely to receive one or more moving convictions than their peers with a regular instruction permit. This help may explain why 15-year-old drivers did not seem to benefit from implementation of the GDL program in Iowa.

Characteristics of crashes with farm equipment that increase potential for injury.

CONTEXT: Crash fatality and injury rates are higher on rural roadways than other roadway types. Although slow-moving farm vehicles and equipment are risk factors on rural roads, little is known about the characteristics of crashes with farm vehicles/equipment. PURPOSE: To describe crashes and injuries for the drivers of farm vehicles/equipment and non-farm vehicles involved in an injury crash. Passengers are not included in this analysis. METHODS: Injury crashes were included that involved a farm vehicle/equipment and at least one non-farm vehicle reported in Iowa Department of Transportation crash data from 1995 to 2004. Odds ratios were calculated through logistic regression to identify increased odds for injury among drivers of non-farm vehicles and farm vehicles/equipment. We examined frequently occurring crash characteristics to identify crash scenarios leading to the highest odds for injury. FINDINGS: Non-farm vehicle drivers were 5.23 times more likely to be injured than farm vehicle/equipment drivers (95% CI = 4.12-6.46). The absence of restraint use was a significant predictor of injury for both farm vehicle/equipment drivers (OR = 2.85; 95% CI = 1.14-7.13) and non-farm vehicle drivers (OR = 2.53; 95% CI = 1.54-4.15). Crash characteristics increasing the odds of injury for non-farm vehicle drivers included speeding, passing the farm vehicle/equipment, driving on a county road, having a frontal impact collision, and crashing in darkness. Ejection was the strongest predictor of injury for the farm vehicle/equipment driver. CONCLUSION: Non-farm vehicle drivers were much more likely to be injured than farm vehicle/equipment drivers, suggesting that farm vehicle/equipment crash prevention should be a priority for all rural road users. Prevention strategies that reduce motor vehicle speed, assist in safe passing, increase seat belt use, and increase conspicuousness of the farm vehicle/equipment are suggested.