Research Papers

Driver's License Suspension Policies as a Barrier to Health Care

American Journal of Public Health
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Joyce NR, Zullo AR, Ahluwalia JS, Pfeiffer MR, Curry AE

Lacking transportation is a major barrier to health care, and license suspension policies can contribute to this barrier. Contrary to popular belief, the majority of these suspensions are for non-driving related (NDR) events, such as failure to pay a court fee or appear in court. These NDR events are disproportionately imposed on low-income and racial and ethnic minorities. Developing policies to improve this transportation equity issue are needed.

Driver Licensing, Motor Vehicle Crashes, and Moving Violations Among Older Adults

Journal of Safety Research
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Palumbo AJ, Pfeiffer MR, Metzger KB, Curry AE

Older drivers (age 65+) crash 27% less than middle-aged drivers (age 35-54) but are 40% more likely to die in a crash as compared to middle-aged drivers. Future research is needed to identify factors that influence risk of crash involvement and survivability after a crash.

Traffic Crashes, Violations, and Suspensions Among Young Drivers With ADHD

Pediatrics
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Curry AE, Yerys BE, Metzger KB, Carey ME, Power TJ

Adolescent drivers with ADHD are more likely to crash, be issued traffic and moving violations, and engage in risky driving behaviors than their peers without ADHD. More research is needed to measure if and how these risky behaviors contribute to crash risk.

Driver Licensing and Motor Vehicle Crash Rates Among Young Adults with Amblyopia and Unilateral Vision Impairment

Journal of American Association for Pediatric Ophthalmology and Strabismus
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Baker JM, Drews-Botsch C, Pfeiffer MR, Curry AE

Amblyopia—known as “lazy eye”—and unilateral vision impairment (UVI) are two conditions that cause reduced vision in one eye and decreased depth perception, both important in driving. This study found that young adults with these conditions were less likely to get licensed than those with no visual impairment. However, when licensed, neither of these conditions was associated with an elevated crash risk.

Longitudinal Study of Driver Licensing Rates Among Adolescents and Young Adults with Autism Spectrum Disorder

Autism
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Curry AE, Yerys BE, Huang P, Metzger KB

This study found 1 in 3 adolescents with autism spectrum disorder (ASD) acquired a driver’s license, compared to 83.5% of other adolescents. Of autistic adolescents who acquired a learner's permit, nearly 90% got licensed within 2 years of receiving it. These results show that license-related decisions are primarily made before the learner permit phase of driving, rather than during the learning-to-drive process.

Young Driver Compliance With Graduated Driver Licensing Restrictions Before and After Implementation of a Decal Provision

Journal of Adolescent Health
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Palumbo AJ, Pfeiffer MR, Elliott MR, Curry AE

This study found that the decline in crash rates from 2008-2012 among teen drivers following implementation of the GDL decal provision was not because of increased compliance with nighttime or passenger driving restrictions. Additional research is needed to understand how decal provisions may work to reduce young driver crashes.

Comparison of Older and Younger Novice Driver Crash Rates: Informing the Need for Extended Graduated Driver Licensing Restrictions

Accident Analysis and Prevention
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Curry AE, Metzger KB, Williams AF, Tefft BC

After comparing crash rates of older and younger novice drivers, the findings support current GDL policies in NJ for 17- to 20-year-old drivers but nothing compelling to adopt additional policies for drivers licensed at age 21 to 24.  More research is needed on crash risk beyond age when licensed to help explain differences in long-term crash risk for young novice drivers.

Graduated Driver Licensing for Older Novice Drivers: Critical Analysis of the Issues

American Journal of Preventive Medicine
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Curry AE, Foss RD, Williams AF

This study examined the question of whether GDL restrictions should be applied to novice drivers age 18 and older. Novice drivers, ages 18 to 20, had initial high crash rates that steeply declined over the period of early licensure. This warrants further consideration of mandatory supervised learning periods, passenger limits, and nighttime driving restrictions.

Motor Vehicle Crash Risk Among Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder

Journal of the American Medical Association Pediatrics
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Curry AE, Metzger KB, Pfeiffer MR, Elliott MR, Winston FK, Power TJ

Newly licensed teens with ADHD have an estimated 36% higher crash risk than other newly licensed teens, much lower than previously reported in other scientific studies. This risk persists during their initial driving years, regardless of gender or age when licensed. More research is needed to determine how ADHD affects crash risk to develop effective programs to manage that risk.