208703 Examining a crash risk factor for teens: Determinants of cell phone use among novice teen drivers

Wednesday, November 11, 2009: 1:30 PM

Lela S. Jacobsohn, PhD , The Center for Injury Research and Prevention, The Children's Hosptial of Philadelphia, Philadelphia, PA
Jessica Hafetz, PhD , The Center for Injury Research and Prevention, The Children's Hosptial of Philadelphia, Philadelphia, PA
Felipe Garcia-Espaņa, PhD , The Center for Injury Research and Prevention, The Children's Hosptial of Philadelphia, Philadelphia, PA
Flaura K. Winston, MD, PhD , The Center for Injury Research and Prevention, The Children's Hosptial of Philadelphia, Philadelphia, PA
Motor vehicle crashes are the leading cause of death and injury for adolescents. Adolescent cell phone use while driving leads to increased crash risk. Identification of antecedents of cell phone (CP) use among novice drivers is necessary to inform critical prevention programs and policies.

Secondary data analysis was conducted of a school-based nationally representative survey of 9th-11th graders (N = 5665) from 68 high schools in 2006. Studied constructs included perceived consequences of and factors leading to CP disuse and descriptive norms regarding CP use.

Univariate and means analyses were conducted in Phase I with data weighted to represent the U.S. population. Phase II includes multivariate analyses, primarily logistic regression. Analyses are driven by relationships specified by the Theory of Reasoned Action.

Results. Dominant perceived consequences of CP disuse while driving include: (positive) paying better attention to driving; less likely to get into accident and (negative) wouldn't be able to tell people where I am/when I will arrive; couldn't call someone if I get lost; parents couldn't call me when they need me.

Actual CP use while driving was significantly associated with positive (F(2,4031)=207.1;p<0.001) and negative (F(2,3988)=82.2;p<0.001) consequence beliefs. Adolescents who rarely or never used a cell phone while driving reported the strongest positive consequence beliefs about CP disuse (M=4.33,SD=0.06) and the weakest negative consequence beliefs for this behavior (M =2.98,SD=0.06).

Discussion. Increasing adolescent CP disuse while driving may involve targeting beliefs about its consequences. The significant relationships between these beliefs and behavior can be used to inform intervention design.

Learning Objectives:
1) Describe dominant beliefs of teen drivers about positive and negative consequences of not using the cell phone while driving. 2) Discuss the significant relationship between consequence beliefs and behavior and its implications for intervention design and development.

Keywords: Adolescent Health, Injury Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: my work has focused on the adolescent population and efforts to prevent unhealthy or risky behaviors such as the evaluation of the National Youth Anti-Drug Media Campaign at the Annenberg School for Communication and my current work at the Children's Hospital of Philadelphia focused on crash and injury prevention among teen drivers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.