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Impact of Georgia’s Teenage and Adult Driver Responsibility Act - 19/08/11

Doi : 10.1016/j.annemergmed.2006.01.007 
Angelyn Rios, BS a, b, Marlena Wald, MLS, MPH a, Sascha R. Nelson, MPH a, Kimberly J. Dark, BS a, Megan Emily Price, MS b, Arthur L. Kellermann, MD, MPH a,
a Center for Injury Control, Department of Emergency Medicine, School of Medicine, Emory University School of Medicine, Atlanta, GA 
b Department of Biostatistics, Rollins School of Public Health, Emory University School of Medicine, Atlanta, GA. 

Address for correspondence: Arthur L. Kellermann, MD, MPH, Department of Emergency Medicine, Emory University School of Medicine, 1365 Clifton Road, Suite B6200, Atlanta, GA 30322; 404-778-2600, fax 404-778-2630

Résumé

Study objective

In 1997, the Georgia General Assembly enacted the Teenage and Adult Drivers Responsibility Act (TADRA), a comprehensive legislative package that attempted to reduce fatal crashes of teenaged drivers by introducing graduated driver’s licensing, “zero tolerance” of underage impaired drivers, and automatic license revocation for speeding greater than 25 miles per hour over the posted limit and other dangerous driving behaviors. To determine whether TADRA reduced teen driving fatalities, we examine fatal crash rates involving various age groups before versus after the law was enacted.

Methods

Data from the Fatal Accident Reporting System were used to calculate annualized fatal crash rates of various age groups of drivers during an 11-year interval 5½ years before TADRA was enacted and 5½ years afterwards. To identify potential historical effects, Georgia’s experience was compared to that of Alabama, South Carolina, and Tennessee, states that did not adopt equally comprehensive legislation during the study period.

Results

During the preenactment period, 317 Georgia drivers aged 16 were involved in a fatal crash (57/100,000 person-years) compared to 230 in the postenactment period (36/100,000 person-years; risk ratio [RR] 0.63; 95% confidence interval 0.53 to 0.75). Speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%, without displacing fatal crashes to older age groups. These reductions greatly exceeded those noted in 2 of 3 comparison states and the nation overall.

Conclusion

TADRA markedly reduced fatal crash rates among 16-year-old Georgia drivers. Fatal crashes were not displaced to older age groups.

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Plan


 Supervising editor: Brent R. Asplin, MD, MPH
Paul J. Tremont was the National Highway Traffic Safety Administration (NHTSA) project officer who assisted with this project. The opinions, findings, and recommendations contained herein are those of the authors and do not necessarily represent those of the NHTSA.
Author contributions: AR, MW, and AK conceived the study, designed the analysis, and obtained research funding. AR and MW obtained the FARS and US Census data. AR conducted key data analyses, assisted by SN, KD and MEP. SN and KD created the tables and figures. MEP conducted additional statistical analyses. MW researched the legislative history and legal review; AK drafted the manuscript, and all authors contributed substantially to its revision. AK and AR take responsibility for the paper as a whole.
Funding and support: This research was supported, in part, by the National Highway Traffic Safety Administration (NHTSA), US Department of Transportation, under Cooperative Agreement No. DTNH22-03-H-05147.
Reprints not available from the authors.


© 2006  American College of Emergency Physicians. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 47 - N° 4

P. 369.e1-369.e7 - avril 2006 Retour au numéro
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