Vorona, R. D., Szklo-Coxe, M., Lamichhane, R., Ware, J. C., McNallen, A., & Leszczyszyn D. (2014). Adolescent crash rates and school start times in two central Virginia counties, 2009-2011: A follow-up study to a southeastern Virginia study, 2007-2008. Journal of Clinical Sleep Medicine, 10(11), 1169-77.

Abstract

Background and Objective

Early high school start times (EHSST) may lead to sleep loss in adolescents ("teens"), thus resulting in higher crash rates. (Vorona et al., 2011). In this study, we examined two other adjacent Virginia counties for the two years subsequent to the above-mentioned study. We again hypothesized that teens from jurisdictions with EHSST (versus later) experience higher crash rates.

Methods

Virginia Department of Motor Vehicles supplied de-identified aggregate data on weekday crashes and time-of-day for 16-18 year old (teen) and adult drivers for school years 2009-2010 and 2010-2011 in Henrico and Chesterfield Counties. Teen crash rates for counties with early versus later school start-times were compared using two-sample Z-tests and these compared to adult crash rates using pair-wise tests.

Results

Henrico teens manifested a statistically higher crash rate of 48.8/1000 licensed drivers versus Chesterfield's 37.9/1000 (p = 0.04) for 2009-2010. For 2010-2011, HC 16-17 year old teens demonstrated a statistically significant higher crash rate (53.2/1000 versus 42.0/1000), while for 16-18 teens a similar trend was found, albeit nonsignificant (p = 0.09). Crash peaks occurred 1 hour earlier in the morning and 2 hours earlier in the afternoon in Chesterfield, consistent with commute times. Post hoc analyses found significantly more run-off road crashes to the right (potentially sleep-related) in Chesterfield teens. Adult crash rates and traffic congestion did not differ between counties.

Conclusions

Higher teen crash rates occurred in jurisdictions with EHSST, as in our prior study. This study contributes to and extends existing data on preventable teen crashes and high school start times.

Keywords

Crash rates; high school; start times; teens

MeSH Terms
    Accidents, Traffic/statistics & numerical data*
    Adolescent
    Adult
    Age Factors
    Automobile Driving/statistics & numerical data*
    Circadian Rhythm*
    Cross-Sectional Studies
    Female
    Humans
    Incidence
    Male
    Risk Assessment
    Schools/organization & administration*
    Sex Factors
    Sleep Deprivation/epidemiology*
    Sleep Deprivation/physiopathology
    Time Factors
    Virginia