Driving and telephoning: Relative accident risk when using hand-held and hands-free mobile phones

Experimental research shows that using mobile phones while driving leads to impaired driving, and it has been suggested that this driving impairment to a large extent is a result of cognitive, rather than physical, distractions. This notion is partly supported by empirical data showing that use of hands-free phones is associated with impaired driving in much the same way as use of hand-held phones. In the present study, accident risk when using hand-held and hands-free phones was investigated in a sample of 4307 drivers who were involved in accidents in 2007. In addition, data from a similar survey from 1997 (N = 5007) were used in order to get more observations. Relative risk was estimated using “quasi-induced exposure” in multiple-vehicle accidents. Results from the two surveys combined showed a significant increase in accident risk for hand-held mobiles and for hand-held and hands-free phones together. A non-significant tendency towards increased risk for hands-free mobiles was also detected. However, analyses of data from 2007 separately did not result in statistically significant relative risk estimates for any of the mobile types. Hand-held users were more inclined to attribute the accident to mobile phone use than were hands-free users.     

Driver hand-held cellular phone use: a four-year analysis

INTRODUCTION: The use of hand-held cellular (mobile) phones while driving has stirred more debate, passion, and research than perhaps any other traffic safety issue in the past several years. There is ample research showing that the use of either hand-held or hands-free cellular phones can lead to unsafe driving patterns. Whether or not these performance deficits increase the risk of crash is difficult to establish, but recent studies are beginning to suggest that cellular phone use elevates crash risk. METHODS: The purpose of this study was to assess changes in the rate of hand-held cellular phone use by motor-vehicle drivers on a statewide level in Michigan. This study presents the results of 13 statewide surveys of cellular phone use over a 4-year period. Hand-held cellular phone use data were collected through direct observation while vehicles were stopped at intersections and freeway exit ramps. Data were weighted to be representative of all drivers traveling during daylight hours in Michigan. RESULTS: The study found that driver hand-held cellular phone use has more than doubled between 2001 and 2005, from 2.7% to 5.8%. This change represents an average increase of 0.78 percentage points per year. The 5.8% use rate observed in 2005 means that at any given daylight hour, around 36,550 drivers were conversing on cellular phones while driving on Michigan roadways. The trend line fitted to these data predicts that by the year 2010, driver hand-held cellular phone use will be around 8.6%, or 55,000 drivers at any given daylight hour. CONCLUSIONS: These results make it clear that cellular phone use while driving will continue to be an important traffic safety issue, and highlight the importance of continued attempts to generate new ways of alleviating this potential hazard.     

109国道宁夏石中段交通事故特性及成因分析

搜集了平原微丘区二级公路109国道宁夏石中段2001—2003年间的道路交通事故资料,分析其交通事故的时间分布、空间分布、肇事驾驶员等分布规律。研究表明:早晚交通高峰小时过后是交通事故高发时段,交通事故月分布规律受季节影响较大,路段交通事故形态中以尾随相撞类事故居多,发生于路段的交通事故数高于交叉口处的交通事故数,驾龄小于4年和年龄18～25岁的驾驶员最容易造成交通事故。进而提出加强交通管理,增设减速震动线等交通安全设施降低主线车速,加强易发交通事故的驾驶员人群的后期培训和教育等防控措施。以期有助于缓解我国二级公路严峻的交通安全形势,增强交通事故预防的科学性。     

Knowledge,attitudes and practices of occupational risks in Colombian taxi drivers

Objective. The objective of this study was to learn about the health and safety strategies in a sample of taxi drivers in Bucaramanga, Colombia. Methods. A cross-sectional study was conducted among 138 taxi drivers. A survey was used to identify the socio-demographic and working characteristics, knowledge, attitudes and practices according to their occupational risk. Results. Eighty-five percent of the workers labored 9–15?h/day. Of those who suffered accidents, 27% were not affiliated to an occupational risk administrator (p = 0.028). Of the workers who had a work-related accident, 58% considered that the use of a cell phone while driving would not always reduce their attention, 50% always used their seat belt and 7% took active breaks and wore their seat belt (p = 0.01). Conclusions. Within this group of taxi drivers, having or believing to possess knowledge regarding an occupational risk did not ensure that they had a safe attitude or safe working practices.     

基于案例比较的我国生产安全事故系统性风险实证研究*

为开展生产安全事故系统性风险实证研究,从风险治理角度提出单位国内生产总值生产安全事故死亡率、工矿商贸就业人员10万人生产安全事故死亡率、生产安全事故致死率和重特大事故死亡人数占比4项指标,采用秩和比法构造相对安全风险指数(SRI),并以江苏和宁夏为例开展实证研究。研究结果表明:SRI可更好地量化和反映我国生产安全事故系统性风险水平;近年我国系统性风险非持续下降,呈波动变化;事故少发地区的系统性风险不一定小于事故多发地区。研究结果可为我国安全生产战略谋划和顶层设计提供新思路。     

Cell phone users, reported crash risk, unsafe driving behaviors and dispositions: a survey of motorists in Maryland

INTRODUCTION: The purpose of this investigation was to identify risky driving behaviors and dispositions that distinguish drivers who use a cell phone while operating a motor vehicle from non-cell phone using drivers. METHOD: Annual telephone surveys were used to identify drivers who reported using a cell phone while driving in the last month (n=1803) and were compared to those who said they did not use cell phones while driving (n=1578). RESULTS: Cell phone using drivers were more likely to report driving while drowsy, going 20 mph over the speed limit, driving aggressively, running a stop sign or red light, and driving after having had several drinks. They were also more likely to have had a prior history of citation and crash involvement than non-cell phone using drivers. Cell phone using drivers also reported they were less careful and more in a hurry when they drive than non-cell phone using drivers. CONCLUSION: Cell phone using drivers report engaging in many behaviors that place them at risk for a traffic crash, independent of the specific driving impairments that cell phone usage may produce. Strategies that combine coordinated and sustained enforcement activities along with widespread public awareness campaigns hold promise as effective countermeasures for these drivers, who resemble aggressive drivers in many respects.     

Real-world effects of using a phone while driving on lateral and longitudinal control of vehicles

IntroductionTechnologies able to augment human communication, such as smartphones, are increasingly present during all daily activities. Their use while driving, in particular, is of great potential concern, because of the high risk that distraction poses during this activity. Current countermeasures to distraction from phone use are considerably different across countries and not always widely accepted/adopted by the drivers.MethodsThis study utilized naturalistic driving data collected from 108 drivers in the Integrated Vehicle-Based Safety Systems (IVBSS) program in 2009 and 2010 to assess the extent to which using a phone changes lateral or longitudinal control of a vehicle. The IVBSS study included drivers from three age groups: 20–30 (younger), 40–50 (middle-aged), and 60–70 (older).ResultsResults from this study show that younger drivers are more likely to use a phone while driving than older and middle-aged drivers. Furthermore, younger drivers exhibited smaller safety margins while using a phone. Nevertheless, younger drivers did not experience more severe lateral/longitudinal threats than older and middle-aged drivers, probably because of faster reaction times. While manipulating the phone (i.e., dialing, texting), drivers exhibited larger lateral safety margins and experienced less severe lateral threats than while conversing on the phone. Finally, longitudinal threats were more critical soon after phone interaction, suggesting that drivers terminate phone interactions when driving becomes more demanding.ConclusionsThese findings suggest that drivers are aware of the potential negative effect of phone use on their safety. This awareness guides their decision to engage/disengage in phone use and to increase safety margins (self-regulation). This compensatory behavior may be a natural countermeasure to distraction that is hard to measure in controlled studies.Practical ApplicationsIntelligent systems able to amplify this natural compensatory behavior may become a widely accepted/adopted countermeasure to the potential distraction from phone operation while driving.     

In-car cell phone use and hazards following hands free legislation

OBJECTIVE: A new law took effect in Finland at the beginning of 2003 which prohibits the handheld use of mobile phones while driving a motor vehicle. The purpose of this study was to assess the impact of the law on phone usage and self-reported safety during the first few months and 16 months later to determine whether the initial level of compliance with the law had been sustained. METHODS: Data were collected by Gallup home poll before (spring 2002) and after legislation took effect (spring 2003 and 2004). A representative sample of drivers who owned a cell phone (n = 836 to 966) was interviewed each time. On-road observations were also collected in four cities for 2003 and 2004. RESULTS: Just after the law, 97% of drivers were aware of the new hands free legislation. In sharp contrast to the pre-law rate of 16%, 43% reported not using the phone while driving immediately after the law and 41% one year later. The occasional users especially reduced their use of phones while driving. The law was correlated to reductions in self-reported handheld use of cell phones while driving, from 55.6% pre-law to 15.2% immediately after passage. In spite of this change, however, the hands free legislation did not reduce self-reported involvement of Finnish drivers in phone-related hazards. Handheld usage was still lower in 2004 than pre-law (20.0%), but the 32% increase from 2003 was significant. Observational data collected in Finland in 2003 and 2004 showed an even higher upward trend in handheld use (87% increase, from 3.1% to 5.8%; pre-law data were not available), and matched a similar increase reported by McCartt and Geary (2004) in their observational evaluation of New York's handheld mobile phone law. CONCLUSION: The self-reports indicate that the hands-free law reduced handheld phone use, among occasional users especially, but did not reduce phone-related hazards. The effect of the law on phone use substantially declined within one year.     

Mobile phone use while driving: Predicting drivers’ answering intentions and compensatory decisions

The current study considered, for the first time, compensatory decisions within the theory of planned behaviour (TPB) to explain why people use mobile phones while driving. The effects of age, gender, and mobile phone mode on respondents’ answering intentions and compensatory decisions were mainly examined. A series of questions were administered to 333 drivers (ages 25-59), which included (1) demographic measures, (2) scales that measured prior mobile use activities in both driving and ordinary contexts, (3) a question to measure drivers’ perceptions of the safety of hands-free phones, and (4) TPB measures, which measured answer intention and two compensatory behavioural decisions (i.e., reminding the caller that he/she is driving, limiting the length of a conversations (including perceived its limits)), along with predictive variables. Drivers reported a moderate likelihood of answering intention and a strong tendency to engage in the two compensatory behaviours. Answering intention and compensatory decisions, perceived behavioural control, perceived risk, and usage frequency were more dependent on mobile phone mode and age group than gender. The regression models explained 64% and 67% of the variance in answering intention in the handheld and hands-free scenario separately. Attitudes, subjective norms, perceived behavioural risk and control (PBRC), and prior answering behaviour emerged as common predictors. The predictive models explained 31% and 37% of the variance for perceived limits of a conversation length in handheld and hands-free scenarios, respectively. Answering intention and PBRC consistently predicted most of the variance (handheld: 28%; hands-free: 32%) for this compensatory perception limits. The theoretical and practical implications of these results are discussed.     

Factors associated with fatal accident involvement among California drivers

The primary objectives of this study were to examine characteristics of drivers involved in fatal accidents and to determine if those drivers could be distinguished from California's general driving population on the basis of prior driving record. A sample of drivers involved in 1970–1971 fatal accidents was analyzed and compared to a sample of drivers from the general driving population during the same time period. Drivers who had been drinking prior to the accident, who were considered at-fault for the accident, or whose accident occurred at night were found to have worse prior driving records than other fatal accident-involved drivers. The results also indicated that, as a whole, drivers involved in fatal accidents had worse violation and/or accident records, as well as different demographic and license characteristics than drivers in the general population. The classification functions derived to predict fatal accidents, however, did not differ greatly from regression equations that have been constructed to predict total accidents. It was therefore concluded that prediction systems keyed to total accidents will, to a large extent, also identify high-risk fatal accident drivers.     

The prevalence of seatbelt and mobile phone use among drivers in Riyadh,Saudi Arabia: An observational study

IntroductionRoad traffic injuries (RTIs) are the third leading cause of death in Saudi Arabia. Numerous factors may increase the likelihood of RTIs. The prevalence of risk factors associated with RTIs may vary due to several reasons. Because little is known about these risk factors locally, we examined the prevalence of mobile phone and seatbelt use and their association with spatial locations.MethodsThis is an observational study conducted at major highways and inner intersections throughout Riyadh, the country's capital. Two observers captured seatbelt and mobile phone use among drivers. Logistic regression models were constructed to examine the association between real estate prices and mobile phone or seatbelt use. Observations were categorized as taken place in an affluent neighborhood if the average price per square meter was above 2500 Saudi Riyal.ResultsA total of 1700 drivers were observed in 13 sites citywide. 13.8% of drivers were seen using mobile while driving and only a third of drivers (34%) were wearing seatbelts. Being at an affluent neighborhood was associated with close to three times higher odds of wearing seatbelts (OR = 2.7, 95% CI = 1.9–3.7) and also associated with 42% lower odds of mobile phone use among drivers (OR = 0.58, 95% CI = 0.36–0.92).DiscussionThis study found a high prevalence of traffic violations among drivers in Riyadh. Based on our estimate, 660,000 drivers are roaming the street during daytime while using their phones and they are less likely to wear seatbelts. Unfortunately, this estimate might contribute to increasing RTIs. Despite existing regulations, seatbelt use among drivers is significantly lower than in developed countries (i.e. USA 94%).ConclusionOur study found a high prevalence of traffic violations represented by lack of compliance with seatbelt and mobile phone use laws. These findings provide a basis for their underlying prevalence in SA. Practical applications: Public health prevention programs may use these findings to facilitate support to increasing investment in awareness campaigns and further enforcement by the traffic police to reduce RITs and improve population health.     

Cell phones and driving: review of research

OBJECTIVE: The research literature on drivers' use of cell phones was reviewed to identify trends in drivers' phone use and to determine the state of knowledge about the safety consequences of such use. METHODS: Approximately 125 studies were reviewed with regard to the research questions, type and rigor of the methods, and findings. Reviewed studies included surveys of drivers, experiments, naturalistic studies (continuous recording of everyday driving by drivers in instrumented vehicles), studies of crash risk, and evaluations of laws limiting drivers' phone use. RESULTS: Observational surveys indicate drivers commonly use cell phones and that such use is increasing. Drivers report they usually use hand-held phones. Experimental studies have found that simulated or instrumented driving tasks, or driving while being observed, are compromised by tasks intended to replicate phone conversations, whether using hand-held or hands-free phones, and may be further compromised by the physical distraction of handling phones. Effects of phone use on driving performance when drivers are in their own vehicles are unknown. With representative samples of adequate size, naturalistic studies in the future may provide the means to document the patterns and circumstances of drivers' phone use and their effects on real-world driving. Currently, the best studies of crash risk used cell phone company billing records to verify phone use by crash-involved drivers. Two such studies found a fourfold increase in the risk of a property-damage-only crash and the risk of an injury crash associated with phone use; increased risk was similar for males and females, younger and older drivers, and hands-free and hand-held phones. A number of jurisdictions in the United States and around the world have made it illegal for drivers to use hand-held phones. Studies of these laws show only limited compliance and unclear effects on safety.CONCLUSIONS: Even if total compliance with bans on drivers' hand-held cell phone use can be achieved, crash risk will remain to the extent that drivers continue to use or switch to hands-free phones. Although the enactment of laws limiting drivers' use of all phones is consistent with research findings, it is unclear how such laws could be enforced. At least in the short term, it appears that drivers' phone use will continue to increase, despite the growing evidence of the risk it creates. More effective countermeasures are needed but are not known at this time.     

Relationship between traffic fatalities and drunk driving in Japan

OBJECTIVE: The present study was performed to clarify the relation between alcohol use and traffic fatalities in accidents involving motor vehicles in Japan. METHODS: Data on traffic accidents were collected from Fukuoka Prefectural Police records of traffic accidents which occurred in that prefecture between 1987 and 1996. Multiple logistic regression models were used to assess the effect of alcohol use on the risk of traffic-accident death. RESULTS: The data showed that 58,421 male drivers were involved in traffic accidents during the 10-year study period, and that 271 of these were killed as a result of the accident. Alcohol use was significantly associated with speed, seat belt use, time, and road form. Among male motorcar drivers, the odds ratio of alcohol use before driving, after adjusting for age, calendar year, time, and road form, was 4.08 (95% confidence interval, 3.08-5.40), which means that about 75% of fatalities (attributable risk percent among exposed) might have been prevented if drivers had not drunk before driving. CONCLUSIONS: Alcohol use before driving resulted in a 4.08-fold increase in the risk of death in a traffic accident. It is suggested that alcohol use is considered an important risk factor for fatality in traffic accidents.     

Occupational safety conditions of bus drivers in Metro Manila,the Philippines

The study looks into the occupational safety and working conditions among bus drivers in Metro Manila, the Philippines. Quantitative data were collected through survey interviews of 95 bus drivers using the stratified sampling technique. Results showed that bus drivers worked an average of 16?h/day and were engaged in risky driving behaviors such as over-speeding and road racing in order to reach their quota for the day. Fifty-nine percent experienced work-related accidents, with a mean of three accidents. The most common accident was hitting another vehicle followed by side swipe. The accidents were blamed on other drivers, followed by vehicle defect, inattentiveness and tiredness/micro-sleep or sudden involuntary sleep while driving. The most common health symptoms experienced by the bus drivers were fatigue, back pain, and cough and colds. This study underlines the need for an occupational health and safety program for bus drivers in the Philippines.     

Smoking,belt use,and road accidents of youth in Kuwait

Youth, worldwide, are involved in a disproportionate number of road accidents, in general, and fatal accidents, in particular. Kuwait is no exception to this trend. The objectives of this funded research were to identify the trends in belt use, smoking in motion, and road accidents of young drivers in Kuwait. Findings of a person-interview questionnaire survey of 1467 randomly selected young drivers in Kuwait are presented. The socio-economic, driving experience, belt use, smoking behaviour, and road accident involvements of the sample young drivers are given. The interrelationships between the socio-economic, belt use, smoking behaviour, and road traffic accidents are also examined. Degrees of association between these variables are determined, and the extent of potential contribution of smoking-in-motion to causes of road accidents is also determined. Young female drivers were found to be generally safer drivers than their young male counterparts; those who smoked while driving used seat belt less, and had a higher involvement rate in road traffic accidents. A number of recommended measures for the improvement of road safety in Kuwait end the paper.     

Hazard and Risk Perception among Young Novice Drivers

Young novice drivers are overrepresented in road accidents. Although they quickly acquire the skills needed to control a motor vehicle, it takes much longer for novice drivers to develop the higher-order perceptual and cognitive skills necessary to safely interact with the driving environment. The aim of this paper is to propose a model of the processes mediating behavior around traffic hazards and to critically review the literature on novice drivers within the framework provided by the model. Compared to experienced drivers, novice drivers detect hazards less quickly and efficiently and perceived them less holistically. The detection of hazards is proposed to provide the requisite information for risk perception, the process which includes assessing both the level of risk posed by a hazard and one's ability to deal with the hazard effectively. Research indicates that young drivers underestimate the risk of an accident in a variety of hazardous situations. At the same time, they overestimate their own driving skill. Young drivers are also more willing to accept risk while driving than experienced drivers. These factors are likely to contribute to young novice drivers overrepresentation in accidents. Opportunities for further research are discussed.     

Mobile phone use while driving: Development and validation of knowledge,attitude, and practice survey instruments

Introduction: Instruments that assess the knowledge, attitude, and practice (KAP) of mobile phone use serve as a primary assessment tool on which mobile phone distracted driving interventions can be designed. The objective of this study is to develop and validate KAP-modeled survey instruments that measure the knowledge of mobile phone hazards while driving (KMPHD), the attitude of drivers towards mobile phone use while driving (AMPUD), and the practice of mobile phone use while driving (PMPUD). Method: This study was a cross-sectional analytical survey conducted in Ibadan, Nigeria. Three instruments were designed to measure KMPHD, AMPUD, and PMPUD. Content validity, item analysis, exploratory factor analysis were conducted, and items were excluded based on the collective results of the analysis. The domains of the constructs and the reliability of the instruments are reported. A confirmatory factor analysis was used to assess the regression weights of each item and the model fit. Results: From an original list of 13, 12, and 10 items in the KMPHD, AMPUD, and PMPUD instruments, a final list of 7, 5, and 7 items were generated in each survey instrument, respectively. Two domains of the knowledge of hazards and practice of mobile phone use were obtained, and attitude to phone use while driving was a single domain. The reliabilities (Cronbach alpha) of the KMPHD (0.881), AMPUD (0.954), and PMPUD (0.920) were sufficiently high. Also, all items in the three instruments had moderate-to-high regression coefficients, and the model fits of the instruments were good. Conclusions: This study provides KAP-modeled survey instruments that can be used to assess a population-based knowledge, attitude, and practice of mobile phone use while driving. Practical Applications: This survey instrument can be used in assessing baseline knowledge, attitude, and practice of phone use while driving and determine the focus and effectiveness of mobile phone-induced distracted driving interventions.     

Accident rates of drivers with bioptic telescopic lenses

The major purpose of this study was to determine the accident rate of drivers with bioptic telescopic lenses (“bioptic drivers”) in California. The bioptic driver group consisted of 229 drivers, while a randomly selected comparison sample consisted of 21,064 drivers. The 2-year total and fatal/injury accident rates of the bioptic group were normalized to the age/sex distribution of the comparison sample. Normalized accident rates for bioptic drivers were significantly greater than the corresponding rates for comparison drivers. The study also included an analysis of the driving records of bioptic drivers prior and subsequent to acquisition of telescopic lenses and an analysis of total and fatal/injury accidents for bioptic and comparison drivers with valid licenses only. It was recommended that California continue to license bioptic drivers, but with greater use of license restrictions and more stringent post-licensing control.     

Driving context influences drivers' decision to engage in visual–manual phone tasks: Evidence from a naturalistic driving study

IntroductionVisual–manual (VM) phone tasks (i.e., texting, dialing, reading) are associated with an increased crash/near-crash risk. This study investigated how the driving context influences drivers' decisions to engage in VM phone tasks in naturalistic driving.MethodVideo-recordings of 1,432 car trips were viewed to identify VM phone tasks and passenger presence. Video, vehicle signals, and map data were used to classify driving context (i.e., curvature, other vehicles) before and during the VM phone tasks (N = 374). Vehicle signals (i.e., speed, yaw rate, forward radar) were available for all driving.ResultsVM phone tasks were more likely to be initiated while standing still, and less likely while driving at high speeds, or when a passenger was present. Lead vehicle presence did not influence how likely it was that a VM phone task was initiated, but the drivers adjusted their task timing to situations when the lead vehicle was increasing speed, resulting in increasing time headway. The drivers adjusted task timing until after making sharp turns and lane change maneuvers. In contrast to previous driving simulator studies, there was no evidence of drivers reducing speed as a consequence of VM phone task engagement.ConclusionsThe results show that experienced drivers use information about current and upcoming driving context to decide when to engage in VM phone tasks. However, drivers may fail to sufficiently increase safety margins to allow time to respond to possible unpredictable events (e.g., lead vehicle braking).Practical applicationsAdvanced driver assistance systems should facilitate and possibly boost drivers' self-regulating behavior. For instance, they might recognize when appropriate adaptive behavior is missing and advise or alert accordingly. The results from this study could also inspire training programs for novice drivers, or locally classify roads in terms of the risk associated with secondary task engagement while driving.