Abstract
Despite the progress made between the early 1980s and the mid-1990s, traffic crashes remain the single largest cause of death among 15–24 year old Canadians. In recent years, approximately 45% of these deaths have been alcohol-related and, no doubt, additional youth crash deaths are drug-related. While young people are significantly overrepresented in impairment-related deaths as drivers, their overrepresentation is even greater as passengers, pedestrians, bicyclists, and users of recreational vehicles. These crashes are not simply a function of young people’s immaturity and lack of driving experience; they also reflect young people’s hazardous patterns of alcohol and drug use.
Under the Canadian constitution, the provinces have extensive legislative authority over driver and vehicle licensing, traffic enforcement, liquor licensing, and off-premise alcohol sales. Moreover, research in Canada and abroad has identified legislative initiatives that can significantly reduce impairment-related youth traffic deaths. Consequently, the provinces are well positioned to protect Canadian youth from such preventable harm. The provinces need to adopt a broad approach, including a comprehensive graduated licensing program, a zero blood-alcohol restriction on drivers under 21, enhanced police powers, and more rigorous enforcement of the existing licensing legislation.
Key words: Alcohol consumption, motor vehicles, traffic accidents, youth
Mots clées: véhicules automobiles, accidents de la route, jeunes
Résumé
Malgré une amélioration du bilan routier entre le début des années 1980 et le milieu des années 1990, les accidents de la route demeurent la principale cause de décès chez les Canadiens de 16 à 24 ans. Ces dernières années, environ 45 % des décès de la route dans cette population étaient liés à l’alcool, et d’autres étaient certainement liés à la drogue. Les jeunes sont considérablement surreprésentés dans les décès de la route où l’affaiblissement des facultés est en cause, non seulement en tant que conducteurs, mais plus encore en tant que passagers, piétons, cyclistes et utilisateurs de véhicules récréatifs. Ces accidents ne s’expliquent pas simplement par le manque de maturité et d’expérience de conduite des jeunes; ils traduisent aussi leurs habitudes dangereuses en matière de consommation d’alcool et de drogue.
En vertu de la Constitution canadienne, l’immatriculation des conducteurs et des véhicules, les règlements de la circulation, la réglementation des alcools et les ventes d’alcool à l’extérieur relèvent largement de la compétence des provinces. Or, des études au Canada et à l’étranger ont répertorié des mesures législatives qui peuvent réduire de façon importante les décès de la route liés à l’affaiblissement des facultés chez les jeunes. Par conséquent, les provinces sont bien placées pour protéger les jeunes Canadiens contre ces méfaits évitables. Elles doivent adopter une approche élargie, y compris un programme intégré d’immatriculation par étapes progressives, un taux d’alcoolémie nul pour les conducteurs de moins de 21 ans, des pouvoirs policiers renforcés et une exécution plus rigoureuse des lois existantes sur l’octroi de permis.
Footnotes
Acknowledgements: The authors acknowledge Mothers Against Drunk Driving (MADD) Canada, Allstate Insurance and Auto 21, a member of the Networks of Centres of Excellence Program. These organizations provided financial support for the larger project, Youth and Impaired Driving in Canada: Opportunities for Progress, on which this commentary is based.
References
- 1.MacAskill E, Goldenberg S, Pilkington E. The Guardian [news article on the Internet] 2007. Angry students demand answers after being told it was safe to go to classes. [Google Scholar]
- 2.Takruri L. Virginia Tech shooting victim’s father asks lawmakers to pass better gun laws, close loopholes. 2007. [Google Scholar]
- 3.Nugent T. Gun-free zones are recipe for disaster [editorial on the Internet] 2007. [Google Scholar]
- 4.Transport Canada. Canadian Motor Vehicle Traffic Collision Statistics 2004. Ottawa, ON: Transport Canada; 2005. [Google Scholar]
- 5.Mayhew D, Brown S, Simpson H. The Alcohol-Crash Problem in Canada: 2003. Ottawa: Traffic Injury Research Foundation; 2005. [Google Scholar]
- 6.Constitution Act, 1867 (U.K.), 31 & 31 Vict., c. 3, reprinted in R.S.C. 1985, App. II, No. 5, ss. 92(13) (property and civil rights), 92(14) (the administration of justice), and 92(16) (matters of a local or private nature).
- 7.Solomon R, Chamberlain E. Youth and Impaired Driving in Canada: Opportunities for Progress. Oakville, ON: MADD Canada and Allstate Insurance; 2006. [Google Scholar]
- 8.Transport Canada. Road Safety in Canada: An Overview. Ottawa: Transport Canada; 2004. [Google Scholar]
- 9.Statistics . Canada. Annual Demographic Statistics 2004. Ottawa: Statistics Canada; 2005. [Google Scholar]
- 10.McCartt AT, Shabanova VI, Leaf WA. Driving experience, crashes and traffic citations of teenage beginning drivers. Accid Anal Prev. 2003;35:311–20. doi: 10.1016/S0001-4575(02)00006-4. [DOI] [PubMed] [Google Scholar]
- 11.Mayhew DR, Simpson HM, Pak A. Changes in Collision Rates among Novice Drivers during the First Months of Driving. Arlington, VA: Insurance Institute for Highway Safety; 2000. [DOI] [PubMed] [Google Scholar]
- 12.Deery HA. Hazard and risk perception among young novice drivers. J Safety Res. 1999;30:225–36. doi: 10.1016/S0022-4375(99)00018-3. [DOI] [Google Scholar]
- 13.Groeger J, Brown I. Assessing one’s own and others’ driving ability: Influence of sex, age and experience. Accid Anal Prev. 1989;21:155–68. doi: 10.1016/0001-4575(89)90083-3. [DOI] [PubMed] [Google Scholar]
- 14.Arnett J. Developmental sources of crash risk in young drivers. Injury Prev. 2002;8(SupplII):ii17–ii23. doi: 10.1136/ip.8.suppl_2.ii17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Clarke D, Ward P, Truman W. Voluntary risk taking and skill deficits in young driver accidents in the UK. Accid Anal Prev. 2005;37:523–29. doi: 10.1016/j.aap.2005.01.007. [DOI] [PubMed] [Google Scholar]
- 16.Arnett J, Offer D, Fine M. Reckless driving in adolescence: ‘State’ and ‘Trait’ factors. Accid Anal Prev. 1997;29:57–63. doi: 10.1016/S0001-4575(97)87007-8. [DOI] [PubMed] [Google Scholar]
- 17.Gregersen N. Young drivers’ overestimation of their own skill–An experiment on the relation between training strategy and skill. Accid Anal Prev. 1996;28:243–50. doi: 10.1016/0001-4575(95)00066-6. [DOI] [PubMed] [Google Scholar]
- 18.Beirness DJ, Mayhew DR, Simpson HM, Desmond K. The Road Safety Monitor 2004: Young Drivers. Ottawa: Traffic Injury Research Foundation; 2004. [Google Scholar]
- 19.Transport Canada. Results of Transport Canada’s Survey of Seat Belt Use in Canada 2002–2003. Ottawa: Transport Canada; 2004. [Google Scholar]
- 20.Adlaf E, Begin P, Sawka E, editors. Canadian Addiction Survey (CAS): Detailed Report. Ottawa: Canadian Centre on Substance Abuse; 2005. [Google Scholar]
- 21.Kendall P. Public Health Approach to Alcohol Policy: A Report of the Provincial Health Officer. Victoria, BC: Ministry of Health Planning; 2002. [Google Scholar]
- 22.Adlaf E, Paglia-Boak A. Drug Use Among Ontario Students 1977–2005: OSDUS Highlights. Toronto: Centre for Addiction and Mental Health; 2005. [Google Scholar]
- 23.Statistics Canada. Frequency of Drinking 5 or More Drinks…Canada, 2003. Ottawa: Statistics Canada; 2003. [Google Scholar]
- 24.Stockwell T, Sturge J, Macdonald S. Patterns of Risky Alcohol Use in British Columbia–Results of the 2004 Canadian Addictions Survey, Bulletin 1. Victoria: Centre for Addictions Research of BC; 2005. [Google Scholar]
- 25.Statistics Canada. Estimates of population, by age group and sex, Canada, provinces and territories annual (Persons) Ottawa: Statistics Canada; 2003. [Google Scholar]
- 26.Beirness DJ, Simpson HM, Desmond K, Mayhew DR. The Road Safety Monitor 2004: Drinking and Driving. Ottawa: Traffic Injury Research Foundation; 2004. [Google Scholar]
- 27.Mayhew D, Simpson H. Youth and Road Crashes: Reducing the Risks from Inexperience, Immaturity and Alcohol. Ottawa: Traffic Injury Research Foundation; 1999. [Google Scholar]
- 28.Poulin C. Nova Scotia Student Drug Use 2002, Technical Report. Halifax, NS: Nova Scotia Department of Health; 2002. [Google Scholar]
- 29.Moskowitz H, Fiorentino D. A Review of the Literature on the Effects of Low Doses of Alcohol on Driving-Related Skills. Washington, DC: National Highway Traffic Safety Administration; 2000. [Google Scholar]
- 30.Smartrisk. Off-road vehicle injuries. Ontario Injury Compass. 2005;2:1–2. [Google Scholar]
- 31.Alcohol, Trauma and Impaired Driving, 3rd edition. Oakville and Toronto: Mothers Against Drunk Driving Canada and Centre for Addiction and Mental Health, 2006.
- 32.McKnight A, Peck R. Graduated driver licensing: What works. Injury Prev. 2002;8(SupplII):ii32–ii38. doi: 10.1136/ip.8.suppl_2.ii32. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Mayhew D, Simpson H, des Groseilliers M. Impact of the Graduated Driver Licensing Program in Nova Scotia. Ottawa: Traffic Injury Research Foundation; 1999. [Google Scholar]
- 34.Boase P, Tasca L. Graduated Licensing System Evaluation, Interim Report’ 98. Toronto: Ministry of Transportation of Ontario; 1998. [Google Scholar]
- 35.Begg D, Stephenson S. Graduated driver licensing: The New Zealand experience. J Safety Res. 2003;34:99–105. doi: 10.1016/S0022-4375(02)00087-7. [DOI] [PubMed] [Google Scholar]
- 36.Senserrick T, Whelan M. Graduated Driver Licensing: Effectiveness of Systems and Individual Components. Melbourne: Monash University Accident Research Centre; 2003. [Google Scholar]
- 37.Simpson HM. The evolution and effectiveness of graduated licensing. J Safety Res. 2003;34:25–34. doi: 10.1016/S0022-4375(02)00077-4. [DOI] [PubMed] [Google Scholar]
- 38.Shults RA, Elder RW, Sleet DA, Nichols JL, Alao MO, Carande-Kulis VG, et al. Reviews of evidence regarding intervention to reduce alcohol-impaired driving. Am J Prev Med. 2001;21(4s):66–87. doi: 10.1016/S0749-3797(01)00381-6. [DOI] [PubMed] [Google Scholar]
- 39.Henstridge J, Homel R, Mackay P. The Long-Term Effects of Random Breath Testing in Four Australian States: A Time Series Analysis. Canberra, Australia: Federal Office of Road Safety; 1997. [Google Scholar]
- 40.Adlaf E, Demers A, Gliksman L, editors. Canadian Campus Survey 2004. Toronto: Centre for Addiction and Mental Health; 2005. [Google Scholar]
