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Severe mental health and behavioural conditions increase the likelihood of RTC, as do a range of driving-risk activities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>We used data from the Raine Study, a prebirth cohort from Perth, Australia, to assess the relationship between measures of common mental health or behavioural conditions (Child Behavior Checklist Internalising and Externalising scores) at age 17 and subsequent RTC by 27 years, controlling for substance use and driving-risk activities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>By 27 years of age, of 937 participants, 386 (41.2%) reported zero crashes and 551 (58.8%) reported \u22651 crashes. In the baseline Poisson model, increased Externalising scores (eg, aggression and delinquency) were associated with increased RTC (incidence rate ratio (IRR)=1.02, 95%\u2009CI 1.01 to 1.02): increased Internalising scores (eg, anxiety and depression) were associated with fewer RTC (IRR=0.99, 95%\u2009CI 0.98 to 1.00). In the fully adjusted model, the mental health measures were not significant (Externalising IRR=1.01, 95%\u2009CI 0.99 to 1.02: Internalising IRR=0.99, 95%\u2009CI 0.99 to 1.00). Risky driver activities, such as falling asleep while driving (IRR=1.34), more frequent use of a hands-free telephone (IRR=1.35) and more frequent hostility towards other drivers (IRR=1.30) increased the rate of RTC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Measures of mental health scores at age 17 were not predictive of subsequent RTC, after adjusting for measures of driving-risk activities. We need to better understand the determinants of externalising and risky driving behaviours if we are to address the increased risk of RTC.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech-2021-218039","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T20:35:16Z","timestamp":1640810116000},"page":"556-562","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Mental health and behavioural factors involved in road traffic crashes by young adults: analysis of the Raine Study"],"prefix":"10.1136","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0648-3093","authenticated-orcid":false,"given":"Robert","family":"Tait","sequence":"first","affiliation":[{"name":"National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Ivers","sequence":"additional","affiliation":[{"name":"School of Population Health, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Melbourne & Royal Women's Hospital, Parkville, Victoria, Australia"},{"name":"Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia"},{"name":"Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia"},{"name":"School of Population Health and Global Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorota","family":"Doherty","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Faculty of Medicine and Medical Sciences, The University of Western Australia, Perth, Western Australia, Australia"},{"name":"Women and Infants Research Foundation, Subiaco, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2890-2447","authenticated-orcid":false,"given":"Petra L","family":"Graham","sequence":"additional","affiliation":[{"name":"Centre for Economic Impacts of Genomic Medicine (GenIMPACT) and Department of Mathematics and Statistics, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Cunich","sequence":"additional","affiliation":[{"name":"Charles Perkins Centre, Faculty of Medicine and Health (Central Clinical School), University of Sydney, Sydney, New South Wales, Australia"},{"name":"Sydney Institute for Women, Children and their Families, Sydney Local Health District, Camperdown, New South Wales, Australia"},{"name":"The ANZAC Research Institute, Concord Repatriation General Hospital, Sydney Local Health District, Concord, New South Wales, Australia"},{"name":"Sydney Health Economics Collaborative, Sydney Local Health District, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Sanci","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Melbourne, Carlton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine","family":"Steinbeck","sequence":"additional","affiliation":[{"name":"Specialty of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-4128","authenticated-orcid":false,"given":"Leon","family":"Straker","sequence":"additional","affiliation":[{"name":"School of Allied Health, Curtin University, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S Rachel","family":"Skinner","sequence":"additional","affiliation":[{"name":"Specialty of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,12,27]]},"reference":[{"key":"2025100301305845000_76.6.556.1","unstructured":"Australian Institute of Health and Welfare . 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