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To compare the proportion of adolescents with and without autism spectrum disorder who acquire a learner\u2019s permit and driver\u2019s license, as well as the rate at which they progress through the licensing system, we conducted a retrospective cohort study of 52,172 New Jersey residents born in the years 1987\u20131995 who were patients of the Children\u2019s Hospital of Philadelphia healthcare network \u2a7e12 years of age; 609 (1.2%) had an autism spectrum disorder diagnosis. Electronic health records were linked to New Jersey\u2019s driver licensing database (2004\u20132012). Kaplan\u2013Meier curves and log-binomial regression models were used to determine the age at and rate of licensure, and estimate adjusted risk ratios. One in three adolescents with autism spectrum disorder acquired a driver\u2019s license versus 83.5% for other adolescents and at a median of 9.2 months later. The vast majority (89.7%) of those with autism spectrum disorder who acquired a permit and were fully eligible to get licensed acquired a license within 2 years. Results indicated that a substantial proportion of adolescents with autism spectrum disorder do get licensed and that license-related decisions are primarily made prior to acquisition of a permit instead of during the learning-to-drive process.<\/jats:p>","DOI":"10.1177\/1362361317699586","type":"journal-article","created":{"date-parts":[[2017,4,4]],"date-time":"2017-04-04T09:00:19Z","timestamp":1491296419000},"page":"479-488","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":76,"title":["Longitudinal study of driver licensing rates among adolescents and young adults with autism spectrum disorder"],"prefix":"10.1177","volume":"22","author":[{"given":"Allison E","family":"Curry","sequence":"first","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin E","family":"Yerys","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia, USA"},{"name":"University of Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patty","family":"Huang","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi B","family":"Metzger","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,4]]},"reference":[{"issue":"2","key":"bibr1-1362361317699586","first-page":"1","volume":"63","author":"Centers for Disease Control and Prevention (CDC)","year":"2014","journal-title":"MMWR Surveillance Summaries"},{"key":"bibr2-1362361317699586","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6503a1"},{"key":"bibr3-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2012.700747"},{"key":"bibr4-1362361317699586","doi-asserted-by":"publisher","DOI":"10.15453\/2168-6408.1051"},{"key":"bibr5-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1080\/09297040500350938"},{"key":"bibr6-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-012-1470-7"},{"key":"bibr7-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-015-2677-1"},{"key":"bibr8-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2012.09.041"},{"key":"bibr9-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.01.003"},{"key":"bibr10-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2015.04.019"},{"key":"bibr11-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.5.578"},{"key":"bibr12-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1002\/aur.69"},{"key":"bibr13-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/56.6.S343"},{"key":"bibr14-1362361317699586","volume-title":"Examining the Safety Implications of Later Licensure: Crash Rates of Older vs. Younger Novice Drivers Before and After Graduated Driver Licensing","author":"Foss RD","year":"2014"},{"key":"bibr15-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1080\/15332980902932466"},{"key":"bibr16-1362361317699586","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e31823a43b7"},{"key":"bibr17-1362361317699586","unstructured":"Interagency Autism Coordinating Committee (IACC) (2014) Strategic plan for autism spectrum disorder research\u20142013 update. 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