Driving and Public Health

Distracted driving is defined in the Oxford English Dictionary as “the practice of driving a motor vehicle while engaged in another activity, typically one that involves the use of a mobile phone or other electronic device.” However, other distractions not involving the use of a cell phone or texting are important as well, contributing to this burgeoning public health problem in the United States. Examples include talking to other passengers, adjusting the radio or other controls in the car, and daydreaming. Distracted driving has been linked to increased risk of motor vehicle crashes (MVCs) in the United States, representing one of the most preventable leading causes of death for youth ages 16 to 24 years. Undoubtedly, the proliferation of cell phone, global positioning system (GPS), and other in-vehicle and personal electronic device use while driving has led to this rise in distracted driving prevalence. This behavior has impacted society—including individual and commercial drivers, passengers, pedestrians—in countless numbers of ways, ranging from increased MVCs and deaths to the enactment of new driving laws. In 2016, for example, 20 percent of all US pediatric deaths (nearly 4,000 children and adolescents) were due to fatal MVCs. It has been estimated that at any given time, more than 650,000 drivers are using cell phones or manipulating electronic devices while driving. In the United States, efforts are underway to reduce this driving behavior. In the past two decades, state and federal laws have specifically targeted cell phone use and texting while driving as priority areas for legal intervention. Distracted driving laws have become “strategies of choice” for tackling this public health problem, though their enforcement has emerged as a major challenge and varies by jurisdiction and location. Multimodal interventions using models such as the “three Es” framework—Enactment of a law, Education of the public about the law and safety practices, and Enforcement of the law—have become accepted practice or viewed as necessary steps to successfully change this behavior caused by distractions while driving. This Oxford Bibliographies review introduces these and other aspects (including psychological influences and road conditions) of distracted driving through a presentation of annotated resources from peer- and non-peer-reviewed literature. This selective review aims to provide policymakers, program implementers, and researchers with a reliable source of information on the past and current state of American laws, policies, and priorities for distracted driving.

Investigating “Texting while Driving” Behavior at Different Roadway Configurations Using a Driving Simulator Setting

This study investigates the safety impact of distracted driving (texting while driving) for different roadway configurations (intersections, segments, freeways, and roundabouts; urban, suburban, and rural sections; and straight and curved road cross-sections) and various lighting conditions (nighttime and daytime) using a driving simulator. The study took place at Western Kentucky University in Bowling Green, KY. Fifty participants (30 young adults, 18 to 25 years old; 20 middle-/old age adults, 26 to 70 years old) drove the simulator, for approximately 10 min each. Video recordings and behavior observations (e.g., recording single longest off-road eye glance while texting and driving) were further documented. While texting and driving at the roundabout, significant differences were found between the mean lane positions of the young and middle-/old age groups. Additionally, a slightly higher speed variance for middle-/old age drivers existed while texting and driving on freeways during the daytime compared with their younger counterparts. Comparisons with the safe stopping sight distance revealed potential safety risks for all texting while driving situations for both age groups compared with nontexting situations. On average, participants with a higher distracted-driving crash-risk expended 0.676 more seconds glancing off-road than lower distracted-driving crash-risk participants. Furthermore, on average, lower-risk participants had a 3.99 mph speed standard deviation compared with the 5.34 mph speed standard deviation of higher-risk participants. It should be noted that the top five higher-risk drivers were from the middle/older population, whereas the top five lower-risk drivers were from the younger population.