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Driving Safety among Adolescents with Health Conditions: An Integrative Review
Leigh Ann DiFusco1,2,3, Xiaoxuan Priscilla Liu1,2, Allison E Curry2,4
1University of Pennsylvania School of Nursing.
Journal of Transport & Health
|July 29, 2025
Summary
Adolescents with ADHD and ASD show more unsafe driving behaviors. More research is needed on safe driving strategies for teens with other health conditions to improve policies and clinical practice.
Area of Science:
- Adolescent Health
- Driving Safety Research
- Behavioral Science
Background:
- Driving independence is crucial for quality of life but challenging for adolescents with health conditions.
- Health conditions can impact driving behavior, necessitating tailored strategies for safe independent driving.
Purpose of the Study:
- To review literature on safe driving behaviors and strategies for adolescents (15-24) with specific health conditions.
- To identify gaps in research regarding safe driving for adolescents with conditions like ADHD, ASD, T1D, and mental health issues.
Main Methods:
- Integrative review of 68 studies published between 2007 and 2024.
- Focus on adolescents aged 15-24 with conditions including ADHD, ASD, T1D, epilepsy, and mental health disorders.
- Analysis of driving attitudes, behavior, licensure, and interventions.
Main Results:
- Over 70% of studies focused on ADHD and/or ASD.
- Adolescents with ADHD, ASD, TBI, and mood disorders exhibited more unsafe driving.
- Blood glucose management was a concern for adolescents with Type 1 Diabetes.
Conclusions:
- Research supports understanding safe driving in adolescents with ADHD and ASD.
- Further research is needed for conditions like T1D, epilepsy, and mental health disorders to inform policy and practice.
- Developing interventions for ADHD/ASD can model future research for other conditions.
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