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			 Based on a census of fatal car accidents over five years, 
			researchers found that four out of five teens killed were driving 
			cars that were at least six years old and nearly half drove cars 
			that were more than 11 years old. In addition, nearly one third of 
			the teens killed were driving small or mini cars. 
 “Many teenagers are driving – and dying in – the least protective 
			types of vehicles,” said Anne McCartt, a senior vice president of 
			research at the Insurance Institute for Highway Safety (IIHS) who 
			led the study.
 
 Car accidents are the leading cause of death among U.S. teenagers, 
			and teens are three times more likely than adults to have a motor 
			vehicle accident, McCartt told Reuters in an email.
 
 Teens are less mature and often more confident than adult drivers, 
			leading them to speed and neglect to wear seatbelts, said Keli 
			Braitman, an assistant professor of psychology at William Jewell 
			College in Liberty, Missouri, who studies teenage drivers.
 
			
			 
			“Because of their lack of experience, they’re also less able to 
			recognize and handle emergencies and hazards when they arise,” she 
			told Reuters Health in an email. Braitman was not involved in the 
			new study.
 
 McCartt and another researcher used data on fatal accidents from the 
			Fatality Analysis Reporting System covering 2008 through 2012. They 
			examined the types and sizes of cars driven by 15- to 17-year-olds 
			who were driving when killed in a crash, then compared results to 
			drivers between 35 and 50 years old who died behind the wheel.
 
 In the sample of around 2,500 teens, 82 percent were killed in 
			crashes while driving cars over six years old and 48 percent drove 
			cars over 11 years old.
 
 Among the 19,000 middle-aged drivers killed, 77 percent were in cars 
			more than six years old and 46 percent had cars over 11 years old.
 
 The car sizes involved in the fatalities differed considerably 
			between age groups. Among the teens, 29 percent were driving a mini 
			or small car and 23 percent were driving a mid-size car when they 
			crashed. In comparison, 20 percent of middle-aged drivers had a mini 
			or small car and 16 percent a mid-size, when killed.
 
 Older drivers were more likely to be in large pick-up trucks (17 
			percent, versus 10 percent of teens) and midsize SUVs ( 11 percent, 
			versus 9 percent of teens), according to the results published in 
			Injury Prevention.
 
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			“Newer vehicles tend to fare better in crashes than older vehicles, 
			and are more likely to have safety features,” Braitman said. She 
			listed electronic stability control (ESC), a program that 
			automatically applies breaks when the car skids, as a key feature.
 Another important safety feature is side air bags, which Braitman 
			said can protect both the driver and passengers in a crash.
 
 “Smaller, lighter vehicles don’t afford as much crash protection as 
			bigger, heavier vehicles,” McCartt said.
 
 One limitation of the study, Braitman noted, is that the researchers 
			did not compare data on people killed in crashes to those who didn’t 
			die. This makes it difficult to say, for example, whether teens are 
			more often killed in older cars because these cars are more 
			dangerous or because teens are more likely to drive older cars.
 
 According to McCartt, parents are concerned with safety, but often 
			do not have up-to-date information on safety features. The IIHS, 
			which funded the study, offers an online guide for parents to help 
			them choose the safest possible used cars at a reasonable price 
			(http://bit.ly/1qWIc63).
 
 The guide, titled “Safety rides shotgun: the best used vehicles for 
			teen drivers,” advises against high horsepower, and recommends 
			bigger, heavier cars as well as cars with ESC and good crash test 
			ratings.
 
 
			 
			“A teenager’s first vehicle is more than just a financial decision. 
			Parents need to do their homework and factor in safety as well as 
			affordability,” McCartt said.
 
 SOURCE: http://bmj.co/13sN62Q Injury Prevention, online December 18, 
			2014.
 
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