Motor vehicle accidents (MVAs) are the leading cause of death in adolescents in developed countries; drugs, especially alcohol, are involved in 50% or more (41,91). MVAs are also major or leading causes of adolescent deaths in other countries as well. These deaths are related to many factors, including the magical thinking of youth, fast driving, mixing driving with drug use, failure to use seat belts, vehicles not in good repair, combination effects of several adolescent passengers in a car driven by a teen male driver, poorly maintained roads, and others. Enforcement of various factors can improve this situation, including prolonged driver education for youth, monitoring of seat belt use, limiting the number of teens in a car with a male teen driver, and others (41,91).
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