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This paper addresses the effects of cell phones on driving by means of a review of the literature and an analysis of scientifically credible epidemiological and driver performance studies. A total of 84 articles were obtained covering the period from 1969 to 2004. Sixty-eight articles were research papers measuring driving performance while using a cell phone and 16 articles were epidemiological studies that examined cell phone usage and their relationship to vehicular crashes. Epidemiological findings consistently showed an increase in crashes associated with use of cell phones. However, these studies did not control for exposure to cell phone use or to driving. The negative impact of cell phone usage is larger for responses to critical events than for vehicular control. Drivers responded about a quarter of a second later to stimuli in the presence of a cell phone distractor for all studies that were analyzed. Hands-free cell phones produced similar performance decrements to hand-held phones.

A Meta-Analysis of Driving Performance and Crash Risk Associated with the Use of Cellular Telephones While Driving