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Objective:  To provide a baseline of various driving behaviors and to identify opportunities for prevention of distracted driving during the infancy of state laws that prohibited cellphone use while operating a motor vehicle, the 2010–2011 Distracted Driving Survey collected information on multiple distracted driving behaviors from lower-income clients of three designated, multi-purpose public health centers in Los Angeles County.   Methods:  Descriptive and multivariable negative binomial regression analyses were performed to examine patterns of driving distractions using the Distracted Driving Survey dataset ( n  = 1,051).   Results:  The most common distractions included talking to other passengers ( n  = 912, 86.8%); adjusting the radio, MP3, or cassette player ( n  = 873, 83.1%); and adjusting other car controls ( n  = 838, 79.7%). The median number of distinct distractions per survey participant was 11 (range: 0–32). Factors predicting the number of distinct distractions included being male [incidence rate ratio (IRR): 1.14; 95% confidence interval (CI): 1.06, 1.23], having a lower education (IRR: 0.73; 95% CI: 0.62, 0.84), and having more years of driving experience (IRR: 1.67; 95% CI: 1.33, 2.11). A variety of distractions, including cellphone use and texting, were predictive of increased motor vehicle crashes in the prior 12 months ( p  < 0.05).   Conclusions:  Distracted driving beyond cellphone use and texting were common in the survey sample, suggesting a need for additional public education and more inclusive distracted driving laws that cover these other activity types.

Driving Distractions Among Public Health Center Clients: A Look at Local Patterns During the Infancy of Distracted Driving Laws in California