Certain driving errors are predictive of crashes, but whether the type of errors evaluated during on-road assessment is similar to traffic violations that are associated with crashes is unknown. Using the crash data of 5,345 older drivers and expert reviewers, we constructed a violation-to-error classification based on rater agreement. We examined the effects of predictor variables on crash-related injuries by risk probability using logistic regression. Drivers' mean age was 76.08 (standard deviation = 7.10); 45.7% were women. Of drivers, 44.6% sustained crash-related injuries, and female drivers had a higher injury probability (44%) than male drivers (29%). Lane maintenance, yielding, and gap acceptance errors predicted crash-related injuries with almost 50% probability; speed regulation (34%), vehicle positioning (25%), and adjustment-to-stimuli (21%) errors predicted crash-related injuries to a lesser degree. We suggest injury prevention strategies for clinicians and researchers to consider for older drivers, especially older women.
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http://dx.doi.org/10.5014/ajot.64.2.233 | DOI Listing |
Sci Rep
October 2024
ISPED School of Public Health, Bordeaux University, UMR_S 1219 - Research Center Bordeaux Population Health (BPH), Bordeaux, France.
In Lebanon, the lack of quality data on road traffic injuries (RTIs) led to the implementation of a hospital-based RTI surveillance system by the Ministry of Health in in private and public-run hospitals in the Bekaa governorate. This paper aims to describe the characteristics and severity of RTIs recorded over two years during the pilot phase. It also assesses the strengths and challenges of the surveillance system, highlighting areas for enhancement.
View Article and Find Full Text PDFTraffic Inj Prev
October 2024
Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Florida.
J Health Econ Outcomes Res
September 2024
Tris Pharma, Inc., South Brunswick, New Jersey, USA.
Attention-deficit/hyperactivity disorder (ADHD) affects approximately 4.4% of US adults. ADHD is associated with high-risk driving behavior and costly motor vehicle accidents.
View Article and Find Full Text PDFEpilepsia
October 2024
Institute of Health and Welfare Policy, College of Medicine, National Yang Ming Chao Tung University, Taipei, Taiwan.
Objective: Among motor vehicle crashes (MVCs), little is known about whether the characteristics and collision features involving drivers with epilepsy differ from those involving drivers without any history of epilepsy. We assessed MVC features and the effect of epilepsy diagnosis on the risk of severe crash-related injuries among drivers.
Methods: A total of 33 174 MVC events among people with epilepsy (PWE) and 663 480 MVC events of age- and sex-matched non-PWE (1:20) were selected.
Inj Epidemiol
August 2024
Department of Epidemiology, Brown University School of Public Health, 121 South Main St., Box G-121-S2, Providence, RI, 02192, USA.
Background: Administrative healthcare databases, such as Medicare, are increasingly used to identify groups at risk of a crash. However, they only contain information on crash-related injuries, not all crashes. If the driver characteristics associated with crash and crash-related injury differ, conflating the two may result in ineffective or imprecise policy interventions.
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