Introduction: Concerns have been raised that the nonlinear relation between crashes and travel exposure invalidates the conventional use of crash rates to control for exposure. A new metric of exposure that bears a linear association to crashes was used as basis for calculating unbiased crash risks. This study compared the two methods - conventional crash rates and new adjusted crash risk - for assessing the effect of driver age, gender, and time of day on the risk of crash involvement and crash fatality.
Method: We used police reports of single-car and multi-car crashes with fatal and nonfatal driver injuries that occurred during 2002-2012 in Great Britain.
Results: Conventional crash rates were highest in the youngest age group and declined steeply until age 60-69 years. The adjusted crash risk instead peaked at age 21-29 years and reduced gradually with age. The risk of nighttime driving, especially among teenage drivers, was much smaller when based on adjusted crash risks. Finally, the adjusted fatality risk incurred by elderly drivers remained constant across time of day, suggesting that their risk of sustaining a fatal injury due to a crash is more attributable to excess fragility than to crash seriousness.
Conclusions: Our findings demonstrate a biasing effect of low travel exposure on conventional crash rates. This implies that conventional methods do not yield meaningful comparisons of crash risk between driver groups and driving conditions of varying exposure to risk. The excess crash rates typically associated with teenage and elderly drivers as well as nighttime driving are attributed in part to overestimation of risk at low travel exposure. Practical Applications: Greater attention should be directed toward crash involvement among drivers in their 20s and 30s as well as younger drivers. Countermeasures should focus on the role of physical vulnerability in fatality risk of elderly drivers.
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http://dx.doi.org/10.1016/j.jsr.2018.07.002 | DOI Listing |
Inj Epidemiol
January 2025
Injury Prevention Research Center, University of Iowa, 145 N Riverside Dr., Iowa City, IA, 52242, USA.
Background: Motor vehicle crashes are the second leading cause of injury death among adults aged 65 and older in the U.S., second only to falls.
View Article and Find Full Text PDFJAMA Netw Open
December 2024
Department of Psychiatry, Washington University in St Louis, St Louis, Missouri.
Importance: Depression and antidepressant use are independently associated with crash risk among older drivers. However, it is unclear what factors impact daily driving that increase safety risk for drivers with depression.
Objective: To examine differences in naturalistic driving behavior and safety between older adults with and without major depressive disorder (MDD).
J Affect Disord
January 2025
John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia; Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Background: Traumatic physical injuries can lead to psychological distress and increased risk of psychiatric disorders, often reflected in dysregulated autonomic responses measurable through heart rate variability (HRV). Slow-paced breathing has shown potential in enhancing HRV, but its effectiveness in injured survivors remains unexplored. This study investigates the effect of slow-paced breathing on HRV among injured survivors compared to non-injured individuals and explores the influence of psychological distress and spontaneous respiratory rate on this effect.
View Article and Find Full Text PDFPLoS One
January 2025
School of Public Health & Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Introduction: Low- and middle-income countries experience high injury-related mortality rates, with road traffic crashes being a significant contributor in Nigeria. Data from trauma registries are crucial for designing and advocating for trauma intervention programmes. However, there is limited research to inform the development of trauma registries in a Nigerian setting.
View Article and Find Full Text PDFMaterials (Basel)
December 2024
Chair of Modelling in Engineering Sciences and Medicine, Faculty of Mechanical Engineering, University of Ljubljana, Aškerčeva c. 6, 1000 Ljubljana, Slovenia.
Bolt connections are widely used in construction and engineering to securely join structural elements. These connections are essential for distributing loads across components and ensuring that structures can withstand external forces. The planned failure of these bolts is of great importance in steel safety barriers (SSBs), as it can directly influence the height of the guardrail and the working width of the SSB during the vehicle impact, which consequently affects the crash consequences.
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