NDLI: Risk factors for motor vehicle crashes among older drivers in a rural community.

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Risk factors for motor vehicle crashes among older drivers in a rural community.

Content Provider	Semantic Scholar
Author	Foley, Daniel J. Wallace, Robert B. Eberhard, John
Copyright Year	1995
Abstract	OBJECTIVE To estimate the motor vehicle crash rate in a cohort of older drivers from a rural community and to identify health-related conditions that increase their risk for crash involvement. DESIGN Cohort study with 5 years of crash-record surveillance. SETTING The Iowa 65+ Rural Health Study, one of four Established Populations for Epidemiologic Studies of the Elderly (EPESE). PARTICIPANTS A total of 1791 drivers aged 68 years and older. MAIN MEASURES Exposure measures of physical, mental, and sensory well-being from a health interview survey; outcome measure of police-reported crashes maintained by the Iowa Department of Motor Vehicles. RESULTS Between 1985 and 1989, 206 drivers were involved in 245 state-recorded crashes. The estimated annual crash involvement rate for these rural older drivers (28 per 1000 driving-years) was about 20% less than the national average for drivers aged 65 years and over (36 per 1,000). An increased risk for motor vehicle crashes was associated with episodes of back pain (Relative Risk = 1.4, P < .05), use of nonsteroidal anti-inflammatory drugs (RR = 1.7, P < .01), and poor performance on a free-recall memory test (RR = 1.4, P < .05). CONCLUSIONS If these and other geriatric conditions are confirmed as risk factors for motor vehicle crashes, medical guidelines for license renewal may need updating and health professionals may need new instruments to detect older patients at high risk for unsafe driving.
File Format	PDF HTM / HTML
DOI	10.1111/j.1532-5415.1995.tb07049.x
PubMed reference number	7602030
Journal	Medline
Volume Number	43
Issue Number	7
Alternate Webpage(s)	https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_72464_19
Journal	Journal of the American Geriatrics Society
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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