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Frequent falling and motor vehicle collision involvement of older drivers.

Abstract：

OBJECTIVES:To examine the relationship between frequent falls in older drivers and motor vehicle collision (MVC) involvement. DESIGN:Cross-sectional. SETTING:North central Alabama. PARTICIPANTS:Population-based sample of 2,000 licensed drivers aged 70 and older. MEASUREMENTS:Self-reported history of falling two or more times in the prior year was the main predictor. Outcomes were any MVC or at-fault MVC in the prior year. RESULTS:Approximately 9% of older drivers reported having fallen two or more times in the prior year. Logistic regression models indicated that frequent falling was associated with having any MVC (crude odds ratio (OR) = 1.53, 95% confidence interval (CI) = 0.77-3.02) and an at-fault MVC (OR = 2.21, 95% CI = 0.97-5.06). Adjustment for the potentially confounding effects of demographic, health, visual, and driving characteristics did not meaningfully affect the association with any MVC, whereas the association with at-fault MVC was weakened (adjusted OR = 2.03, 95% CI = 0.84-4.90). CONCLUSION:Frequent falling was associated with at-fault MVC involvement of older drivers, especially whites. History of falling can be used to identify individuals at risk of MVC involvement and to begin a dialogue about driver safety.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Huisingh C,McGwin G Jr,Orman KA,Owsley C

doi

10.1111/jgs.12594

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

123-9

issue

1

eissn

0002-8614

issn

1532-5415

journal_volume

62

pub_type

杂志文章

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