Relationship Between Driver's License Renewal Policies and Fatal Crashes Involving Drivers 70 Years or Older

Levy, David T.; Vernick, Jon S.; Howard, Kim Ammann

doi:10.1001/jama.1995.03530130032024

Cited by 119 publications

(57 citation statements)

References 25 publications

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“…Much more research is needed in this field. We agree with Levy et al (1995), who indicated that driving licence renewal requirements represent one of the few public policies with the potential to have a direct effect on senior traffic safety. Decisions about safe 'enough' are decisions about how much risk the society is willing to tolerate" and "decisions about the level of acceptance risk are not scientific but political" (Hakamies-Blomqvist (2006, p.p.…”

Section: Discussionsupporting

confidence: 82%

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Older drivers, medical condition, medical impairment and crash risk

Álvarez¹,

Fierro²

2008

Accident Analysis & Prevention

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New evidence has appeared to support the fact that the over-involvement of older drivers in traffic accidents disappears when the low mileage bias is taken into account. As a group, older drivers are as safe as or safer than other age groups, and only low mileage older drivers have a high crash rate. Furthermore, the role of the medical condition of older drivers in traffic accidents, as well as the fitness to drive evaluation, are objects of controversy. We examined all this with a cohort of 4316 drivers attending Medical Driving Test Centres for a mandatory fitness to drive evaluation. Our data shows that older drivers (≥75) have a lower crash rate. Medical conditions that impair fitness to drive, as a tendency, increased with advanced age and with lower mileage group. The multivariate analysis of variance showed that there is an effect (p < 0.0001) of age-range and mileage on the annual crash rate per million kilometres driven, while a medical restriction ("fit to drive with restriction") has no effect (p > 0.05). Our data suggests that health status is not associated with increased crash risk for the low mileage group, although further studies are needed.

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Section: Discussionsupporting

confidence: 82%

“…361). It should be pointed out that only recent studies have shown benefits for fitness to drive evaluation (Levy et al, 1995;Marshall et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Older drivers, medical condition, medical impairment and crash risk

Álvarez¹,

Fierro²

2008

Accident Analysis & Prevention

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“…However, studies by Nelson et al 32 and Levy et al 33 showed that those states that test for central acuity did have lower fatal crash rates than states that did not.…”

Section: Sensory and Perceptual Impairmentsmentioning

confidence: 98%

Safe mobility for senior citizens

Eberhard¹

1996

PsycEXTRA Dataset

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The number of licensed older people will more than double in the next 25 years in the United States. There is a need to focus on ways of ensuring the safety of all road users without unduly restricting the mobility of older drivers. At present, it is extremely difficult to identify older driver groups who pose an undue risk to others and to assess their driving capabilities.Older drivers as a group are not a significant risk to others based upon their number of crashes per licensed driver. However. they do have a higher crash and fatality rate per mile driven than all but the youngest (16-20) driver age groups. Driving patterns and crash involvement of the elderly are reviewed, with emphasis on the role of medical conditions and functional limitations. Drivers who understand their own limitations tend to change their behavior to accommodate declining capabilities.Those unaware of limitations tend not to take corrective action, placing them at higher risk of crashes. Those who stop driving travel much less. are less satisfied in reaching their mobility needs and are more likely to be depressed. Research is under way to differentiate groups who are at higher risk and to develop ways to identify and assess their performance.

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“…In addition to research on driver-level interventions, research has examined the effect of driver's license renewal laws on fatal traffic crashes among older people (Grabowski & Morrisey, 2001;Grabowski, Campbell, & Morrisey, 2004;Kelsey, Janke, Peck, & Ratz, 1985, Nelson, Sacks, & Chorba, 1992Levy, Vernick, & Howard, 1995). The results have been mixed.…”

Section: Introductionmentioning

confidence: 99%

The Social and Policy Predictors of Driving Mobility Among Older Adults

Kulikov

2010

Journal of Aging & Social Policy

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Relationship Between Driver's License Renewal Policies and Fatal Crashes Involving Drivers 70 Years or Older

Cited by 119 publications

References 25 publications

Older drivers, medical condition, medical impairment and crash risk

Older drivers, medical condition, medical impairment and crash risk

Safe mobility for senior citizens

The Social and Policy Predictors of Driving Mobility Among Older Adults

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