TY - JOUR PY - 2020// TI - A longitudinal investigation of falls and motor vehicle crashes in older drivers JO - Journal of aging and health A1 - Pope, Caitlin N. A1 - Fazeli, Pariya L. A1 - Bell, Tyler R. A1 - Gaini, Meghana S. A1 - Mrug, Sylvie A1 - Vance, David E. A1 - Ball, Karlene K. SP - ePub EP - ePub VL - ePub IS - ePub N2 - Objective: To assess the longitudinal association between fall history reported at a driver's license screening visit and the likelihood of subsequent vehicle crashes. Method: A total of 1,127 older adults were recruited from Maryland State Motor Vehicle Administration sites and interviewed annually over 15 years. Results: Individuals who reported a previous fall were more likely to be female, perform worse on physical functioning and divided attention tasks, and report more situational driving avoidance compared with non-fallers at baseline. Females who reported a fall at baseline had a 2.6× greater likelihood of subsequently reporting a crash over the 15 years than males. Among those who reported a fall at baseline, greater weekly driving exposure over the 15 years was associated with a 23% higher likelihood of a subsequent crash. Discussion: These findings support the utility of investigating nontraditional driver screening methods to identify drivers who may be at increased risk of future driving difficulties.

Language: en

LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/0898264320915111 ID - ref1 ER -