TY - JOUR PY - 2009// TI - Visual and Medical Risk Factors for Motor Vehicle Collision Involvement among Older Drivers JO - British journal of ophthalmology A1 - Cross, James M. A1 - McGwin, Gerald A1 - Rubin, G. S. A1 - Ball, Karlene K. A1 - West, Sheila K. A1 - Roenker, Daniel L. A1 - Owsley, C. SP - 400 EP - 404 VL - 93 IS - 3 N2 - AIMS: To identify visual and medical risk factors for motor vehicle collisions (MVCs). METHODS: Data from four cohorts of older drivers from three states were pooled (n=3,158). Health information was collected at baseline, and MVC data were obtained prospectively. Cox proportional hazards regression was used to estimate rate ratios (RRs) and 95% confidence intervals (CIs) for associations between medical characteristics and MVCs. RESULTS: A total of 363 MVCs were observed during the study period (1990-1997), of which 145 were at-fault and 62 were injurious. Falls and impaired useful field of view (UFOV ) were positively associated with overall MVCs. At-fault MVCs were also positively associated with falls and UFOV impairment, and inversely with cancer. Injurious MVCs were positively associated with arthritis and neurological disease, and inversely with hypertension. CONCLUSIONS: These findings show similarities and differences across the risk factors for all, at-fault, and injurious MVCs, and point to the need for verification and possible interventions.
Language: en
LA - en SN - 0007-1161 UR - http://dx.doi.org/10.1136/bjo.2008.144584 ID - ref1 ER -