@article{ref1,
title="Risk of motor vehicle crash for older adults after receiving a traffic charge: a case-crossover study",
journal="Traffic injury prevention",
year="2018",
author="Davis, Jonathan and Casteel, Carri and Hamann, Cara and Peek-Asa, Corinne L.",
volume="19",
number="5",
pages="506-512",
abstract="OBJECTIVE: After the age of 65 the number of motor vehicle crashes per mile driven increases. Traffic-related charges issued by law enforcement can help identify drivers who are at a higher risk of having a crash. This study examines the relationship between motor vehicle crashes and traffic-related charges among older adult drivers. <br><br>METHODS: Iowa Department of Transportat crash data from 2011-2012 were linked with Iowa Court Information System data for moving violations that occurred during 2009-2012 for drivers over the age of 50. A time stratified case-crossover design was used matching on time periods one year apart. Case exposure was defined as having a traffic-related charge 30 days before the crash. Control exposure was the same 30 day time period 1 year before the crash for each individual. Conditional logistic regression was used to analyze the self-matched pairs. Additional time periods of 31-60, 61-90, 91-120, 121-150, 151-180, and 181-210 days before the crash were also assessed. <br><br>RESULTS: There were 38,171 adults at least 50 years of age with an Iowa driver's license, who were involved in a crash in Iowa between 2011 and 2012. 13,129 adults over the age of 50 also received a charge during 2009-2012. Relative to the control time period, experiencing a traffic-related charge in the 30 day time period before the crash increased the risk of a crash by 21% (OR = 1.21, 95% CI, 1.03-1.42) for all drivers included in the study. This crash risk was similar for adults age 50-64 (OR = 1.20, 95% CI, 1.00-1.45) and adults 65 and older (OR = 1.24, 95% CI, 0.90-1.72). In the 30 days after receiving a traffic-related charge, the risk of a crash was also increased for crashes occurring in adverse weather (OR = 1.79, 95% CI, 1.12-2.84) or during night, dawn, or twilight (OR = 1.89, 95% CI, 1.31-2.72). <br><br>CONCLUSIONS: A traffic-related charge for an adult over the age of 50 indicates an increased risk of experiencing a crash in the 30 days following the charge. The risk for crashes occurring in adverse conditions or outside of daylight hours was also increased in the 30 days after receiving a traffic-related charge. The risk of experiencing a crash decreases with the more time that passes after receiving a charge. Measures to restrict or increase the safety of driving during these conditions could help reduce the crash risk for older adults who receive a traffic-related charge.<p /> <p>Language: en</p>",
language="en",
issn="1538-9588",
doi="10.1080/15389588.2018.1453608",
url="http://dx.doi.org/10.1080/15389588.2018.1453608"
}