@article{ref1,
title="Chronic medical conditions and their association with crash risk and changes in driving habits: a prospective study of the GAZEL cohort",
journal="Injury prevention",
year="2020",
author="Naredo Turrado, Juan and Orriols, Ludivine and Contrand, Benjamin and Zins, Marie and Salmi, Louis-Rachid and Lafont, Sylviane and Lagarde, Emmanuel",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To assess crash risk and driving habits associated with chronic medical conditions among drivers entering old age. <br><br>DESIGN: Prospective cohort study. SETTING: French cohort GAZEL. PARTICIPANTS: 12 460 drivers in the analysis of road traffic crash, among whom 11 670 completed the follow-up period (2007-2014). We assessed driving cessation among 11 633 participants over the same period, and mileage and driving avoidance among the 4973 participants who returned a road safety questionnaire in 2015. MAIN OUTCOME MEASURES: Yearly occurrence of at least one road crash as a driver; time to driving cessation; mileage; driving avoidance: at night, with bad weather, in heavy traffic, with glare conditions, over long distances. <br><br>RESULTS: Several potentially risky conditions (<i>angina, myocardial infarction, coronary disease</i>; stroke; <i>nephritic colic, urinary stones</i>; glaucoma) were associated with lower mileage and/or driving avoidance and did not increase crash risk. Neither driving avoidance nor lower mileage was found for other conditions associated with an increased crash risk: hearing difficulties (adjusted OR 1.19, 95% CI 1.06 to 1.34); joint disorders (1.17, 95% CI 1.06 to 1.30). <i>Depression, anxiety</i><i>and</i><i>stress</i> was associated with an increased crash risk (1.23, 95% CI 1.01 to 1.49) despite increased driving avoidance. Parkinson's disease was associated with driving cessation (adjusted HR 32.61, 95% CI 14.21 to 65.17). <br><br>CONCLUSIONS: Depending on their condition, and probably on the associated risk perception, drivers entering old age report diverse driving habits. For example, hearing difficulties is a frequent condition, rarely considered a threat to road safety, and nonetheless associated with an increased crash risk.<br><br>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2019-043460",
url="http://dx.doi.org/10.1136/injuryprev-2019-043460"
}