Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers

OBJECTIVES: To examine the association between visual and hearing impairment and motor vehicle collision (MVC) involvement in older drivers. DESIGN: Retrospective cohort study. SETTING: North central Alabama PARTICIPANTS: Population-based sample of 2,000 licensed-drivers, age 70 and older. MEASUREME...

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التفاصيل البيبلوغرافية
المؤلفون الرئيسيون: Green, Kimberly A., McGwin, Gerald, Owsley, Cynthia
التنسيق: Artigo
اللغة:Inglês
منشور في: 2013
الموضوعات:
Article
الوصول للمادة أونلاين:https://ncbi.nlm.nih.gov/pmc/articles/PMC3573212/
https://ncbi.nlm.nih.gov/pubmed/23350867
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1111/jgs.12091
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spelling pubmed-35732122014-02-01 Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers Green, Kimberly A. McGwin, Gerald Owsley, Cynthia J Am Geriatr Soc Article OBJECTIVES: To examine the association between visual and hearing impairment and motor vehicle collision (MVC) involvement in older drivers. DESIGN: Retrospective cohort study. SETTING: North central Alabama PARTICIPANTS: Population-based sample of 2,000 licensed-drivers, age 70 and older. MEASUREMENTS: Visual acuity was measured using the Electronic Visual Acuity test. Contrast sensitivity was measured using the Pelli-Robson chart. Presence of subjective hearing loss and other health conditions were determined using a general health questionnaire. Information regarding MVCs for all participants spanning the five years prior to study enrollment was obtained from the Alabama Department of Public Safety. RESULTS: Following adjustment for age, race, gender, number of miles driven, number of medical conditions, general cognitive status, and visual processing speed, older drivers having both visual acuity and hearing impairment (rate ratio RR 1.52, 95% confidence interval CI 1.01–2.30), contrast sensitivity impairment alone (RR 1.42, 95% CI 1.00–2.02), and both contrast sensitivity and hearing impairment (RR 2.41, 95% CI 1.62–3.57) had elevated MVC rates, compared to drivers with no visual or hearing impairments. Drivers with visual acuity loss alone or hearing loss alone did not have significantly different MVC rates when compared to the no impairment group after adjustment for multiple variables. CONCLUSION: Older drivers with dual sensory impairment are at greater MVC risk than those with only a visual acuity or a hearing deficit alone. A combined screening approach of screening for both hearing impairment and visual impairment may be a useful tool to identify older drivers at risk for MVC involvement. 2013-01-25 2013-02 /pmc/articles/PMC3573212/ /pubmed/23350867 http://dx.doi.org/10.1111/jgs.12091 Text en
institution US NLM
collection PubMed Central
language Inglês
format Artigo
topic Article
spellingShingle Article
Green, Kimberly A.
McGwin, Gerald
Owsley, Cynthia
Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
description OBJECTIVES: To examine the association between visual and hearing impairment and motor vehicle collision (MVC) involvement in older drivers. DESIGN: Retrospective cohort study. SETTING: North central Alabama PARTICIPANTS: Population-based sample of 2,000 licensed-drivers, age 70 and older. MEASUREMENTS: Visual acuity was measured using the Electronic Visual Acuity test. Contrast sensitivity was measured using the Pelli-Robson chart. Presence of subjective hearing loss and other health conditions were determined using a general health questionnaire. Information regarding MVCs for all participants spanning the five years prior to study enrollment was obtained from the Alabama Department of Public Safety. RESULTS: Following adjustment for age, race, gender, number of miles driven, number of medical conditions, general cognitive status, and visual processing speed, older drivers having both visual acuity and hearing impairment (rate ratio RR 1.52, 95% confidence interval CI 1.01–2.30), contrast sensitivity impairment alone (RR 1.42, 95% CI 1.00–2.02), and both contrast sensitivity and hearing impairment (RR 2.41, 95% CI 1.62–3.57) had elevated MVC rates, compared to drivers with no visual or hearing impairments. Drivers with visual acuity loss alone or hearing loss alone did not have significantly different MVC rates when compared to the no impairment group after adjustment for multiple variables. CONCLUSION: Older drivers with dual sensory impairment are at greater MVC risk than those with only a visual acuity or a hearing deficit alone. A combined screening approach of screening for both hearing impairment and visual impairment may be a useful tool to identify older drivers at risk for MVC involvement.
author Green, Kimberly A.
McGwin, Gerald
Owsley, Cynthia
author_facet Green, Kimberly A.
McGwin, Gerald
Owsley, Cynthia
author_sort Green, Kimberly A.
title Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
title_short Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
title_full Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
title_fullStr Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
title_full_unstemmed Associations between Visual, Hearing, and Dual Sensory Impairments and History of Motor Vehicle Collision Involvement by Older Drivers
title_sort associations between visual, hearing, and dual sensory impairments and history of motor vehicle collision involvement by older drivers
publishDate 2013
url https://ncbi.nlm.nih.gov/pmc/articles/PMC3573212/
https://ncbi.nlm.nih.gov/pubmed/23350867
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1111/jgs.12091
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