• Andry Rakotonirainy, Dale Steinhardt, Patricia Delhomme, Millie Darvell, and Amy Schramm.
• Centre for Accident Research Road Safety - Queensland (CARRS-Q), Queensland University of Technology, Australia. r.andry@qut.edu.au
• Accid Anal Prev. 2012 Sep 1; 48: 423-9.

BackgroundThe growing proportion of older adults in Australia is predicted to comprise 23% of the population by 2030. Accordingly, an increasing number of older drivers and fatal crashes of these drivers could also be expected. While the cognitive and physiological limitations of ageing and their road safety implications have been widely documented, research has generally considered older drivers as a homogeneous group. Knowledge of age-related crash trends within the older driver group itself is currently limited.ObjectiveThe aim of this research was to identify age-related differences in serious road crashes of older drivers. This was achieved by comparing crash characteristics between older and younger drivers and between sub-groups of older drivers. Particular attention was paid to serious crashes (crashes resulting in hospitalisation and fatalities) as they place the greatest burden on the Australian health system.MethodUsing Queensland Crash data, a total of 191,709 crashes of all-aged drivers (17-80+) over a 9-year period were analysed. Crash patterns of drivers' aged 17-24, 25-39, 40-49, 50-59, 60-69, 70-79 and 80+ were compared in terms of crash severity (e.g., fatal), at fault levels, traffic control measures (e.g., stop signs) and road features (e.g., intersections). Crashes of older driver sub-groups (60-69, 70-79, 80+) were also compared to those of middle-aged drivers (40-49 and 50-59 combined, who were identified as the safest driving cohort) with respect to crash-related traffic control features and other factors (e.g., speed). Confounding factors including speed and crash nature (e.g., sideswipe) were controlled for.Results And DiscussionResults indicated that patterns of serious crashes, as a function of crash severity, at-fault levels, road conditions and traffic control measures, differed significantly between age groups. As a group, older drivers (60+) represented the greatest proportion of crashes resulting in fatalities and hospitalisation, as well as those involving uncontrolled intersections and failure to give way. The opposite was found for middle-aged drivers, although they had the highest proportion of alcohol and speed-related crashes when compared to older drivers. Among all older drivers, those aged 60-69 were least likely to be involved in or the cause of crashes, but most likely to crash at interchanges and as a result of driving while fatigued or after consuming alcohol. Drivers aged 70-79 represented a mid-range level of crash involvement and culpability, and were most likely to crash at stop and give way signs. Drivers aged 80 years and beyond were most likely to be seriously injured or killed in, and at-fault for, crashes, and had the greatest number of crashes at both conventional and circular intersections. Overall, our findings highlight the heterogeneity of older drivers' crash patterns and suggest that age-related differences must be considered in measures designed to improve older driver safety.Copyright © 2012 Elsevier Ltd. All rights reserved.

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