• Sylviane Lafont, Emmanuelle Amoros, Blandine Gadegbeku, Mireille Chiron, and Bernard Laumon.
• Transportation, Occupational and Environmental Epidemiology Research and Surveillance Unit (UMRESTTE), Joint Unit of the University of Lyon (University Lyon 1), Lyon, F-69008, France. sylviane.lafont@inrets.fr
• Accid Anal Prev. 2008 Jan 1; 40 (1): 289-94.

BackgroundOne of the concerns in road safety is the threat older drivers may pose to other road users. Using the rate of lost life years, the present study provides a public health approach to quantify this potential threat.MethodsA total of 1570686 motorised vehicle drivers or motorcycle riders and 652246 non-drivers, i.e. vehicle passengers, pedestrians and cyclists involved in injury crashes in France between 1996 and 2004, were included in a population based cross-sectional study. Fatality rates and rate of lost life years for each crash-involved driver age class were calculated for the drivers themselves and for other road users.ResultsThe study has shown a significant reduction in the rate of lost life years for crash-involved other road users (whether passengers, pedestrians, cyclists or opposing drivers) as driver age increases. Other road users lost half as many years of life when involved in crashes with drivers aged over 85 than with drivers under 65 (1.26 and 2.32 per 100 expected remaining life years, respectively).ConclusionOur findings suggest that among road users involved in injury crashes, older drivers are less dangerous for the other road users. By attributing other road users' lost life years to each driver age, this study represents a new contribution to the debate about ageing and road safety.

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