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Technology for Adaptive Aging

Technology for Adaptive Aging
Author: National Research Council
Publisher: National Academies Press
Total Pages: 321
Release: 2004-04-25
Genre: Social Science
ISBN: 0309091160

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Emerging and currently available technologies offer great promise for helping older adults, even those without serious disabilities, to live healthy, comfortable, and productive lives. What technologies offer the most potential benefit? What challenges must be overcome, what problems must be solved, for this promise to be fulfilled? How can federal agencies like the National Institute on Aging best use their resources to support the translation from laboratory findings to useful, marketable products and services? Technology for Adaptive Aging is the product of a workshop that brought together distinguished experts in aging research and in technology to discuss applications of technology to communication, education and learning, employment, health, living environments, and transportation for older adults. It includes all of the workshop papers and the report of the committee that organized the workshop. The committee report synthesizes and evaluates the points made in the workshop papers and recommends priorities for federal support of translational research in technology for older adults.


Older Drivers

Older Drivers
Author: Ezio C. Cerrelli
Publisher:
Total Pages: 28
Release: 1989
Genre: Older automobile drivers
ISBN:

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Older Adult Injury Risk Assessment in the Driving and Occupational Environments

Older Adult Injury Risk Assessment in the Driving and Occupational Environments
Author: Laura Fraade-Blanar
Publisher:
Total Pages: 93
Release: 2016
Genre:
ISBN:

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The United States is experiencing a demographic transition as the population of older adults increases. Many older adults continue to work and drive to support and sustain economic and social health. However, for some, the aging process can be accompanied by declines in cognitive and physical capacity which may increase the risk of a collision or injury. This dissertation examined the association between cognitive and physical function and the risk of motor vehicle collision or occupational injury among older adults. Chapters 2 and 3 explored crash risk associated with cognitive decline and dementia among older drivers. By 2024, 25% of US drivers will be over the age of 65 years. The fatal crash involvement rate among older drivers begins to increase after age 65. Driving simulator and road test studies found lower driving performance associated with lower cognitive function. In chapter 2, we conducted a retrospective cohort study to examine the association between incremental differences in cognition and crash risk among older drivers without dementia. Cognitive function was measured using the Cognitive Abilities Screening Instrument-Item Response Theory (CASI-IRT) score. Older adult participants were drawn from the Group Health Adult Changes in Thought (ACT) Study. ACT records were merged with Washington State crash and licensure records. Eligible participants were age 65 and above and had an active driver's license. We used a generalized estimating equation model with robust standard errors, clustered on the individual. Among ACT study participants, there were 23.4 police-reported crashes per 1000 driver-years. The adjusted incident risk ratio of crash, comparing a higher CASI-IRT score to a score one unit lower was 1.28 (95% CI: 1.08, 1.51). The change in CASI-IRT was not significantly associated with an increase in crash risk. Chapter 3 explored the hazard rate of a crash for older licensed drivers with diagnosed dementia compared to older adults without diagnosis of dementia. This retrospective cohort study used longitudinal clinical and pharmacy records for Group Health members age 65 to 79. Participant records were merged with Washington State police-reported crash records and licensure data from the Washington State Department of Licensing. We assessed the association between diagnosed dementia and crash risk using survival analysis. Dementia was modeled as a time-varying covariate. The overall crash rate was 14.7 per 1,000 driver-years. In a multivariate model, the hazard ratio of crash among those with dementia was 0.56 (95% CI: 0.33, 0.95) relative to older adults without diagnosed dementia. Chapter 4 focused on the association between the physical health of older workers in relation to the job requirements needed for employment and the risk of occupational injury. For this retrospective cohort study, job demands were assessed both objectively (using data derived from an expert panel available through the Occupational Information Network (O*NET)), and subjective assessment of job demand skills as reported by the older worker. Participants were drawn from the Health and Retirement study, a longitudinal national survey composed of biennial interviews age 50 and above. Analyses employed a modified Poisson regression model with robust standard errors, clustered on the individual. Overall, the rate of reporting any injury was 22 per 1000 person-years. Individuals with higher objective or subjective physical job demands were at greater risk of an occupational injury. When physical job demands were high, a mismatch between physical ability and job demands was associated with a two-to-three-fold higher risk of occupational injury.


Analysis of Risk Factors Associated with Fatal Intersection Crashes Involving Older Drivers in the Midwest

Analysis of Risk Factors Associated with Fatal Intersection Crashes Involving Older Drivers in the Midwest
Author: Abdulaziz Hebni Alshehri
Publisher:
Total Pages: 0
Release: 2022
Genre:
ISBN:

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Motor vehicles are the primary source of transportation in the United States. While this is true for any age group, the older population tend to rely more heavily on automobiles because of easy access and availability, compared to public transportation even when it is available. Older drivers aged 65 years and older are more vulnerable to fatal crashes due to cognitive impairments and frailty. When older drivers are involved in crashes, they sustain higher injury severities compared to younger drivers. One location where older driver experience higher crash risk is intersection, due to the complexity of the situation involving multiple tasks and movements. The objectives of this study were to determine risk factors associated with intersection-related crashes involving older drivers in the Midwestern states and to provide countermeasure ideas to improve safety. Five-year fatal crash data from 2014 to 2018 from the Fatality Analysis Reporting System (FARS) database were utilized, and statistical analysis was carried out to identify characteristics of fatal crashes involving older drivers and risk factors associated with intersection crashes among this age group. Three separate binary logistic regression models were developed to identify statistically significant predictor variables. First model represents older drivers who are involved in fatal single-vehicle crashes. Second model represents fatal multi-vehicle crashes involving at least one older driver, whereas the third model represents fatal single-vehicle crashes involving drivers younger than 65 years for comparison purposes. The dependent variable is whether a fatal crash occurs at an intersection location or not. Many independent variables that include various crash, driver, vehicle, and environmental factors were considered. By considering a 95 percent confidence level, odds ratios were estimated and used to identify relative risk factors of fatal intersection crashes. Analysis showed that controlled intersections, two-way undivided highways, and roads with posted speed limits less than 55 mph increased the risk of fatal single-vehicle and multi-vehicle crashes for older drivers. Fatal single-vehicle crashes were especially prevalent for these drivers. Factors such as urban roadways, driver age older than 75 years, nighttime driving, and speeding increased the risk of single-vehicle fatal intersection crashes, while turning movements and intersecting paths, straight and level roadways, two-lanes highway, and violation of roadway rules increased the risk of multi-vehicle fatal intersection crashes for older drivers. Single-vehicle fatal intersection crash analysis also showed that controlled intersections, two-way undivided highways, roads with posted speed limits less than 55 mph, urban roadways, speeding, nighttime driving, and fixed objects increased the risk of intersection-related fatal single-vehicle crashes, especially for older drivers. However, factors such as straight and level roadways, impaired driving, driver obesity, and the operation of recreation vehicles, buses, or motorcycles increased the risk of single-vehicle fatal intersection crashes for drivers in other age categories. Based on model results, countermeasure ideas to improve the safety of older drivers at intersections as well as other road users were identified. Among suggested ideas, improving intersections designs to accommodate older driver needs is recommended, such as implementing roundabouts when it is appropriate, reach minimum of 75-degree skew angel at intersection, providing protected left turn signals, flashing yellow arrow, restricted crossing U-turn, median U-turn, using rumble stripes along the side of roadway and median, providing transverse rumble strips (TRS) at intersections, improving roadway lighting, signs and markings at intersections and interchanges, implementing roadway diet, enhancing roadway signs and retroreflective delineation, providing cable, guardrail, or concrete barriers, implementing continuous raised-curb medians, enhancing lane drop marking on interchanges, providing acceleration and deceleration lane for merging and diverging locations, providing fixed or portable changeable message signs, enhancing high friction surface treatments on risk prone locations, increasing contrast markings on concrete pavement. Beside the engineering countermeasures, using newer vehicles that equipped with many safety features is advisable to enhance older and other drivers' safety. In addition, older driver license renewal may be modified to be required yearly to overcome early signs of fatigue or cognitive decline to reduce fatal crash risks and enhance safety. Therefore, the results and suggested countermeasures can provide guidance to improve safety of older drivers and other road users.


Characteristics of Crash Injuries Among Young, Middle-Aged, and Older Drivers

Characteristics of Crash Injuries Among Young, Middle-Aged, and Older Drivers
Author: National Highway Traffic Safety Administration
Publisher: CreateSpace
Total Pages: 50
Release: 2013-09-14
Genre: Transportation
ISBN: 9781492399919

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One of the most important factors that affects a person's risk of injury in a motor vehicle crash is the age of the person. This study investigates patterns of injury severity, location of injuries, and contact sources for the driver injuries by driver age. Based on the data from NHTSA's National Automotive Sampling System — Crashworthiness Data System (NASS-CDS) from 1993 through 2004, this study examines in great detail the driver injury severity, injured body regions, and injury contact sources by driver age in rollover and non-rollover real-world traffic crashes. The effect of seat belt use on injury patterns is also investigated.


Older Drivers Impaired by Multiple Medications

Older Drivers Impaired by Multiple Medications
Author:
Publisher:
Total Pages: 386
Release: 2011
Genre: Drugged driving
ISBN: 9781536115291

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'Research results indicate that older adults have a higher rate of fatality and injury in motor vehicle crashes than any other age group except for teenagers. With the ageing of the American population, concern arises regarding potential increases in rates of crash involvement and injury. This book examines the association of the impairing effects of multiple medication use, drug/drug interactions and drug/disease interactions on motor vehicle crashes in individuals age fifty years and greater'--Provided by publisher.