Responsibility of drivers, by age and gender, for motor-vehicle crash deaths

Problem: Motor-vehicle crash rate comparisons by age and gender usually are based on the extent to which drivers in a particular age/gender category are themselves injured or involved in crashes (e.g., the number of 20-year-old females in crashes). Basing comparisons instead on the extent to which drivers in various age/gender groups are responsible for deaths (including themselves) in their crashes is more revealing of their overall contribution to the problem. Methods: Data from the Fatality Analysis Reporting System (FARS, 1996–2000) were used in the analysis, which was based on crashes that involved one or two vehicles only. Drivers in fatal single-vehicle crashes were assumed to have responsibility for the crash. In fatal two-vehicle crashes, driver operator errors reported by police were used to assign crash responsibility. Results: When all crashes were considered, both the youngest and oldest drivers were most likely to be responsible for deaths in their crashes. In two-vehicle crashes, the oldest drivers were more likely than young drivers to be responsible. Young males were more likely than young females to be responsible for crash deaths, whereas females in their 50s and older were more likely than same-age males to be responsible. In terms of responsibility for deaths per licensed driver, young drivers, especially males, had the highest rates because of their high involvement rates and high responsibility rates. The majority of deaths for which young drivers were responsible occurred to people other than themselves, especially passengers in their vehicles, whereas the bulk of the deaths for which older drivers were responsible were their own. Discussion: The results highlight the contribution of young drivers to the motor-vehicle crash problem, the need for measures such as passenger restrictions in graduated licensing systems, and the need for vehicle modifications to better protect older occupants.     

Cultural values and random breath tests as moderators of the social influence on drunk driving in 15 countries

IntroductionThe social influence on drunk driving has been previously observed in several countries. It is noteworthy, however, that the prevalence of alcohol in road fatalities is not the same in all countries. The present study aimed to explore whether cultural values and the number of roadside breath tests moderate the link between the perceived drunk driving of one's peers and self-reported behavior.MethodsBased on the European survey SARTRE 4, the responses of 10,023 car drivers from 15 countries were analyzed. Two cultural values, “tradition” and “conformism,” were identified as possibly being linked to social influence. Country scores for these values were taken from the European Social Survey. The number of random roadside breath tests per inhabitant was used as an indicator of drunk-driving enforcement in each country.ResultsA hierarchical multilevel modeling analysis confirmed the link between friends' drunk driving and one's own drunk driving in all countries, but the strength of the link was much stronger in some countries (e.g., Italy, Cyprus, and Israel) than in others (e.g., Finland, Estonia, and Sweden). Both the measured value of “tradition” and the number of alcohol breath tests were found to moderate the link between friends' and one's own drunk driving.Practical ApplicationsEuropean stakeholders should take into account cultural specificities of target countries when designing campaigns against drunk driving.     

Ankle fracture patterns in drivers are associated with femoral fracture,higher BMI,and advanced age

Objective: Despite advances in vehicle safety systems, motor vehicle crashes continue to cause ankle fractures. This study attempts to provide insight into the mechanisms of injury and to identify the at-risk population groups.

Methods: A study was made of ankle fractures patients treated at an urban level 1 trauma center following motor vehicle crashes, with a concurrent analysis of a nationally representative crash data set. The national data set focused on ankle fractures in drivers involved in frontal crashes. Statistical analysis was applied to the national data set to identify factors associated with fracture risk.

Results: Malleolar fractures occurred most frequently in the driver's right foot due to pedal interaction. The majority of complex/open fractures occurred in the left foot due to interaction with the vehicle floor. These fractures occurred in association with a femoral fracture, but their broad injury pattern suggests a range of fracture causation mechanisms. The statistical analysis indicated that the risk of fracture increased with increasing driver body mass index (BMI) and age.

Conclusions: Efforts to reduce the risk of driver ankle injury should focus on right foot and pedal interaction. The range of injury patterns identified here suggest that efforts to minimize driver ankle fracture risk will likely need to consider injury tolerances for flexion, pronation/supination, and axial loading in order to capture the full range of injury mechanisms. In the clinical environment, physicians examining drivers after a frontal crash should consider those who are older or obese or who have severe femoral injury without concurrent head injury as highly suspicious for an ankle injury.     

Motorcycle safety among motorcycle taxi drivers and nonoccupational motorcyclists in developing countries: A case study of Maoming,South China

Objective: An increasing number of motorcycle taxis have been involved in traffic crashes in many developing countries. This study examines the characteristics of both motorcycle taxi drivers and nonoccupational motorcyclists, investigates the risks they pose to road safety, and provides recommendations to minimize their risks.

Methods: Based on the data collected from a questionnaire survey of 867 motorcycle taxi drivers and 2,029 nonoccupational motorcyclists in Maoming, South China, comparisons were made to analyze differences of personal attributes, attitudes toward road safety, and self-reported behavior of the 2 groups.

Results: Results of the chi-square tests show that not only motorcycle taxi drivers but also nonoccupational motorcyclists in Maoming held poor attitudes toward road safety and both groups reported unsafe driving behavior. There is much room for improving local road safety education among all motorcyclists in Maoming. Yet, motorcycle taxi drivers were more likely to pose road safety risks than nonoccupational motorcyclists under some circumstances, such as speeding late at night or early in the morning, not requiring passengers to wear helmets, and running a red light. The results of the binary logistic regression model show that possessing a vehicle license for a motorcycle or not was the common significant predictor for unsafe driving behavior of motorcycle taxi drivers and nonoccupational motorcyclists. Therefore, enforcement against all motorcyclists not showing vehicle licenses for their motorcycles should be stepped up.

Conclusion: Motorcycle safety is largely poor in Maoming. Therefore, efforts to improve motorcycle safety should be strengthened by targeting not only motorcycle taxi drivers but also nonoccupational motorcyclists.     

The influence of the age and sex distributions of drivers on the reduction of impaired crashes: Ontario, 1974-1999

Legislative changes and public media campaigns to prevent impaired driving are often cited as explanations for the reduction in the rate of impaired crashes over the past 25 years in most of the industrialized world. Other factors may have contributed to these reductions, such as changes in the age and sex distribution of the driver population. The primary purpose of this article is to assess the extent to which the reduction in impaired crashes in Ontario, Canada, may be attributable to the changing age and sex distribution of drivers. In Ontario, the rate of impaired crashes declined by 78.1% from 1974 to 1999. During this time period, the average age of drivers increased from 39.4 years in 1974 to 43.2 in 1999. Similarly, from 1974 to 1999 the percentage of all drivers that were women increased from 39.6% to 46.8%. Since statistics show the likelihood of impaired crashes is lower for both older drivers and women, the reduction of impaired crashes is partially due to these demographic changes. Using indirect standardization, the aging population accounted for an 8.6% decline in the rate of impaired crashes. The changing sex distribution of drivers accounted for a 9.4% decline in impaired crashes. Other global factors may also help to explain the reduction of impaired crashes, such as general road safety improvements and reductions in per adult consumption of alcohol.     

Effectiveness of mandatory license testing for older drivers in reducing crash risk among urban older Australian drivers

Most licensing jurisdictions in Australia maintain mandatory assessment programs targeting older drivers, whereby a driver reaching a specified age is required to prove his or her fitness to drive through medical assessment and/or on-road testing. Previous studies both in Australia and elsewhere have consistently failed to demonstrate that age-based mandatory assessment results in reduced crash involvement for older drivers. However studies that have based their results upon either per-population or per-driver crash rates fail to take into account possible differences in driving activity. Because some older people maintain their driving licenses but rarely if ever drive, the proportion of inactive license-holders might be higher in jurisdictions without mandatory assessment relative to jurisdictions with periodic license assessment, where inactive drivers may more readily either surrender or lose their licenses. The failure to control for possible differences in driving activity across jurisdictions may be disguising possible safety benefits associated with mandatory assessment. The current study compared the crash rates of drivers in Melbourne, Australia, where there is no mandatory assessment and Sydney, Australia, where there is regular mandatory assessment from 80 years of age onward. The crash rate comparisons were based on four exposure measures: per population, per licensed driver, per distance driven, and per time spent driving. Poisson regression analysis incorporating an offset to control for inter-jurisdictional road safety differences indicated that there was no difference in crash risk for older drivers based on population. However drivers aged 80 years and older in the Sydney region had statistically higher rates of casualty crash involvement than their Melbourne counterparts on a per license issued basis (RR: 1.15, 1.02-1.29, p=0.02) and time spent driving basis (RR: 1.19, 1.06-1.34, p=0.03). A similar trend was apparent based on distance travelled but was of borderline statistical significance (RR: 1.11, 0.99-1.25, p=0.07). Collectively, it can be inferred from these findings that mandatory license re-testing schemes of the type evaluated have no demonstrable road safety benefits overall. Further research to resolve this on-going policy debate is discussed and recommended.     

The accuracy of estimating the sobriety of drinking drivers

The mere act of driving with a blood alcohol level (BAL) of 10% + is punishable in many states. In addition, under the so-called dram shop law the proprietor of an establishment or a host at a private party at which liquor is served to a person who subsequently commits an alcohol-related offense may be prosecuted and held liable for damages incurred by that individual. It is apparent that an increasingly larger number of law enforcement personnel and private citizens will be required to Judge the sobriety of others. The purpose of this paper is to evaluate the accuracy of such estimates. BAL data were obtained from 1,115 drivers at a roadside survey during which each interviewer was required to estimate the sobriety of the driver. At highway patrol sobriety checkpoints the number of drivers arrested was compared with the number of drivers in the sample estimated to possess BALs of .10% or higher. Both sources correctly identified approximately 21% of those drivers with BALs of .10% or higher.     

Occupational safety conditions of bus drivers in Metro Manila,the Philippines

The study looks into the occupational safety and working conditions among bus drivers in Metro Manila, the Philippines. Quantitative data were collected through survey interviews of 95 bus drivers using the stratified sampling technique. Results showed that bus drivers worked an average of 16?h/day and were engaged in risky driving behaviors such as over-speeding and road racing in order to reach their quota for the day. Fifty-nine percent experienced work-related accidents, with a mean of three accidents. The most common accident was hitting another vehicle followed by side swipe. The accidents were blamed on other drivers, followed by vehicle defect, inattentiveness and tiredness/micro-sleep or sudden involuntary sleep while driving. The most common health symptoms experienced by the bus drivers were fatigue, back pain, and cough and colds. This study underlines the need for an occupational health and safety program for bus drivers in the Philippines.     

Evaluating the impact of passengers on the safety of older drivers

PROBLEM: This study involved a quasi-induced exposure analysis of 4 years of crashes involving older drivers in the state of Kentucky. METHOD: Single- and multivehicle crashes were disaggregated according to the number of passengers: (a) no passenger, (b) one passenger, and (c) two or more passengers. RESULTS: Overall, the presence of two or more passengers was found to negatively impact the probability that drivers 75 years of age or older were at fault in crashes. Several potential factors were studied for interactive effects with passengers: vehicle occupant gender mix, time of the day, road curvature, grade, and number of lanes. The negative impact of passengers increased for some geometric road conditions. However, older drivers were found to be safer at night when carrying two or more passengers. The presence or absence of passengers was not found to affect the 65- to 74-year-old driver group. Groups of male vehicle occupants with a 75+ male driver were found to have high single-vehicle crash rates. IMPACT: These results are among the first to directly consider the effect of passengers on the crash-causing propensity of older drivers and the findings suggest more work is warranted to consider causes for the crash rate differences.     

Reliability and validity of the Multidimensional Driving Style Inventory in Chinese drivers

Objective: The Multidimensional Driving Style Inventory (MDSI) has been widely used in assessing the associations between driving styles and traffic violations and accidents in different cultural contexts. Due to the lack of a valid instrument to assess driving style, studies concerning driving style and its influence factors are limited in China. Thus, this study aimed to adapt and validate a Chinese version of the MDSI.

Methods: Seven hundred and sixty drivers aged from 19 to 60 years old were asked to complete the MDSI and a personality scale (trait anger, sensation seeking, altruism, and normlessness). Exploratory factory analysis (EFA) and confirmatory factor analysis (CFA) were used to obtain the factorial structure of the MDSI. The external validity of the MDSI was then evaluated by examining the associations between driving styles and personality traits, demographic variables, and traffic violations and crashes.

Results: EFA revealed a 6-factor structure of the MDSI (i.e., risky, anxious, angry, distress reduction, careful, and dissociative driving styles). CFA confirmed that the model fit of the MDSI was acceptable. The MDSI factors were moderately or weakly correlated with trait anger, sensation seeking, altruism, and normlessness. Significant gender and age differences in driving styles were found. Moreover, drivers who had traffic violations or crashes in the past year scored higher on risky and angry driving styles and lower on careful driving style than those who had not have traffic violations or crashes.

Conclusions: The Chinese version of the MDSI proved to be a reliable, valid, and highly useful instrument. It could be used to assess Chinese drivers who are at risk due to their maladaptive driving styles.     

Accident risk of foreign drivers in various road environments

INTRODUCTION: This paper reports on the accident risk of foreign and native drivers in various road environments in Greece. In particular, the analysis aims to determine the combined effect of driver nationality, area type (inside/outside urban area), junction (yes/no), and lighting conditions (day/night) on accident fault risk. METHODS: Data from the national accident database of Greece are used in a hierarchical log-linear analysis. The induced exposure technique is applied due to the lack of exposure data. Estimated and observed odds ratios are then examined for the quantification of the various effects in terms of relative risk. RESULTS: The initial examination of a saturated model leads to the rejection of all three- and higher-order effects within variables, without providing an adequate fit to the data. On the contrary, a non-saturated second-order model presents a very satisfactory overall fit. The examination of single and combined effects indicates that the most significant effect on accident risk rises from the presence of foreign drivers at junctions. CONCLUSIONS: Results confirm that foreign drivers in Greece are at increased risk. However, immigrant permanent residents appear to have a lower risk compared to tourists, regardless of the road environment.     

夜间动态环境中空间距离驾驶员判识变化

为研究驾驶员在夜间地面动态环境中距离判识变化的规律,改进行车安全.选取32名驾驶员进行实际道路试验.被试在自车行进方向不同的深度距离、车速下,判识前方障碍物的绝对距离和相对距离.统计距离判识值,得出夜间距离判识值数据分布,取得距离判识特征值.回归分析判识距离与速度的关系,建立障碍物判识变化的数学模型.比较昼夜距离判识差异,分析其对夜间行车安伞的影响.结果表明:在车辆行驶深度方向,夜间距离判识值随速度增加而不断下降,两者之间呈负指数关系;在相同深度距离和速度下,夜间判识距离大于昼间;夜间行车时,需适当降低车速,确保有效的安伞距离.     

Differences in the lethality of occupational accidents in OECD countries

International comparisons of the frequency of occupational accidents are rare because figures reported by each country are influenced by factors other than differences in the occurrence of actual accidents. In this study, we performed an international comparison of occupational accidents which distinguishes between fatal cases and all reported accidents, in order to control for the effects of other factors in accident reporting. Annual data on the numbers of fatal and non-fatal occupational accidents in member countries of the Organisation for Economic Co-operation and Development (OECD) between 1993 and 1998 were obtained from the Labour Statistics Database, which is operated by the International Labour Organization (ILO). The average incidence of all accidents across OECD countries ranged from 17 to 4608 per 100,000 persons in the labor force, whereas the incidence of fatal accidents across OECD countries ranged from 1 to 12 per 100,000 persons in the labor force. Lethality rates per 10,000 total accident cases ranged from 9 (Germany) to 3252 (Turkey). When comparing countries using the same statistical definition of accidents, three or more absence days, the difference in lethality of reported accidents within the same industrial sector is reduced to a sixfold difference (49 for the United Kingdom versus 333 for Ireland). Furthermore, the difference in lethality decreased to about twofold (18 for Spain versus 35 for Czech Republic) in the group using definitions with a criteria of one absent day. The results suggest that reported differences in lethality can reflect artificial administrative factors rather than the harmful factors that cause actual occupational accidents. To make more valid comparison of occupational accident between countries, harmonization of accident statistics is required.     

Experiences from dual-country drivers: Driving safely in China and the US

This study explored the international experience of driving in two countries from the perspectives of drivers. It highlighted the differences in driving experiences between China and the US from people who have driven in both countries. A qualitative research approach utilizing focus group discussions was conducted in China and the US. The pros and cons, strengths and weaknesses of the transportation systems in the two countries were discussed. Car accidents or near misses due to differences between the two countries were explored. Advice for people who want to drive in these two countries as foreign visitors was discussed. Results showed that there are strengths and weaknesses in both countries in their driving systems. Both countries could benefit from exploring the traffic and roadway system of the other.