Older drivers and failure to stop at red lights.
Older drivers and failure to stop at red lights.
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老司机和红灯不停车。
DOI：
10.1093/gerona/glp136
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Bandeen-Roche,Karen
中科院分区：
文献类型：
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作者：
West,SheilaK;Hahn,DanielV;Baldwin,KevinC;Duncan,DonaldD;Munoz,BeatrizE;Turano,KathleenA;Hassan,ShirinE;Munro,CynthiaA;Bandeen-Roche,Karen
尽管有耸人听闻的新闻报道，但很少有研究量化老年司机驾驶表现不佳的比例和表现不佳的预测因素。我们确定了老年司机闯红灯的比率，以及未能停车与视力和认知的关系。方法对马里兰州索尔兹伯里地区1425名年龄在67-87岁之间的司机进行基线检查，收集多项视力和认知指标。每个驾驶员在5天的基线驾驶表现和1年后再次收集实时数据。未在红灯前停车是主要后果。结果：总体而言，3.8%的老年司机在遇到红灯时没有停车，而15%的闯红灯司机在遇到交通灯时没有停车的次数达到10%或更多。注意视野的缩小（AVF；在注意力集中的情况下能够检测到物体的周边视觉范围）与基线和预测1年后在交通灯前停车失败有关（发生率比= 1.09 /度损失，95%置信区间= 1.01-1.16）。纵向AVF较小的人更容易停不下来。没有人口统计学或视力变量与停药失败相关。在老年司机中，红灯不停车是一种相对罕见的事件，并且与对垂直视野中视觉事件的注意力下降有关。
BackgroundDespite sensational news reports, few studies have quantified the rates of poor driving performance among older drivers and the predictors of poor performance. We determined the rate of running red traffic lights among older drivers and the relationship of failure to stop to measures of vision and cognition.MethodsMultiple measures of vision and cognition were collected at the baseline examination of a population of 1,425 drivers aged 67–87 years in greater Salisbury, Maryland. Each driver had real-time data collected on 5 days of driving performance at baseline and again at 1 year. Failure to stop at a red traffic light was the primary outcome.ResultsOverall, 3.8% of older drivers failed to stop at red traffic lights, with 15% of those who ran the light having failed 10% or more of the traffic lights they encountered. A narrowing of the attentional visual field (AVF; the extent of peripheral vision in which objects are detected while attention is also centrally fixated) was associated with failure to stop at traffic lights at baseline and predictive 1 year later (incidence rate ratio = 1.09 per degree lost, 95% confidence interval = 1.01–1.16). Persons with smaller vertical AVF were more likely to fail to stop. No demographic or vision variable was related to failure to stop.ConclusionsFailure to stop at red lights was a relatively uncommon event in older drivers and associated with reduced ability to pay attention to visual events in the vertical field of vision.