Association between mandatory cognitive testing for license renewal and motor vehicle collisions and road injuries
Association between mandatory cognitive testing for license renewal and motor vehicle collisions and road injuries
复制标题
驾照更新的强制性认知测试与机动车碰撞和道路伤害之间的关联
DOI：
10.1111/jgs.18157
复制
发表时间：
2023
期刊：
影响因子：
6.3
通讯作者：
Ichikawa M.
中科院分区：
文献类型：
--
作者：
Inada H;Tomio J;Nakahara S;Ichikawa M.
背景我们研究了从2017年3月开始的政策修正案，即在驾驶执照更新时对老年驾驶员进行认知筛查测试，是否与驾驶员机动车碰撞风险降低以及老年人行人和骑自行车者受伤风险增加有关。我们使用了2012年7月至2019年12月期间日本70岁或以上人群中驾驶员碰撞次数以及行人和骑自行车者受伤次数的警方报告数据。作为结果指标，我们使用了75岁或以上三组（75-79岁，80-84岁和≥85岁）的驾驶员中每个人群每月碰撞次数的比率，这些驾驶员是政策的目标或暴露于政策中，而70 - 74岁的驾驶员则不受政策影响或未暴露于政策中，并将作为对照。行人和骑自行车者受伤的比例也进行了计算，因为以前的研究已经表明，在这些伤害的认知筛查引入后，驾驶执照。ResultsDuring the study period，there was 602，885碰撞司机和196，889受伤的行人和骑自行车的人年龄在70岁或以上。在2017年3月的政策修订后，男性司机的碰撞减少了，男女中一些年龄组的伤害增加了。从2017年3月到2019年12月，碰撞和受伤人数的累积估计变化为-3670（95%置信区间：-5125，-2104）和959（95%置信区间：24，1834），分别。结论在政策修正后，老年人中驾驶机动车的碰撞减少，行人和骑自行车的人在道路上受伤的情况增加。
BackgroundWe examined whether the policy amendment from March 2017 for a cognitive screening test for older drivers at driver's license renewal was associated with the decreased risk of motor vehicle collisions for drivers and the increased risk of injuries for pedestrians and cyclists among older people.MethodsThis was a controlled interrupted time‐series study. We used police‐reported data on the number of collisions as drivers and injuries as pedestrians and cyclists among people aged 70 years or older in Japan from July 2012 to December 2019. As the outcome measures, we used the ratio of the monthly number of collisions per population among drivers of three groups aged 75 years or older (75–79, 80–84, and ≥85 years), who were targeted or exposed by the policy, to that among drivers aged 70 to 74 years, who were unaffected or unexposed by the policy and would serve as controls. The ratio of pedestrian and cyclist injuries was also calculated, as previous studies have shown a concomitant increase in these injuries after the introduction of cognitive screening for driver's licenses.ResultsDuring the study period, there were 602,885 collisions as drivers and 196,889 injuries as pedestrians and cyclists among people aged 70 years or older. After the policy amendment in March 2017, collisions decreased among male drivers, and injuries increased among some age subgroups in both sexes. Cumulative estimated changes in the numbers of collisions and injuries from March 2017 to December 2019 were −3670 (95% confidence interval: −5125, −2104) and 959 (95% confidence interval: 24, 1834), respectively.ConclusionsFollowing the policy amendment, there was a decrease in motor vehicle collisions as drivers and an increase in road injuries as pedestrians and cyclists among older people.
登录
查看更多内容
使用计数数据模型为日本老年驾驶员强制开设驾驶课程的影响：丰田市案例研究。
DOI：
10.1016/j.aap.2021.106015
发表时间：
2021
期刊：
Accident; analysis and prevention
影响因子：
--
作者：
Jia Yang;Toshiyuki Yamamoto;R. Ando
通讯作者：
R. Ando
影响因子：
5.9
作者：
Eby, David W.;Silverstein, Nina M.;Adler, Geri
通讯作者：
Adler, Geri
影响因子：
5.9
作者：
Siren, Anu;Meng, Annette
通讯作者：
Meng, Annette
老年驾驶员会对其他道路使用者构成风险吗？
影响因子：
2
作者：
J. Langford;M. Bohensky;S. Koppel;S. Newstead
通讯作者：
S. Newstead
慢性病对机动车驾驶员碰撞事故的影响：第二版
DOI：
--
发表时间：
2010
期刊：
影响因子：
--
作者：
J. Charlton;S. Koppel;Morris Odell;Anna Devlin;J. Langford;M. O'Hare;Chelvi Kopinathan;D. Andrea;Geoff Smith;B. Khodr;J. Edquist;Carlyn Muir;M. Scully
通讯作者：
M. Scully