Sensory Impairment and Driving: the Blue Mountains Eye Study

Overview

Journal Am J Public Health

Specialty Public Health

Date 1999 Feb 13

PMID 9987472

Citations 30

Authors

R Q Ivers

P Mitchell

R G Cumming

Affiliations

Soon will be listed here.

Abstract

Objectives: This study examined the associations between vision, hearing, loss, and car accidents.

Methods: A cross-sectional survey of 3654 people aged 49 years and older in the Blue Mountains, Australia, was used. Each subject had a detailed eye examination and interview.

Results: Self-reported car accident rates in the past year among 2379 current drivers were 5.6% for those aged 49 to 79 years and 9.1% for those 80 years and older. A 2-line difference in visual acuity was associated with increased risk of accidents (adjusted prevalence ratio [PR] = 1.6), as was visual acuity worse than 6/18 in the right eye (PR = 2.0), overall moderate hearing loss (PR = 1.9), and hearing loss in the right ear (PR = 1.8).

Conclusions: Sensory loss in drivers may be an important risk factor for car accidents.

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References

McKnight A, Shinar D, Hilburn B . The visual and driving performance of monocular and binocular heavy-duty truck drivers. Accid Anal Prev. 1991; 23(4):225-37. DOI: 10.1016/0001-4575(91)90002-m. View

Klein B, Klein R, Linton K, Magli Y, Neider M . Assessment of cataracts from photographs in the Beaver Dam Eye Study. Ophthalmology. 1990; 97(11):1428-33. DOI: 10.1016/s0161-6420(90)32391-6. View

HUMPHRISS D . Three South African studies on the relation between road accidents and drivers' vision. Ophthalmic Physiol Opt. 1987; 7(1):73-9. DOI: 10.1016/0275-5408(87)90183-9. View

North R . The relationship between the extent of visual field and driving performance--a review. Ophthalmic Physiol Opt. 1985; 5(2):205-10. View

Davison P . Inter-relationships between British drivers' visual abilities, age and road accident histories. Ophthalmic Physiol Opt. 1985; 5(2):195-204. View

Johnson C, Keltner J . Incidence of visual field loss in 20,000 eyes and its relationship to driving performance. Arch Ophthalmol. 1983; 101(3):371-5. DOI: 10.1001/archopht.1983.01040010371002. View

Fitten L, Perryman K, Wilkinson C, Little R, Burns M, Pachana N . Alzheimer and vascular dementias and driving. A prospective road and laboratory study. JAMA. 1995; 273(17):1360-5. View

Wood J, Troutbeck R . Elderly drivers and simulated visual impairment. Optom Vis Sci. 1995; 72(2):115-24. DOI: 10.1097/00006324-199502000-00010. View

McCLOSKEY L, Koepsell T, Wolf M, Buchner D . Motor vehicle collision injuries and sensory impairments of older drivers. Age Ageing. 1994; 23(4):267-73. DOI: 10.1093/ageing/23.4.267. View

10.

Gresset J, Meyer F . Risk of automobile accidents among elderly drivers with impairments or chronic diseases. Can J Public Health. 1994; 85(4):282-5. View

11.

Wood J, Troutbeck R . Effect of visual impairment on driving. Hum Factors. 1994; 36(3):476-87. DOI: 10.1177/001872089403600305. View

12.

Gresset J, Meyer F . Risk of accidents among elderly car drivers with visual acuity equal to 6/12 or 6/15 and lack of binocular vision. Ophthalmic Physiol Opt. 1994; 14(1):33-7. DOI: 10.1111/j.1475-1313.1994.tb00553.x. View

13.

Lee J . Odds ratio or relative risk for cross-sectional data?. Int J Epidemiol. 1994; 23(1):201-3. DOI: 10.1093/ije/23.1.201. View

14.

Decina L, Staplin L . Retrospective evaluation of alternative vision screening criteria for older and younger drivers. Accid Anal Prev. 1993; 25(3):267-75. DOI: 10.1016/0001-4575(93)90021-n. View

15.

Lee J, Chia K . Estimation of prevalence rate ratios for cross sectional data: an example in occupational epidemiology. Br J Ind Med. 1993; 50(9):861-2. PMC: 1061320. DOI: 10.1136/oem.50.9.861. View

16.

Ball K, Owsley C, Sloane M, Roenker D, BRUNI J . Visual attention problems as a predictor of vehicle crashes in older drivers. Invest Ophthalmol Vis Sci. 1993; 34(11):3110-23. View

17.

Colsher P, Wallace R . Geriatric assessment and driver functioning. Clin Geriatr Med. 1993; 9(2):365-75. View

18.

Attebo K, Mitchell P, Smith W . Visual acuity and the causes of visual loss in Australia. The Blue Mountains Eye Study. Ophthalmology. 1996; 103(3):357-64. DOI: 10.1016/s0161-6420(96)30684-2. View

19.

Mitchell P, Smith W, Attebo K, Healey P . Prevalence of open-angle glaucoma in Australia. The Blue Mountains Eye Study. Ophthalmology. 1996; 103(10):1661-9. DOI: 10.1016/s0161-6420(96)30449-1. View

20.

Mitchell P, Smith W, Attebo K, Wang J . Prevalence of age-related maculopathy in Australia. The Blue Mountains Eye Study. Ophthalmology. 1995; 102(10):1450-60. DOI: 10.1016/s0161-6420(95)30846-9. View