University of Nebraska Medical Center, Omaha, NE, USA.
University of Kentucky, Lexington, KY, USA.
J Appl Gerontol. 2021 Oct;40(10):1314-1319. doi: 10.1177/0733464820956507. Epub 2020 Sep 10.
Federal reporting of crash fatalities has limited age-by-sex stratification, but both age and sex are associated with driving reduction and cessation. We described older driver fatal crash involvement and fatalities using Fatality Analysis Reporting System data to calculate rates (per 100,000 licensed drivers, per 100,000 population) with age-by-sex stratifications. Nationally from 2000 through 2017, 110,422 drivers 65+ were involved in crashes resulting in at least one death within 30 days, and 67,843 of these older drivers died. Involvement and fatality rates per 100,000 licensed drivers in 2017 were lowest for females 65-69 (7.7 and 3.6, respectively) and highest for males age 85+ (34.3 and 25.5, respectively). Females had lower driver fatal crash involvement and fatality rates throughout the lifespan, even when rates generally decreased over time. Elaborating fatal crash trends and rates by age and sex helps to differentiate the public health burden of older driver crashes and fatalities.
联邦报告的碰撞死亡率对年龄和性别进行了有限的分层，但年龄和性别都与驾驶减少和停止有关。我们使用 Fatality Analysis Reporting System 数据描述了老年司机致命碰撞事故的参与情况和死亡人数，按年龄和性别进行了分层，计算了每 10 万名持照司机和每 10 万人口的死亡率（每 10 万人）。2000 年至 2017 年期间，全国共有 110422 名 65 岁以上的司机参与了导致至少 30 天内一人死亡的碰撞事故，其中 67843 名老年司机死亡。2017 年，每 10 万名持照司机的参与率和死亡率最低的是 65-69 岁的女性（分别为 7.7 和 3.6），最高的是 85 岁以上的男性（分别为 34.3 和 25.5）。在整个生命周期中，女性的致命碰撞事故参与率和死亡率都较低，尽管随着时间的推移，这些比率总体上呈下降趋势。详细阐述按年龄和性别划分的致命碰撞事故趋势和比率有助于区分老年司机碰撞事故和死亡的公共卫生负担。
