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青光眼老年驾驶员的分心驾驶与驾驶模式

Distracted Driving and Driving Patterns in Older Drivers With Glaucoma.

作者信息

Jain Purva, Unkart Jonathan T, Daga Fabio B, Hill Linda

机构信息

Herbert Wertheim School of Public Health, University of California San Diego, La Jolla, CA, USA.

Department of Surgery, State University of New York Downstate, New York, NY, USA.

出版信息

Am J Lifestyle Med. 2021 Sep 26;18(6):802-812. doi: 10.1177/15598276211042825. eCollection 2024 Nov-Dec.

Abstract

Limited research exists examining self-perceived vision and driving ability among individuals with glaucoma, and this study assessed the relationship between glaucoma, visual field, and visual acuity with driving capability. 137 individuals with glaucoma and 75 healthy controls were asked to evaluate self-rated vision, self-perceived driving ability, and self-perceived distracted driving. Visual acuity and visual field measurements were also obtained. Multivariable linear regressions were run to test each visual measure with driving outcomes. The average age was 72.2 years, 57.3% were male, and 72.5% were White. There were significant associations for a one-point increase in visual field and quality of corrected vision (RR = 1.06; 95% CI = 1.03-1.10), day vision (RR = 1.05; 95% CI = 1.03-1.08), night vision (RR = 1.08; 95% CI = 1.05-1.13), visual acuity score and higher quality of corrected of vision (RR = .41; 95% CI = .22-.77), day vision (RR = .39; 95% CI=.22-.71), and night vision (RR = .41; 95% CI = .18-.94); visual acuity score and ability to drive safely compared to other drivers your age (RR = .53; 95% CI = .29-.96). Individuals with poorer visual acuity and visual fields rate their vision and ability to drive lower than those with better vision, and this information will allow clinicians to understand where to target interventions to enhance safe driving practices.

摘要

关于青光眼患者自我感知视力和驾驶能力的研究有限,本研究评估了青光眼、视野、视力与驾驶能力之间的关系。137名青光眼患者和75名健康对照者被要求评估自我评定的视力、自我感知的驾驶能力和自我感知的分心驾驶情况。同时还进行了视力和视野测量。采用多变量线性回归分析,以检验各项视觉指标与驾驶结果之间的关系。平均年龄为72.2岁,57.3%为男性,72.5%为白人。视野每增加1个单位与矫正视力质量(RR = 1.06;95%CI = 1.03 - 1.10)、日间视力(RR = 1.05;95%CI = 1.03 - 1.08)、夜间视力(RR = 1.08;95%CI = 1.05 - 1.13)之间存在显著关联;视力得分与更高的矫正视力质量(RR = 0.41;95%CI = 0.22 - 0.77)、日间视力(RR = 0.39;95%CI = 0.22 - 0.71)和夜间视力(RR = 0.41;95%CI = 0.18 - 0.94)之间存在显著关联;视力得分与与同龄人相比安全驾驶的能力(RR = 0.53;95%CI = 0.29 - 0.96)之间存在显著关联。视力和视野较差的个体对自己视力和驾驶能力的评价低于视力较好的个体,这些信息将有助于临床医生了解在何处进行干预以加强安全驾驶行为。

相似文献

1
Distracted Driving and Driving Patterns in Older Drivers With Glaucoma.青光眼老年驾驶员的分心驾驶与驾驶模式
Am J Lifestyle Med. 2021 Sep 26;18(6):802-812. doi: 10.1177/15598276211042825. eCollection 2024 Nov-Dec.

本文引用的文献

1
Contrast Sensitivity and Glaucoma.对比敏感度与青光眼。
J Glaucoma. 2020 Jan;29(1):71-75. doi: 10.1097/IJG.0000000000001379.
2
Driving Cessation and Social Isolation in Older Adults.老年人的停车和社会隔离。
J Aging Health. 2020 Oct;32(9):962-971. doi: 10.1177/0898264319870400. Epub 2019 Aug 20.
7
Glaucoma and Driving: On-Road Driving Characteristics.青光眼与驾驶:道路驾驶特征
PLoS One. 2016 Jul 29;11(7):e0158318. doi: 10.1371/journal.pone.0158318. eCollection 2016.
9
Driving Cessation and Health Outcomes in Older Adults.老年人停止驾驶与健康结果
J Am Geriatr Soc. 2016 Feb;64(2):332-41. doi: 10.1111/jgs.13931. Epub 2016 Jan 19.

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