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Journal of Aging and Health
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Mobility Impairments in Crash-Involved Older Drivers

Richard V. Sims, MD

Gerald Mcgwin, Jr., PhD

Leavonne Pulley, PhD

Jeffrey M. Roseman, MD, PhD

University of Alabama at Birmingham

Objective:To evaluate potential associations of impairments in physical function with motor vehicle crash involvement in older drivers. Methods:Case participants were randomly selected residents of Mobile County, Alabama, = 65 years old who had sustained an at-fault motor vehicle crash in 1996. Similarly selected crash-free controls were frequency matched to cases on gender and age. Self-report data on demographic variables, medical conditions, medications, driving exposure, and function were collected by telephone interviewers. Results:Relative to crash-free subjects, crash-involved drivers were significantly more likely to report difficulty walking 1/4 mile and moving outdoors. Marginally significant associations were observed for trouble carrying a heavy object 100 yards and for the occurrence of falls in the prior year. Increasing numbers of functional limitations were directly related to the odds of crash involvement. Discussion:In comparison to crash-free controls, crash-involved older drivers are more likely to report other mobility-related impairments, possibly including falls.

Journal of Aging and Health, Vol. 13, No. 3, 430-438 (2001)
DOI: 10.1177/089826430101300306
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