The association between strengthened cellphone laws and police-reported rear-end crash rates.

INTRODUCTION: Prior evaluations of the connection between cellphone bans and crashes show unclear results. California, Oregon, and Washington enacted legislation (effective in 2017) to update earlier bans specific to handheld conversation and texting. This study evaluated the relationship between the laws and rear-end rates, a crash type sensitive to visual-manual cellphone use, in California, Oregon, and Washington. METHOD: Negative binomial regression compared the change in monthly per capita rear-end crash rates in California, Oregon, and Washington before and after the law changes relative to two control states, Colorado and Idaho, during 2015-2019. Analyses examined (a) rear-end crashes with injuries in all three study states, including minor to fatal injuries; and (b) rear-end crashes of all severities in California and Washington, including property-damage-only crashes and crashes with injuries; Oregon was excluded from this analysis because of a 2018 change to its reporting criteria for property-damage-only crashes. RESULTS: Washington's strengthened law was associated with a significant 7.6% reduction in the rate of monthly rear-end crashes of all severities relative to the controls. Law changes in Oregon and Washington were associated with significant reductions of 8.8% and 10.9%, respectively, in the rates of monthly rear-end crashes with injury relative to the controls. California did not experience changes in rear-end crash rates of all severities or with injuries associated with the strengthened law. CONCLUSION: The results of this study are mixed, with law changes associated with significant reductions in rear-end crash rates in two of the three study states. Differences in the wording of the laws, levels of enforcement, and sanction severity may help explain the divergent results. PRACTICAL APPLICATION: Crash reductions in Oregon and Washington suggest that enacting legislation that comprehensively bans practically all visual-manual cellphone activity may have made the laws easier to enforce and clarified to drivers that handheld cellphone use is unacceptable in these states.

Prevalence of distracted driving by driver characteristics in the United States.

INTRODUCTION: Distracted driving is a long-standing traffic safety concern, though common secondary tasks continually evolve. The goal of this study was to measure the prevalence of self-reported distracted driving behaviors, including activities made possible in recent years by smartphones. METHODS: We conducted a nationwide survey of 2,013 U.S. licensed drivers (ages 16 +). We created four aggregate distraction categories from 18 individual secondary tasks to estimate the proportion of drivers study-wide and by demographic characteristics belonging to each category, defined as those who regularly did (during most or all drives in the previous 30 days) one or more secondary task within each category. Logistic regression estimated the adjusted odds of drivers belonging to each aggregate distraction category by demographic characteristics. RESULTS: Sixty-five percent of drivers reported doing at least one of the 18 secondary tasks regularly, and half did at least one device-based task regularly in the past 30 days. Non-device task prevalence trended downward with age, while device-based task prevalence was consistent among younger drivers before declining beginning with age 35. Males (OR, 1.53; 95% CI, 1.16, 2.02), parents of children ages 18 and younger (OR, 1.47; 95% CI, 1.10, 1.96), and participants who drive in the gig economy (OR, 3.85; 95% CI, 2.73, 5.43) had higher adjusted odds of engaging in "modern" device-based distractions enabled by smartphones (e.g., making video calls, watching videos, using social media) than other drivers. Many drivers are using hands-free capabilities when available for tasks, but for some tasks more than others. CONCLUSIONS: Regular distracted driving is widespread with most behavior concentrated among drivers younger than age 50, though no age group or other demographic studied abstains. PRACTICAL APPLICATIONS: Stakeholders can use these findings to develop countermeasures for distracted driving by targeting specific secondary tasks and the demographics most likely to report regularly doing them.

Safety potential of crash avoidance features, improved headlights, and V2V-enhanced technologies for older drivers.

INTRODUCTION: Age-related changes and frailty are among the reasons that older drivers are overrepresented in certain crash types. Vehicle safety features that address these crash types may therefore deliver greater safety benefits for older drivers than for other age groups even though they are designed for the general population. METHODS: U.S. crash data from 2016-2019 were used to estimate the proportion of crash involvements and fatal and nonfatal driver injuries for older (70 years old and above) and middle-aged (35-54 years old) drivers from crash scenarios to which current crash avoidance features, improved headlights, and forthcoming vehicle-to-vehicle (V2V)-connected intersection-assistance features could be relevant. Risk ratios were then calculated to determine the relative benefits of each technology for older drivers compared with middle-aged drivers. RESULTS: Combined, these technologies were potentially relevant to 65 % of older driver and 72 % of middle-aged driver fatalities during the study period. Intersection assistance features showed the most promise for older drivers. Such features were potentially relevant to 32 % of older driver crash involvements, 38 % of older driver injuries, and 31 % of older driver fatalities. Intersection assistance features were significantly more likely to be relevant to older driver deaths than middle-aged driver fatalities (RR, 3.52; 95 % CI, 3.33-3.71). CONCLUSIONS: Vehicle technologies have the potential to substantially reduce or mitigate crashes and the injuries that they cause for everyone, but the potential safety impact of each technology varies by driver age because different age groups are over- or underrepresented in specific crash scenarios. PRACTICAL APPLICATIONS: With the older driver population growing, these findings underscore the need to bring intersection assistance technologies to the consumer market. At the same time, everyone stands to benefit from currently available crash avoidance features and improved headlights, so their use should be promoted among all drivers.

Older driver vehicle preferences and perceptions of safety: A survey.

INTRODUCTION: Older adults drive older vehicles despite the safety benefits of newer, more crashworthy vehicles. We aimed to build upon previous research and assess vehicle preferences, buying and ownership patterns, and perceptions of safety among older drivers compared with middle-aged drivers. METHODS: Mixed-mode telephone and online panel surveys were conducted with a nationally representative sample of drivers ages 35-54 and 70 and older. Participants were interviewed about their primary vehicle and the characteristics they deemed important at purchase, along with general attitudes surrounding vehicle safety. RESULTS: Fifty-eight percent of drivers ages 70-79 and 63% of drivers 80 and older reported keeping a vehicle on average for 7 years or more before replacing it, compared with 32% of drivers 35-54. At purchase, older drivers were less likely than middle-aged drivers to have insisted upon safety technologies and were less likely to consider safety ratings; 10% of drivers 80 and older and 9% of those 70-79 indicated ratings were not at all important, compared with 4% of those ages 35-54. Among drivers 70 and older, driving patterns and income were strongly associated with vehicle age and type of vehicle driven. CONCLUSIONS: Older drivers place lower importance on vehicle safety and are less likely to seek safety features at purchase than middle-aged drivers. Compounding this, drivers 70 and older who do not drive frequently or who associate low mileage with vehicle safety are less likely to replace their older, low-mileage vehicles. PRACTICAL APPLICATION: Increasing older drivers' understanding of the importance of advancements in vehicle safety may result in greater ownership of safer vehicles and fewer road injuries.

Changing vehicles to reduce older driver fatalities: An effective approach?

INTRODUCTION: Age-related frailty leaves older drivers with the greatest fatality risk when involved in a crash compared with younger demographics. This study explored how vehicle features differed between crash-involved older and middle-aged drivers and estimated how those differences contribute to excess older driver fatalities. METHODS: We merged Florida's crash data from 2014-2018 with Insurance Institute for Highway Safety and Highway Loss Data Institute databases. We compared the distribution of passenger vehicle age, type, size, and safety features among crash-involved older drivers (ages 70 and older) with crash-involved middle-aged drivers (ages 35-54). From logistic regression models, we estimated declines in older driver fatalities if they drove vehicles like those driven by middle-aged drivers under all and side-impact crash scenarios. RESULTS: Older drivers in crashes were more likely to be in vehicles that were lighter, older, and without standard electronic stability control, standard head-protecting side airbags, and ratings of good in two IIHS crash tests than middle-aged drivers. In adjusted models, the fatality risk for older drivers in all crashes was significantly higher when ESC was not standard (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.12-1.68) or when driving small passenger cars relative to large SUVs (OR, 2.02; 95% CI, 1.25-3.26); in driver-side crashes, the fatality risk doubled when vehicles did not have standard head-protecting side airbags (OR, 2.03; 95% CI, 1.58-2.62). If older drivers drove vehicles similar to middle-aged drivers, we estimated 3.3% and 4.7% fewer deaths in all and side-impact crashes, respectively. CONCLUSIONS: These results contribute to evidence suggesting that newer, more crashworthy vehicles with crash mitigation features benefit older drivers because of their heightened risk of crash-related fatality. PRACTICAL APPLICATIONS: At a minimum, older drivers should aim to drive equipped vehicles with widely available features proven to reduce fatalities.

Continued trends in older driver crash involvement rates in the United States: Data through 2017-2018.

INTRODUCTION: With the growing older adult population due to the aging baby-boom cohort, there was concern that increases in fatal motor-vehicle crashes would follow. Yet, previous analyses showed this to be untrue. The purpose of this study was to examine current trends to determine if previous declines have persisted or risen with the recent increase in fatalities nationwide. METHODS: Trends among drivers ages 70 and older were compared with drivers 35-54 for U.S. passenger vehicle fatal crash involvements per 100,000 licensed drivers from 1997 to 2018, fatal and all police-reported crash involvements per vehicle miles traveled using the 1995, 2001, 2009, and 2017 National Household Travel Surveys, and driver deaths per 1,000 crashes. RESULTS: Since the mid-1990s, fatal crashes per licensed driver trended downward, with greater declines for drivers ages 70 and older than for middle-aged drivers (43% vs. 21%). Fatal crash rates per 100,000 licensed drivers and police-reported crash rates per mile traveled for drivers ages 70-79 are now less than those for drivers ages 35-54, but their fatal crash rates per mile traveled and risk of dying in a crash remain higher as they drive fewer miles. As the economy improved over the past decade, fatal crash rates increased substantially for middle-aged drivers but decreased or remained stable among older driver age groups. CONCLUSIONS: Fatal crash involvements for adults ages 70 and older has recently increased, but they remain down from their 1997 peak, even as the number of licensed older drivers and the miles they drive have increased. Health improvements likely contributed to long-term reductions in fatal crash rates. As older drivers adopt vehicles with improved crashworthiness and safety features, crash survivability will improve. Practical Application: Older adults should feel confident that their independent mobility needs pose less risk than previously expected.