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2 Keep it clean. Please avoid obscene, vulgar, lewd, racist or sexually oriented language. <a href=http://michaelkors.stores.blue/>michael kors</a> Despite stereotypes to the contrary, drivers 65 and older are among the safest drivers on the road.They are more likely to wear seat belts and less likely to drink or text while diving compared with any other age group, according to the Insurance Institute for Traffic Safety. Yet they are more likely to die if they are involved in a crash.The reasons are complicated by individual circumstances and medical conditions, but with 25 percent of all U.S. drivers expected to be 65 or older in just 10 years, balancing the health and mobility needs of an aging population with public safety is a topic of increasing interest.鈥淲e know that aging drivers are not going away. Older people are living longer. They鈥檙e healthier, they鈥檙e more mobile, and we know there will be a lot more aging drivers on the road,鈥?said Anita Lorz Villagrana, manager of community affairs and traffic safety for the Automobile Club of Southern California.This spring, the AAA Foundation for Traffic Safety is launching the largest interdisciplinary study of aging drivers ever conducted in the United States. Led by Columbia University in New York in conjunction with UC San Diego; Johns Hopkins University in Baltimore; the University of Michigan; and the University of Colorado, the Longitudinal Research on Aging Drivers, or LongROAD, study will track 3,000 drivers between the ages of 65 and 79 for five years.Recruited from the medical clinics associated with each university, participant drivers鈥?cars will be outfitted with GPS units to track their driving behaviors and correlated with individual medical records. Drivers also will be questioned about their cars鈥?safety features, such as blind-spot monitors and adaptive cruise control, to determine if they help or hinder older drivers.鈥淭he approach of this study is to see from a long-term perspective: Are older drivers safe? What are their behaviors? What are their crash risks?鈥?Villagrana said. 鈥淚t鈥檚 important for us to understand because it not only impacts the aging drivers themselves but other motorists on the road as well.鈥滻n 2012, 4,079 people age 70 or older died in traffic accidents 鈥?a 31 percent decline from 1997, according to the IIHS.Older drivers are, however, more likely to die if they are involved in a crash. They have a higher death rate per mile driven than any other group, according to the American Automobile Association, which cites 鈥渇ragility鈥?as the cause in more than half of senior traffic fatalities. A 70-year-old driver is four times more likely to die in a traffic accident than a 20-year-old in an accident of the same intensity.Multiple-vehicle crashes at intersections begin to increase starting at age 60, according to the IIHS. Fatal crash rates begin increasing from age 70 to 74, according to the Centers for Disease Control and Prevention; they are highest among drivers 85 and older. The CDC attributes the higher death rate to older drivers鈥?susceptibility to injury and medical complications 鈥?not an increased tendency to crash.鈥淭here are three big medical conditions and medications that influence driving safety that are pretty clear: vision, cognitive function and frailty,鈥?said Dr. Linda Hill, director of the preventive medicine residency at UC San Diego鈥檚 Department of Family and Preventive Medicine, which will conduct the California portion of the study with 600 participants.Twenty-five percent of people over age 80 have visual problems that cannot be corrected, Hill said. The negative impacts on driving include an inability to accurately see straight ahead or peripherally to negotiate intersections and take account of other cars, motorcycles, bicycles and pedestrians. Glaucoma and cataracts 鈥?both common as individuals age 鈥?impair night vision.And dementia affects one-third of people over age 85, Hill said.鈥淚t鈥檚 not completely clear how mild dementia affects driving, but people with moderate or severe dementia won鈥檛 have the cognitive function to be able to drive safely,鈥?Hill said. Individuals who suffer from dementia may have difficulty determining the appropriate responses in intersections or even remembering where they are going.As for the reduced bone and muscle mass that come with age and lead to frailty, 鈥淢ost people think that with power brakes and power steering, if you get in the car you鈥檒l be able to drive safely, but it鈥檚 been shown that people with frailty are more likely to be in crashes,鈥?Hill said.Beyond the medical conditions are the medications used to treat them. One of the goals of LongROAD is to understand which medications most adversely affect driver safety and determine strategies to mitigate that risk.About 95 percent of senior citizens use medications that may impair driving, according to AAA, which offers a medication database for drivers called Roadwise RX. The interactive database helps drivers understand the side effects of individual medications as well as interactions between medicines that might impair driving.Type in the cholesterol-lowering drug Lipitor, for example, and it yields three driver warnings, including 鈥渃hallenges staying within the lane markings and increased risk of leaving the roadway,鈥?as well as 鈥渄elayed reaction to on- and off-road events鈥?and 鈥渓ower levels of vigilance and awareness about road conditions and other vehicles.鈥滱AA offers other tools as well, including a CarFit program that helps seniors set up their mirrors and seats to drive more safely, and a Drivers 65+ Check Your Performance online quiz that prompts drivers with questions and rates their answers with scores of 鈥済o,鈥?鈥渃aution鈥?or 鈥渟top,鈥?the latter of which means the driver engages in too many unsafe driving behaviors and could pose a hazard to themselves and other drivers.The National Highway Traffic Safety Administration offers other assessment tools for passengers to observe an older driver鈥檚 behavior. And AARP offers a Smart Driver refresher course to help older drivers 鈥渕anage and accommodate common age-related changes in vision, hearing and reaction time,鈥?as well as negotiate safe lane changes, maintain safe following distances and minimize the effects of blind spots. Both organizations are among the many groups offering tools to help older drivers determine if they should still be driving and to help keep them safe if they do.Whether seniors avail themselves of such tools is another matter.鈥淎 lot of older drivers don鈥檛 know they exist. It鈥檚 a topic that no one loves to talk about,鈥?said Dr. Emmy Betz, assistant professor of emergency medicine at the University of Colorado Anschutz School of Medicine and co-lead investigator for the Colorado portion of the LongROAD study.While it鈥檚 unlikely that impairment will dramatically affect drivers until their mid-70s, Betz recommends they at least begin talking about the idea of driving cessation, or driving retirement, as she calls it, at age 65, when they are already making plans to retire from work and arrange finances and housing.鈥淭here are 95-year-olds who are healthy and 60-year-olds who are not,鈥?said Betz, who advises older drivers to make plans with family members or friends and to consult with doctors about the impacts of their health and their medications on driving.鈥淲e鈥檝e done so well cutting death rates for teen drivers and figuring out ways to help them be safer through research and smarter policies,鈥?Betz said. 鈥淯nfortunately, it鈥檚 much harder at the other end of the spectrum but equally important. Driving is so important for older adults because it鈥檚 the primary means of mobility.鈥漁lder people who are no longer able to drive who are not provided adequate transportation options are at greater risk for depression, illness and early death, Betz said.The average American male will spend the last eight years of his life without being able to drive; the average woman will spend the last 10 years without driving, according to Dr. Guohua Li, professor of epidemiology at Columbia University and LongROAD鈥檚 lead researcher.鈥淚f the project goes as planned, hopefully we can shorten that period without compromising the safety of the public,鈥?Li said.While the primary goal of the LongROAD study is to understand the driving habits of older Americans and the role of their medical conditions and medications on driver safety, researchers also hope to understand how older drivers compensate for physical and mental deficiencies and use in-vehicle technologies to lessen their risk on the road, Li said.Each of the study participants鈥?vehicles will be surveyed for safety technologies, such as blind-spot monitors, lane-keeping aids and other features that are becoming more prevalent in passenger vehicles, along with less obvious technologies for helping older drivers.鈥淎lready, we do a lot of simple things that a lot of people don鈥檛 even notice,鈥?said Cary Diehl, human factors engineer at Ford Motor Co.Recognizing that eyesight and tactile feel both degrade with age, the company intentionally designs the text on its controls in fonts that are large enough to read and keeps its buttons and knobs large enough 鈥渢o make them easier to find and reach with less precision as you鈥檙e driving,鈥?Diehl said. 鈥淭hose types of things make it dramatically easier to operate a vehicle, especially as you get older.鈥滷ord even uses something it calls a 鈥渢hird age suit鈥?to help its younger engineering staff understand the experience of being 30 years older. The suit adds weight to the wearer鈥檚 arms and restricts movement to make it harder to bend and look around. It even has gloves that make hands tremor to simulate Parkinson鈥檚 disease and glasses to replicate glaucoma and other degenerative diseases of the eyes.The question of when to take the car keys away 鈥渋s extraordinarily important,鈥?said Paul Irving, chairman of the Milken Institute鈥檚 Center for the Future of Aging, in Santa Monica. 鈥淎ll of our research suggests people want to age in place and at home. Older people want independence just like younger people, and they want access to the full range of amenities that any city has. One鈥檚 ability to get from home to those places is extraordinarily important to a satisfying life and successful aging.鈥淎ll of the signs point to people, particularly in a place like L.A., staying here,鈥?he said. 鈥淭he question is, do we have the will to pay enough attention to this to create the kind of transportation infrastructure for an older world?鈥滾os Angeles did not rank in the top 20 of the Milken Institute鈥檚 鈥?014 Best Cities for Successful Aging Report,鈥?for which access to transportation is increasingly weighted by age, accounting for 10 percent of the score for adults age 65 to 79 and 15 percent for those 80 and older.That is one of many topics the LongROAD study seeks to answer.Contact the writer: On Twitter: @OCRegCarpenter
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