Motor Vehicle Crash Risk in Older Adult Drivers With Attention-Deficit/Hyperactivity Disorder

被引:2
|
作者
Liu, Yuxin [1 ]
Chihuri, Stanford [2 ]
Mielenz, Thelma J. [1 ,3 ]
Andrews, Howard F. [4 ,5 ]
Betz, Marian E. [6 ,7 ]
DiGuiseppi, Carolyn [8 ]
Eby, David W. [9 ]
Hill, Linda L. [10 ]
Jones, Vanya [11 ]
Molnar, Lisa J. [9 ]
Strogatz, David [12 ]
Li, Guohua [1 ,2 ,3 ,13 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[2] Columbia Univ, Vagelos Coll Phys & Surg, Dept Anesthesiol, New York, NY USA
[3] Columbia Univ Irving, Med Ctr, Ctr Injury Sci & Prevent, New York, NY USA
[4] Columbia Univ, Vagelos Coll Phys & Surg, Dept Psychiat, New York, NY USA
[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Biostat, New York, NY USA
[6] Univ Colorado, Sch Med, Dept Emergency Med, Aurora, CO 80045 USA
[7] VA Eastern Colorado Geriatr Res Educ & Clin Ctr, Aurora, CO USA
[8] Univ Colorado Anschutz Med Campus, Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USA
[9] Univ Michigan, Transportat Res Inst, Ann Arbor, MI USA
[10] Univ Calif San Diego, Sch Publ Hlth, La Jolla, CA USA
[11] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
[12] Bassett Res Inst, Cooperstown, NY USA
[13] Columbia Univ, Vagelos Coll Phys & Surg, 622 168th St,PH5-505, New York, NY 10032 USA
关键词
DEFICIT HYPERACTIVITY DISORDER; SIMULATOR DRIVING PERFORMANCE; YOUNG-ADULTS; ADHD; PREVALENCE; METHYLPHENIDATE; MEDICATION; SYMPTOMS; OUTCOMES; TEENS;
D O I
10.1001/jamanetworkopen.2023.36960
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Importance Symptoms of attention-deficit/hyperactivity disorder (ADHD), such as inattentiveness and impulsivity, could affect daily functioning and driving performance throughout the life span. Previous research on ADHD and driving safety is largely limited to adolescents and young adults.Objective To examine the prevalence of ADHD and the association between ADHD and crash risk among older adult drivers.Design, Setting, and Participants This prospective cohort study collected data from primary care clinics and residential communities in 5 US sites (Ann Arbor, Michigan; Baltimore, Maryland; Cooperstown, New York; Denver, Colorado; and San Diego, California) between July 6, 2015, and March 31, 2019. Participants were active drivers aged 65 to 79 years at baseline enrolled in the Longitudinal Research on Aging Drivers project who were studied for up to 44 months through in-vehicle data recording devices and annual assessments. The data analysis was performed between July 15, 2022, and August 14, 2023.Exposure Lifetime ADHD based on an affirmative response to the question of whether the participant had ever had ADHD or had ever been told by a physician or other health professional that he or she had ADHD.Main Outcomes and Measures The main outcomes were hard-braking events defined as maneuvers with deceleration rates of 0.4g or greater, self-reported traffic ticket events, and self-reported vehicular crashes. Multivariable negative binomial modeling was used to estimate adjusted incidence rate ratios (aIRRs) and 95% CIs of outcomes according to exposure status.Results Of the 2832 drivers studied, 1500 (53.0%) were women and 1332 (47.0%) were men with a mean (SD) age of 71 (4) years. The lifetime prevalence of ADHD in the study sample was 2.6%. Older adult drivers with ADHD had significantly higher incidence rates of hard-braking events per 1000 miles than those without ADHD (1.35 [95% CI, 1.30-1.41] vs 1.15 [95% CI, 1.14-1.16]), as well as self-reported traffic ticket events per 1 million miles (22.47 [95% CI, 16.06-31.45] vs 9.74 [95% CI, 8.99-10.55]) and self-reported vehicular crashes per 1 million miles (27.10 [95% CI, 19.95-36.80] vs 13.50 [95% CI, 12.61-14.46]). With adjustment for baseline characteristics, ADHD was associated with a significant 7% increased risk of hard-braking events (aIRR, 1.07; 95% CI, 1.02-1.12), a 102% increased risk of self-reported traffic ticket events (aIRR, 2.02; 95% CI, 1.42-2.88), and a 74% increased risk of self-reported vehicular crashes (aIRR, 1.74; 95% CI, 1.26-2.40).Conclusions and Relevance As observed in this prospective cohort study, older adult drivers with ADHD may be at a significantly elevated crash risk compared with their counterparts without ADHD. These findings suggest that effective interventions to improve the diagnosis and clinical management of ADHD among older adults are warranted to promote safe mobility and healthy aging.
引用
收藏
页数:11
相关论文
共 50 条
  • [41] The Speed of Visual Attention and Motor-Response Decisions in Adult Attention-Deficit/Hyperactivity Disorder
    Cross-Villasana, Fernando
    Finke, Kathrin
    Hennig-Fast, Kristina
    Kilian, Beate
    Wiegand, Iris
    Mueller, Hermann Joseph
    Moeller, Hans-Juergen
    Toellner, Thomas
    [J]. BIOLOGICAL PSYCHIATRY, 2015, 78 (02) : 107 - 115
  • [42] Transcriptome profiling in adult attention-deficit hyperactivity disorder
    Mortimer, Niall
    Sanchez-Mora, Cristina
    Rovira, Paula
    Vilar-Ribo, Laura
    Richarte, Vanesa
    Corrales, Montse
    Fadeuilhe, Christian
    Rivero, Olga
    Lesch, Klaus-Peter
    Casas, Miguel
    Antoni Ramos-Quiroga, Josep
    Soler Artigas, Maria
    Ribases, Marta
    [J]. EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2020, 41 : 160 - 166
  • [43] Attention-Deficit Hyperactivity Disorder Risk: Interaction Between Parental Age and Maternal History of Attention-Deficit Hyperactivity Disorder
    Wang, Xinhui
    Martinez, Mayra P.
    Chow, Ting
    Walthall, Johanna C.
    Guber, Kevin M.
    Xiang, Anny H.
    [J]. JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 2019, 40 (05): : 321 - 329
  • [44] Attention: Attention-deficit/hyperactivity disorder
    Shulman, Stanford T.
    [J]. PEDIATRIC ANNALS, 2008, 37 (01): : 5 - 6
  • [45] Attention-Deficit Hyperactivity Disorder
    Bahn, Geon-Ho
    [J]. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, 2005, 48 (11): : 1110 - 1118
  • [46] Attention-Deficit/Hyperactivity Disorder
    Rajaprakash, Meghna
    Leppert, Mary L.
    [J]. PEDIATRICS IN REVIEW, 2022, 43 (03) : 135 - 147
  • [47] ATTENTION-DEFICIT HYPERACTIVITY DISORDER
    STEIN, MA
    LEVENTHAL, BL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (13): : 966 - 966
  • [48] Attention-deficit/hyperactivity disorder
    Petermann, Franz
    Hampel, Petra
    [J]. KINDHEIT UND ENTWICKLUNG, 2009, 18 (03): : 135 - 136
  • [49] Attention-deficit disorder with hyperactivity
    Ryan, MG
    [J]. MEDICAL JOURNAL OF AUSTRALIA, 1996, 165 (03) : 173 - 174
  • [50] Attention-deficit hyperactivity disorder
    Thapar, AK
    Thapar, A
    [J]. BRITISH JOURNAL OF GENERAL PRACTICE, 2003, 53 (488): : 225 - 230