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Journal of Geriatric Psychiatry and Neurology
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Driving Cessation and Self-Reported Car Crashes in Older Drivers: The Impact of Cognitive Impairment and Dementia in a Population-Based Study

Sylviane Lafont, MSc

UMRESTTE, INRETS-Université Lyon 1-Institut de Veille Sanitaire, Bron, sylviane.lafont{at}inrets.fr

Bernard Laumon, MD, PhD

UMRESTTE, INRETS-Université Lyon 1-Institut de Veille Sanitaire, Bron

Catherine Helmer, MD, PhD

INSERM U593

Jean-François Dartigues, MD, PhD

INSERM U593

Colette Fabrigoule, PhD

CNRS UMR 5231 Bordeaux, France

The complexity of driving activity has incited numerous developed countries to initiate evaluative procedures in elderly people, varying according to first evaluation age, frequency, and screening tools. The objective of this paper is to improve the knowledge of the driving cessation process regarding factors associated with crash involvement. Driving cessation and self-reported crashes during the past 5 years were analyzed with multivariate models, in a cross-sectional study including a population-based sample of 1051 drivers aged 65 years and more. Visual trouble, Parkinson disease, dementia, and stroke history were associated with driving cessation. Future dementia was associated with self-reported crashes only. Attentional and executive deficits were associated with both outcomes. The detection of attentional and executive deficits should be included in driving evaluation procedures to improve awareness of these deficits by older drivers.

Key Words: driving cessation • self-reported road crashes • attention • executive function • processing speed • dementia • epidemiology • elderly

This version was published on September 1, 2008

Journal of Geriatric Psychiatry and Neurology, Vol. 21, No. 3, 171-182 (2008)
DOI: 10.1177/0891988708316861
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