Risky Driving Behaviors for Older Adults: Differences by Veteran’s Status

Veterans are at an increased risk of being injured or killed in motor vehicle crashes, potentially due to their proclivity to engage in risky driving behaviors. However, most research in this area has focused on driving behaviors of veterans who have recently returned home after deployment. No research has focused on risky driving behaviors of older veterans (aged 65 or older) and if risky driving behaviors extend beyond the time period immediately following return from deployment. The purpose of this research is to determine if differences exist in risky driving behaviors of veterans and non-veterans aged 65 or older. This study used data from the 2011 National Health and Aging Trend Study (NHATS), a nationally representative, longitudinal survey of community-dwelling, Medicare beneficiaries aged 65 or older. Binary logistic regression analyses were conducted in 2017 to determine if veteran’s status was predictive of specific risky driving behaviors. Veteran’s status was found to be predictive of specific driving behaviors for adults aged 65 and older, with non-veterans significantly more likely than veterans to: not currently drive; avoid driving at night; avoid driving alone; avoid driving on busy roads or highways; and avoid driving in bad weather. The results of this study highlight the need to further understand the effects of veteran’s status on risky driving behaviors among older adults, specifically, whether veteran’s status compounds driving-related risks associated with aging-related physical and mental changes.

[1]  Elizabeth A. Possis,et al.  Driving difficulties among military veterans: clinical needs and current intervention status. , 2014, Military medicine.

[2]  W. Hays Using Multivariate Statistics , 1983 .

[3]  Han K. Kang,et al.  All-Cause Mortality Among US Veterans of the Persian Gulf War , 2016, Public health reports.

[4]  B. Tabachnick,et al.  Using Multivariate Statistics , 1983 .

[5]  Anthony L. Cox,et al.  Post-combat invincibility: violent combat experiences are associated with increased risk-taking propensity following deployment. , 2008, Journal of psychiatric research.

[6]  Han K. Kang,et al.  Mortality among U.S. veterans of the Persian Gulf War. , 1996, The New England journal of medicine.

[7]  S. Okie Traumatic brain injury in the war zone. , 2005, The New England journal of medicine.

[8]  Teja Pristavec,et al.  Social Participation in Later Years: The Role of Driving Mobility , 2016, The journals of gerontology. Series B, Psychological sciences and social sciences.

[9]  Han K. Kang,et al.  Mortality among US veterans of the Persian Gulf War: 7-year follow-up. , 2001, American journal of epidemiology.

[10]  Bernard Guerin,et al.  What Do People Think About the Risks of Driving? Implications for Traffic Safety Interventions1 , 1994 .

[11]  P. Thuras,et al.  An exploratory examination of risk-taking behavior and PTSD symptom severity in a veteran sample. , 2012, Military medicine.

[12]  Neil Greenberg,et al.  Risky driving among regular armed forces personnel from the United Kingdom. , 2008, American journal of preventive medicine.

[13]  Murray B. Stein,et al.  Potential driving issues in combat returnees. , 2010, NeuroRehabilitation.

[14]  D. Wegman,et al.  Proposed explanations for excess injury among veterans of the Persian Gulf War and a call for greater attention from policymakers and researchers , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[15]  Craig S. Rosen,et al.  Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD. , 2010, Journal of traumatic stress.

[16]  Joachim Meyer,et al.  Personal Vehicle Transportation , 2004 .

[17]  Israel Liberzon,et al.  The Prevalence and Correlates of Risky Driving Behavior Among National Guard Soldiers , 2015, Traffic injury prevention.

[18]  A. Ginde,et al.  Older adult drivers living in residential care facilities. , 2015, The annals of long-term care : the official journal of the American Medical Directors Association.

[19]  Nina A. Sayer,et al.  Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. , 2010, Psychiatric services.

[20]  Sean C Sheppard,et al.  Using the unmatched count technique to improve base rate estimates of risky driving behaviours among veterans of the wars in Iraq and Afghanistan , 2013, Injury Prevention.

[21]  Susan J. Rottunda,et al.  The Influence of Age and Gender on the Driving Patterns of Older Adults , 2003, Journal of women & aging.

[22]  Han K. Kang,et al.  Risk of motor vehicle accident death among 1.3 million veterans of the Iraq and Afghanistan wars , 2017, Traffic injury prevention.

[23]  N. Schwarz Retrospective and concurrent self-reports: The rationale for real-time data capture , 2007 .

[24]  Lisa J Molnar,et al.  Factors Affecting Self-Regulatory Driving Practices Among Older Adults , 2014, Traffic injury prevention.

[25]  C. Rosen,et al.  Causes of Death Among Male Veterans Who Received Residential Treatment for PTSD , 2003, Journal of traumatic stress.

[26]  Han K. Kang,et al.  Motor Vehicle Fatalities Among Gulf War Era Veterans: Characteristics, Mechanisms, and Circumstances , 2006, Traffic injury prevention.

[27]  Heidi Lynn Plach,et al.  Occupational performance needs of young veterans. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[28]  A J McLean,et al.  Self-regulation of driving and its relationship to driving ability among older adults. , 2006, Accident; analysis and prevention.

[29]  Lisa J Molnar,et al.  Reprint of "Driving avoidance by older adults: Is it always self-regulation?". , 2013, Accident; analysis and prevention.

[30]  J. Knapik,et al.  A systematic review of post-deployment injury-related mortality among military personnel deployed to conflict zones , 2009, BMC public health.