Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis

Ang, Boon Hong; Chen, Won Sun; Lee, Shaun Wen Huey

doi:10.1016/j.archger.2017.05.004

Cited by 52 publications

(42 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 11 married couples were interviewed. Three major themes emerged: [1] Our roles in driving; [2] Challenges to continue driving; and, [3] Our driving strategies to ensure continued driving. Older couples adopted driving strategies and regulated their driving patterns to ensure they continued to drive safely.…”

Section: Resultsmentioning

confidence: 99%

“…Older adults often rely on driving to accomplish their transportation needs. However, as an individual begins to age, his/her skill and ability to drive safely begin to decline [2][3][4]. To cope with this, older adults often choose to self-regulate their driving patterns (e.g., reduction in terms of speed, distance, and frequency of travel and avoid driving in challenging situations); or in some cases cease driving completely, due to chronic medical conditions or a major life event (e.g., road crash) [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The influence of spouses and their driving roles in self-regulation: A qualitative exploration of driving reduction and cessation practices amongst married older adults

Ang¹,

Oxley²,

Chen³

et al. 2020

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The influence of spouses and their driving roles in self-regulation: A qualitative exploration of driving reduction and cessation practices amongst married older adults

Ang¹,

Oxley²,

Chen³

et al. 2020

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…It has a very comprehensive range of services which are charged at very low rates, representing approximately 95% subsidy from the actual cost. Similar to many countries around the world, Hong Kong is currently facing serious challenges due to its rapidly aging population ( Kong et al, 2015 ; Lee and Mak, 2016 ; Ang et al, 2017 ). It is estimated that the total population aged >60 years in Hong Kong will rise from 12.5% currently to 25% in 2030, which will thus result in an increase in BPH prevalence.…”

Section: Discussionmentioning

confidence: 99%

Economic Evaluation of Combination Therapy Versus Monotherapy for Treatment of Benign Prostatic Hyperplasia in Hong Kong

Yee

et al. 2018

Front. Pharmacol.

Self Cite

View full text Add to dashboard Cite

Background: Lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) is a common condition affecting men. Studies have shown that the prevalence of LUTS/BPH increases with age, which will cause considerable economic burden to the healthcare system and society. The aim of the present study was to evaluate the long term cost effectiveness of dutasteride and tamsulosin therapy compared to tamsulosin alone in men with BPH in Hong Kong.Methods: A Markov decision model was constructed to estimate the economic impact from a healthcare payers’ perspective, which only included direct costs. Analyses were conducted for a 4-year time frame.Results: When compared to tamsulosin alone, combination therapy was more expensive but also more effective in preventing complications and reduced the need for surgery. Over life-time projection suggest that combination therapy will be cost-effective if the willingness-to pay threshold of USD 20,000.Conclusion: Findings of this study found that combination therapy of tamsulosin and dutasteride was more cost-effective compared to tamsulosin alone across a wide range of scenario.

show abstract

“…As aging population is growing globally, so does the older adult road users, and the road safety and mobility needs for the elderly [21], particularly those living in less privileged areas or less developed countries. However, few studies on the impact of area-level socioeconomic disadvantages on seniors' risk of road traffic injury or death have been carried out, with a New Zealand study finding that younger age groups (vs. older adults) were more affected by this type of inequality [22].…”

Section: Introductionmentioning

confidence: 99%

Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country

Contreras

Moreno

2020

PLoS ONE

View full text Add to dashboard Cite

As the resources for road safety in developing countries are scarce and unevenly distributed, vulnerable road users-such as the elderly-may be particularly at risk of road traffic deaths. To date, the impact of road safety measures over the rate of road traffic deaths in older adults (60 years or older), considering the within-country socioeconomic inequalities, has not been explored in developing nations. This study takes the Chilean case as an example-with its 2005 traffic law reform as one of the road safety measures investigated-, in which open data available from official national sources for all its 13 regions over the 2002-2013 period were used for a multilevel interrupted time-series analysis. A statistically significant secular reduction of the rates of road traffic deaths in the elderly population was found (incidence rate ratio [IRR] 0.95, 95% confidence interval [CI] 0.91 to 0.99), but no evidence for a significant intercept or slope change after the traffic law reform was observed. Regions with the highest number of traffic offenses prosecuted in local police courts had lower rates of road traffic deaths in older adults (IRR 0.95, 95% CI 0.90 to 1.00), and those regions in the third (IRR 1.61, 95% CI 1.16 to 2.25) and the fifth (IRR 1.66, 95% CI 1.08 to 2.54) quintiles of socioeconomic deprivation had higher rates of road traffic deaths in the elderly. Such findings strongly support the conceptualization of the road safety of seniors in developing countries as a social equity issue, with implications for the design of traffic regulations and road environments.

show abstract

Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis

Cited by 52 publications

References 36 publications

The influence of spouses and their driving roles in self-regulation: A qualitative exploration of driving reduction and cessation practices amongst married older adults

The influence of spouses and their driving roles in self-regulation: A qualitative exploration of driving reduction and cessation practices amongst married older adults

Economic Evaluation of Combination Therapy Versus Monotherapy for Treatment of Benign Prostatic Hyperplasia in Hong Kong

Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country

Contact Info

Product

Resources

About