TITLE

Systematic screening for unsafe driving due to medical conditions: still debatable

AUTHOR(S)
Leproust, Sandy; Lagarde, Emmanuel; Salmi, L. Rachid
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8 Issue 1, p27
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Assessing people's ability to drive has become a public health concern in most industrialized countries. Although age itself is not a predictive factor of an increased risk for dangerous driving, the prevalence of medical conditions that may impair driving increases with age. Because the implementation of a screening for unsafe driving due to medical conditions is a public health issue, its usefulness should be judged using standardised criteria already proposed for screening for chronic disease. The aim of this paper is to propose standardised criteria suitable to assess the scientific validity of screening for unsafe driving due to medical conditions, and identify potential issues to be clarified before screening can be implemented and effective. Discussion: Using criteria developed for screening for chronic diseases and published studies on driving with medical conditions, we specify six criteria to judge the opportunity of screening for unsafe driving due to medical conditions. This adaptation was needed because of the complexity of the natural history of medical conditions and their potential consequences on driving and road safety. We then illustrate that published studies pleading for or against screening for unsafe driving due to medical conditions fail to provide the needed documentation. Individual criteria were mentioned in 3 to 72% of 36 papers pleading for or against screening. Quantitative estimates of relevant indicators were provided in at most 42% of papers, and some data, such as the definition of an appropriate unsafe driving period were never provided. Summary: The standardised framework described in this paper provides a template for assessing the effectiveness (or lack of effectiveness) of proposed measures for screening for unsafe driving due to medical conditions. Even if most criteria were mentioned in the published literature pleading for or against such a screening, the failure to find quantitative and evidence-based estimates of relevant indicators provides useful insight for further research.
ACCESSION #
51487598

 

Related Articles

  • Knee Pain and Driving Duration: A Secondary Analysis of the Taxi Drivers' Health Study. Chen, Jiu-Chiaun; Dennerlein, Jack T.; Shih, Tung-Sheng; Chen, Chiou-Jong; Cheng, Yawen; Chang, Wushou P.; Ryan, Louise M.; Christiani, David C. // American Journal of Public Health;Apr2004, Vol. 94 Issue 4, p575 

    Objectives. We explored a postulated association between daily driving time and knee pain. Methods. We used data from the Taxi Drivers' Health Study to estimate 1-year prevalence of knee pain as assessed by the Nordic musculoskeletal questionnaire. Results. Among 1242 drivers, the prevalence of...

  • Driving retirement: the role of the physician. Carr, David B.; Meuser, Thomas M.; Morris, John C. // CMAJ: Canadian Medical Association Journal;9/12/2006, Vol. 175 Issue 6, p601 

    The article presents research which dealt with Alzheimer's disease. The outcome of the research suggests that dementia severity and advanced age are associated with driving cessation. They also identified that level of cognitive impairment and behaviors such as agitation, apathy and...

  • Infectious Lyme disease is virtually ignored in Canada. Ferrie, Helke // CCPA Monitor;Jun2010, Vol. 17 Issue 2, p20 

    The article reports on the negligence of Canada regarding the mismanagement of public health to the infectious Lyme disease. It mentions that Lyme disease is an infectious disease caused by bacteria and can cause financial damage to any health care system. In addition, the national CanLyme is...

  • DOENÇA DE CHAGAS NO BRASIL -- PREVENÇÃO E CONTROLE. FURLAN, GISLENE FERNANDA NARDI; DOS ANJOS NETO FILHO, MÁRIO // UNINGÁ Review;2012, Vol. 12 Issue 2, p76 

    Chagas disease is a major public health problems because it is a parasitic cardiac edema that causes many deaths and suffering among the people. Even long after its discovery remains a problem in most of Latin America, mainly Brazil. The aim of this paper is to analyze how is the current...

  • Okla. Senate review. MCINTYRE, JUDY EASON // Native American Times;2/13/2009, Vol. 15 Issue 6, p4 

    The article deals with health issues facing Oklahoma. According to the author, heart disease is the number one killer of women and an effort is being made to mobilize women, health care providers and politicians to help raise awareness of the disease. She notes that April 21, 2009 has been...

  • Consultation on stroke. Thomas, Sue // Primary Health Care;Sep2007, Vol. 17 Issue 7, p3 

    The article comments on the increasing number of people affected with stroke in Great Britain. It is stated that stroke is the third most common cause of death in the country and is the single most common cause of severe disability. In addition, the author pointed out the estimated health and...

  • Crossing institutional boundaries: mapping the policy process for improved control of endemic and neglected zoonoses in sub-Saharan Africa. Okello, Anna; Welburn, Susan; Smith, James // Health Policy & Planning;Jul2015, Vol. 30 Issue 6, p804 

    The recent adoption of the World Health Assembly Resolution 66.12 for neglected tropical diseases (NTDs) in May 2013 is an important turning point for advocacy regarding a number of endemic zoonotic infections, defined by the World Health Organization as the neglected zoonotic diseases (NZDs)....

  • Zimbabwe health system faces meltdown. Geddes, Linda // New Scientist;12/6/2008, Vol. 199 Issue 2685, p9 

    The article reports on the escalating cholera epidemic in Zimbabwe and its impact on the meltdown of the country's healthcare infrastructure. New reported figures show 11,735 cases of cholera and 484 deaths from such disease, as being emphasized by a scientist, while hospital closures and...

  • Should Doctors Call in Sick? Swinker, Marian L. // American Family Physician;1/1/2004, Vol. 69 Issue 1, p219 

    Discusses the question whether physicians should call in sick. Factors that mitigate against a physician taking a sick day; Development of an infection control guidelines that restrict health care personnel from working while sick; Tips in disease prevention.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics