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As the driving population ages, there is a need to understand the accident patterns of older drivers. Previous research has shown that side impact collisions, usually at an intersection, are a serious problem for the older driver in terms of injury outcome. This study compares the frequency of side impact, intersection collisions of different driver age groups using state and national police-reported accident data as well as an in-depth analysis of cases from a fatal accident study. All data reveal that the frequency of intersection crashes increases with driver age. The state and national data show that older drivers have an increase frequency of intersection crashes involving vehicles crossing paths prior to the collision compared to their involvement in all crash types. When taking into account traffic control devices at an intersection, older drivers have the greatest involvement of multiple vehicle crashes at a signed intersection.

Fatal crash circumstances for 48 belted female drivers were studied in-depth and compared to those of 83 belted male drivers in a similar population of vehicles. Women had a higher incidence of crashes on slippery roads, during lane changes and passing maneuvers than men who had a higher rate of aggressive driving and speed related crashes (χ2 = 10.47, p < 0.001). Driver-side damage was significantly more frequent in female than male crashes (χ2 = 5.74, p < 0.025) and women had a higher fraction of side impacts (45.9% v 31.4%) and crashes during daylight (87.0% v 72.3%, χ2 = 3.65, p < 0.05) than men. Women also had a higher fraction of potentially avoidable crashes than men (57.5% v 39.0%) and a lower involvement related to aggressive driving (10.6% v 25.6%). These differences were statistically significant (χ2 = 5.41, p < 0.025).

The causes for 131 fatal crashes of lap-shoulder belted occupants were analyzed for crash causation and avoidance opportunities. Fourteen crash scenarios were determined to depict the situation and circumstance of the accidents. Each scenario is discussed in relation to driver age, actions, behavior, errors and aggressiveness, as well as crash type and other factors influencing the crash. Nearly a third of crashes involved a rapid, unpredictable onset by reckless action or mistake of another driver. The remainder were caused by the driver of the case-vehicle. Some were single vehicle crashes primarily related to excessive speed, aggressive driving, and drifting out of lane. The others were multi-vehicle crashes due primarily to inadvertent errors. The most common errors were right-of-way violations at an intersection, loss of control on wet roads, impact of a stationary vehicle, and lane changing errors.