Patterns of Self-Reported Driving While Intoxicated Among Older Adults.

Objective:This study examines the prevalence of self-reported driving while intoxicated (DWI) among drivers aged 65 and older.Method:This cross-sectional study was based on baseline data from the AAA Longitudinal Research on Aging Drivers (LongROAD) study, a multisite prospective cohort study of 2,990 older adult drivers. Alcohol-related variables from the baseline questionnaire were examined in relation to demographics, health status, and driving behaviors. A logistic regression model assessed variables associated with DWI.Results:Of the 2,990 participants, 72.7% reported consuming alcohol, 15.0% reported high-risk drinking, and 3.3% reported DWI. High-risk drinking (OR = 12.01) and risky driving behaviors (OR = 13.34) were significantly associated with at least occasional DWI. Avoidance of hazardous driving conditions (OR = 0.71) and higher level of comfort during challenging driving scenarios (OR = 0.65) were less likely to be associated with DWI.Conclusion:A large number of older adults engage in high-risk drinking and DWI. Public health education and DWI-related interventions should include older adults.