In-Depth Evaluation of Association between Crash and Hand Arthritis via Naturalistic Driving Study

Severe arthritis can limit a driver’s range of motion and increase their crash risk. The high prevalence of arthritis among the US driver population, especially among senior drivers, makes it a public safety concern. In this study, we evaluate the impact of arthritis on driving behavior and crash risk using the Second Strategic Highway Research Program Naturalistic Driving Study (SHRP 2 NDS), which collected continuous driving data through data acquisition systems installed on participant’s vehicles. A detailed questionnaire survey was administered on demographic, health conditions, and personality information at the time of recruitment. The dataset includes 3563 participants. Among them, 78 drivers were identified to have severe arthritis, and they contributed to 414 out of 1641 crashes. We systematically evaluated the impact of severe arthritis on crash risk, secondary task engagement, and fitness-to-drive metrics. The results show there is a significant relationship between arthritis and crash risk, with an odds ratio of 1.99 with adjustment for age effects, which indicates that individuals with arthritis are twice as likely to be involved in a crash. There is no statistically significant association between arthritis and secondary task engagement, as well as the sensation-seeking scores, a personality trait.