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Role of Gender in Road Accidents
Role of Gender in Road Accidents
To cite this article: Adli H. Al-Balbissi (2003) Role of Gender in Road Accidents, Traffic Injury Prevention, 4:1, 64-73, DOI:
10.1080/15389580309857
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Traffic Injury Prevention, 4:64–73, 2003
Copyright ° C 2003 Taylor & Francis
1538-9588/03 $12.00 + .00
DOI: 10.1080/15389580390120934
ADLI H. AL-BALBISSI
Civil Engineering Department, Jordan University, Amman, Jordan
Influence of driver sex on road accidents is assessed in this article. Accident records for 3 years and for three different income
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regions were analyzed. Annual distance traveled, social and economic participation, and effect of public vehicle accidents
were considered. Effects of environmental factors and driver age were also included. Driver faults analysis identified possible
reasons for accident differences. Analysis of accident severity was used to assess degree of harm. Statistical analysis at the
5% significance level was used to evaluate all differences. The results show that male accident rates are significantly higher.
This trend is consistent through all the analyses. Accident differences are significant only in normal driving conditions.
Drivers over age 50 had the lowest accident rates. Accident rate differences were caused by lack of attention and impatience
among male drivers. Appropriate means of communication should alert concerned populations to these findings.
Keywords Driver Characteristics Effect; Driver Sex Effect; Effect of Driver Sex on Jordan Road Accidents; Factors
Influencing Road Accident Severity; Male Accident Trends; Road Accidents Analysis
Differences in driving behavior between male and female owners. The study revealed that pickup owners were primar-
drivers have been the focus of several previous investigations. ily male, were characterized by lower restraint use, displayed
Most of the findings have supported the notion of different driv- more risky driving behaviors, and received more traffic cita-
ing characteristics. In a study by Storie (1977), significant dif- tions. Jonah (1997) showed that the relationship between sen-
ferences in driving characteristics were found between the two sation seeking and risky behavior had a positive correlation and
sexes with regard to speed, skill, and attitude. Females were depended on three factors among which was gender. On the
more likely to drive at lower speeds and overtake more carefully. other hand, Hung et al. (1991) in his study in New Zealand
Males, on the other hand, were generally more skillful, able to demonstrated that information seeking across the life span was
perform difficult maneuvers, and more likely to risk driving un- independent of gender for both study subjects: drivers involved
der the influence of alcohol. No significant difference, however, in an automobile accident or study participants. Ore (1998) also
had previously been found between male and female drivers as observed gender effect on accident probability. However, in his
related to being at fault in accidents. study female accident rates were higher than those of male. The
Earlier accident statistics presented by Grime (1987) showed study showed that female workers in transportation had 59%
that in general female accident rates were lower than those for higher mortality rates than their male counterparts from mo-
males. Female casualty rates were lower for pedal cyclists and tor vehicle accidents. The study also revealed that about 67%
for two-wheeled motor vehicle riders. Local accident statistics of female construction workers killed by motor vehicles were
(Public Security Directorate, 1997–1999) indicated that 77.2% pedestrians compared with an average of 19.2% of females in
of all traffic accident casualties and 72.3% of run-over casualties all industries.
were males. These statistics bring attention to the serious role of Baker et al. (2000) using the Oklahoma Department of Pub-
gender in road accident frequencies, consequences, and probable lic Safety crash file and the hospital in-patient data discharge
causes. file from the Oklahoma State Department of Health showed that
Several other studies have focused on the issue of gender and nonusers of seat belts tended to be young and male. He also found
its relation to accidents. In a study by Anderson et al. (1999), that gender is a significant predictor of seat belt use. Osberg and
differences in behaviors and attitudes were found to be largely a Stiles (2000) in their study on skaters’ safety behavior showed
function of age and gender. The study focused on pickup truck that males were more likely to skate on streets wearing less pro-
tective equipment than females. They believed that male skaters
should be targeted more by health officials and experts in pre-
Received 14 November 2001; accepted 27 September 2002.
Address correspondence to Adli H. Al-Balbissi, Civil Engineering De- vention efforts due to their higher injury risks. On the other
partment, Jordan University, Queen Rania Street, Amman 11942, Jordan. E- hand, Boyce and Geller (2001) found that driver risk taking did
mail: balbissi@ju.edu.jo not vary significantly as a function of gender. Contrary to that,
64
ROLE OF GENDER IN ROAD ACCIDENTS 65
Chang et al. (1996) in their study on alcohol-related traffic casu- sure public support for a mandatory motorcycle helmet use law
alties and their relationships with sociodemographic characteris- and an operator safety training program. They found that female
tics found that single males showed a higher rate of conviction for gender was a significant independent predictor of a pro-helmet
driving under the influence of alcohol. Passman et al. (2001) in law stance in a multiple logistic regression analysis. Differences
their study comparing seat belt use before and after motor vehicle in gender responses and attitudes were also demonstrated in
trauma demonstrated that the frequency of seat belt use before Jones’s (1997) Oregon study in which he examined the effec-
and after crash involvement varied considerably as a function of tiveness of advisory letters in reducing accidents. He found that
gender. Male subjects showed one of the largest increases in the accident-free survival for females receiving an advisory letter
frequency of seat belt use after collision involvement (37%). was slightly less (but not significantly) than females receiving
Baker and Clarke (2001) in their analysis of factors con- no letter. On the other hand, these letters were more effective
tributing to hospital charges from injuries incurred in automo- in reducing collisions for males. Gender-dependent differences
bile crashes (particularly, charge variations related to drivers in- were also demonstrated in Evans’s (2001) study, in which he
volved in crashes) showed that increasing hospital charges were examined fatality likelihood of males and females who were
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associated with males in addition to age, urban settings, and lack exposed to similar potentially lethal physical impacts when all
of seat belt use. Contrary to that are the findings of Kufera et al. other factors were equal. He found that female risk exceeded
(2001) in their Maryland study in which they analyzed hospital male risk by 28 ± 3% from about age 20 to 35. Males’ fatality
costs and accident data. Their cost comparisons between groups risks were also lower than females from the teenage years to the
defined according to age, gender, safety equipment, and impact fifties. This effect of gender on fatality risk did not change for
direction indicated that costs did not differ by gender. Their all categories investigated (14 occupant categories).
multifactor ANOVA at the 10% significance level revealed sig- Review of accident literature has also revealed several stud-
nificant effects for drivers who were older, unbelted, impaired, ies that indicated no differences between the two sexes. Among
injured in a lateral crash, and had a deployed airbag. these are Lowenstein and Koziol-McLain (2001), Nadler et al.
In a study related to accident risk perception, Dejoy (1992) (2001), and Peterson et al. (1995). Lowenstein and Koziol-
focused on younger drivers (age 18–24) to examine gender dif- McLain (2001) attempted to determine the prevalence of recent
ferences in this perception. He found that young males tended to drug use among drivers injured in traffic accidents, and to in-
be more optimistic, particularly when judging their driving skill. vestigate the role of drug use in accident responsibility. In their
Males‚ optimism was equal with respect to the average motorist. multivariate analysis, they concluded that gender did not pre-
However, females tended to be less optimistic when compared dict crash responsibility. Nadler et al. (2001) in their study to
with the average motorist. Males and females had similar per- characterize the pattern of consequences of driveway accidents
ceptions concerning the frequency and accident likelihood of indicated that there was no difference in gender between the
the risky behaviors. Males perceived such behaviors to be less investigated groups. Peterson et al.’s (1995) study was focused
serious and less likely to result in accidents. Furthermore, re- on developmental and gender-related expectations and beliefs
gression analysis showed that less variance in optimism could related to prevention of bicycle accident injury. They concluded
be explained for females than males. that age and gender were unrelated to subjects’ beliefs and ex-
Variations between the two sexes has also been demonstrated pectations regarding whether a collision would take place, could
in incidence rates of pediatric head, spinal cord, and peripheral be actively avoided, would fail to take place, or whether safety
nerve injuries. Durkin et al.’s (1998) study revealed that males could be assured by using safety equipment such as helmets.
were more affected by these injuries than females at every age, In view of the above discussion of literature, I believed it nec-
and that this increased with age. Stamatiadis and Deacon (1995) essary to further investigate this issue and to observe its effects
observed a difference in accident propensity due to gender ef- in a different culture. The objective of this study, therefore, is
fect. They showed that female drivers on average and at younger to check the extent to which gender affects accident rates and
ages were significantly safer than their male counterparts. How- to identify possible explanations for the differences. This will
ever, the observed trend was reversed for older drivers (older produce valuable benefits for planners of accident reduction pro-
male drivers were significantly safer than older female drivers). grams.
Their analysis also revealed that middle-aged drivers were sig-
nificantly safer than young drivers who were, in turn, safer than METHODOLOGY
older drivers.
Several other studies demonstrated significant differences
To achieve convenient assessment of accident differences and
in accident trends and behaviors between the two sexes (e.g.,
to provide adequate explanations, the present analyses attempt
Jones, 1997; Kulanthayan et al., 2000; Lowenstein et al., 1997).
to answer the following questions:
Kulanthayan et al. (2000) investigated motorcyclists’ compli-
ance with safety helmet usage in Malaysia. They found that 1. Is the difference in accident rates between the two sexes
six variables, among which was gender, were significant in in- important?
dicating improper safety helmet use. Lowenstein et al. (1997) 2. Does the difference have any association with variations in
reached an analogous conclusion in their Colorado study to mea- gender social or economic characteristics?
66 A. H. AL-BALBISSI
3. How do variations in driving characteristics between males sample survey provided satisfactory descriptions of male and
and females affect accident rates? female driving characteristics, especially with regard to total
4. How will other factors, such as environment, affect the annual traveled distance. The influences of external factors (in-
results? cluding weather conditions, road surface conditions, and visi-
5. What issue is most responsible for accident rate differences? bility) on accident rates were investigated. Effect of driver age
6. What are the implications of these differences? was also assessed. Identification of driver faults that are most
responsible for increased male accident rates was implemented
Appropriate data that permit investigation of the above in- through the analyses of 16 common driver faults. Accident con-
quiries were collected. The data acquired are all from Jordan, sequences as influenced by driver gender were also examined.
and include the following items: Effect of vehicle type was not considered in the data and analy-
ses since there are no variations between vehicle types driven by
• Number and characteristics of accidents obtained from the males or females in Jordan. The majority of drivers use vehicles
records of the Public Security Directorate. Accident charac- available to the household.
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Male Female
Accident rate
No. of Accident rate No. of Accident rate male-to-female
Region accidents (Accidents per 1,000 drivers) accidents (Accidents per 1,000 drivers) ratio
attributed to one or more of several possible reasons. Among • Influence of social and economic participation on average an-
those are lower travel speeds or smaller car ownership, unre- nual traveled distance by each sex, and consequently on acci-
ported accidents especially by female drivers, smaller traveled dent rates
distances, or higher degree of carefulness of female drivers in • Effects of public transportation accidents (especially taxi ac-
the low-income region. Observations of the data collection team cidents) on male accident rates, considering that most public
ascertained to a high degree extra carefulness of female drivers, transportation drivers are males
especially in the low-income region. One form of female care-
fulness may be demonstrated by driving at lower speeds. Car Female participation in various social and economic sectors
ownership and travel distance were less likely to be the primary of the society can be observed through several indicators. Profes-
reasons of lower rates. Accident rates were calculated per driver sional participation was observed through the share of each sex
of each sex, which offsets for the effect of car ownership. Travel in various societies and syndicates. Necessary data for the same
distances of female drivers were indeed less, yet they did not period of analysis were acquired from the Department of Statis-
change the observed trends in accident rates as will be shown in tics (1999a, 1999b, 2001), Ministry of Higher Education (1999–
the next section. Unreported accidents were very unlikely since 2000), and Ministry of Planning (1993–1997). Male-to-female
this would have resulted in losing insurance compensation paid participation ratios were calculated. Similar calculations were
to all the parties involved in an accident. performed for education and employment participation based
Regional rates verified again the conclusion of higher male on Ministry of Higher Education (1999–2000) records. Female
rates. This was observed in all regions with an average of more moderate political participation was also observed. Results are
than four times higher (4.60 times). Statistical testing between summarized in Table III.
the two sexes indicates significant difference at the 5% level. In the huge sector of education, female participation was al-
This implies that the higher trend of male accidents is not asso- most identical to that of males. Knowing that about 29% of
ciated with a specific period of time. This conclusion, however, the country’s population is students at one stage or another, one
is analogous to several previous studies. Higher rate of male could conceive the significant role that the educational sector has
involvement with accidents has also been demonstrated in sev- in shaping movement pattern and size, in which female partici-
eral previous studies, including Anderson et al. (1999), Passman pation is equivalent to male. Equivalent participation of the two
et al. (2001), Durkin et al. (1998), Grime (1987), Jonah (1997), genders was also observed in charitable societies. On the other
and Stamatiadis and Deacon (1995). hand, large differences were observed in employment and pro-
fessional syndicates participation except for pharmacists. An-
other exception was observed in nurses where female participa-
Social and Economic Participation tion was much higher.
Female participation in political positions is minimal, but this
Perhaps it is not unreasonable to suspect that the expected should not bear great influence on movement size. The overall
higher male participation in various social and economic ac- average participation ratio indicates that male participation was
tivities is responsible for having higher accident rates, since almost three times female participation (2.98 times). The aver-
such participation would imply higher degrees of movement and age participation ratio drops to 2.4 if political participation is
travel. Therefore, it is necessary to investigate the influence of excluded from the overall average. The latter average more re-
this factor before making any judgment with respect to gender alistically depicts mobility pattern and size. However, one may
role in road accidents. In this regard, the following issues are argue that movement patterns are not depicted only by social
addressed: and economic participation, but by many other factors. This is
true, but other factors’ effects will not eliminate the role of so-
• The role of female participation in various sectors of the cial and economic participation in shaping mobility. Another
society point of interest that should be considered in the discussion is
68 A. H. AL-BALBISSI
Table III Social and economic participation by gender Table IV Adjusted annual accident rates for traveled distance
Table V Adjusted annual accident rates for traveled distance and public transportation accidents
Male Female
Accident rate
No. of Accident rate No. of Accident rate male-to-female
Year accidents (Accidents per 1,000 drivers) accidents (Accidents per 1,000 drivers) ratio
• A reversed trend, that is, higher female accident rates, is ob- proven. Further studies investigating these alternative expla-
served in difficult driving conditions (rainy and inadequate nations are recommended.
night lighting conditions) indicating that more careful driving • In moderate driving conditions (wet conditions), male and
by males can reduce accident rates. Higher female accident female accident rate differences are small.
rates, however, are not a strange conclusion. In his study, Ore • Statistical testing of the results at the 5% significance level
(1998) has shown analogous results. reveals that rate differences are significant only under normal
• In extremely difficult driving conditions (foggy, snowy, icy, conditions of driving (i.e., clear, dry, daytime, and adequate
sandy, and dark conditions) female accident rates drop to zero. night lighting conditions). Significant differences between the
This could be an indication of extremely cautious driving by two sexes has also been observed in Jones’s (1997) study.
females or that females may not choose to drive at all in ad- Contrary to that are the Hung et al. (1991), Nadler et al.
verse conditions. There is not enough evidence to support (2001), Peterson et al. (1995), and Lowenstein and Koziol-
one explanation more than the other. Either case represents McLain (2001) studies where insignificant differences have
a consequence of different behavior. This difference in be- been observed.
havior had resulted in lower female accident rates in normal
environmental conditions and higher female rates in adverse It would have been very useful to apply multivariant methods
conditions as was illustrated in the previous observation (with to control for factors and to allow the magnitude of the effects
the exception for environmental conditions with zero accident of the variables to be estimated. However, this application was
rates). Another possible explanation for the high female rates not feasible. Investigation of data indicated that sorting provided
in adverse conditions may be related to generally lower driv- information to fit multivariant analysis would reduce the num-
ing skill among female drivers. Nevertheless, this has to be ber of observations in many cells to limits that would not be
statistically acceptable in addition to numerous cells with zero Variations among age groups are statistically evaluated at
observations. It is recommended that future studies should con- the 5% significance level. Evaluations indicate that male and
sider this point and should be provided with adequate manpower female accident rate differences are significant only among age
and financial resources to allow for a very large database to in- groups less than 50 years. In older age groups, differences are
clude several years. not significant.
A general conclusion that can be drawn from this analysis
is the emphasis of higher male accident rates reflecting a lesser Analysis of Driver Faults
degree of caution in males driving under normal conditions.
It is necessary to identify why male accident rates are higher.
Effect of Driver Age Analysis of driver faults will lead to identification of errors that
are mainly responsible for rate differences, and for errors that
Further analysis was carried out to investigate driver age cor- contribute substantially to accidents. In this context, 16 major
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relation with accident trend. This correlation had been the focus driver faults, as listed in Table VIII, were analyzed. Faults were
of several previous studies as indicated above. These include categorized into five groups: priority violation, critical regula-
Anderson et al. (1999), Baker et al. (2000), Chang et al. (1996), tory sign violation, incorrect movement, hasty behavior, and
Durkin et al. (1998), Kulanthayan et al. (2000), Passman et al. lawbreaking action. Within each group, several fault types, as
(2001), and Stamatiadis and Deacon (1995). In the present study, illustrated in Table VIII, were included. All faults were related
drivers were categorized into five age groups as shown in Table mainly to drivers’ behaviors and attitudes. However, each group
VII. Accident rates and ratios were prepared for the two sexes or fault may be correlated more to a specific attitude than oth-
for all age categories. The results confirm higher male accident ers. Many researchers have noted considerable differences in
rates in all age groups. The ratios, however, vary from the lowest attitudes and behaviors between the two sexes. Storie (1977),
value of 2.96 associated with the age group 51–65 years to the Osberg and Stiles (2000), Dejoy (1992), Chang et al. (1996),
highest value of 3.85 associated with the age group 18–25 years. Baker et al. (2000), and Anderson et al. (1999) all observed
This indicates larger differences among youths and decreasing variations in behavior due to gender difference.
differences among middle-aged and older groups. Highest acci- In this study, the occurrence of faults in the first two groups
dent rates in both sexes were observed in age group 36–50 years, (priority violation and critical sign violation) are believed to
with a male-to-female ratio of 3.27 indicating decreased caution be related mainly to reduced degree of attention and less cau-
in driving in this age group in both sexes. This may be attributed tious driving. The two groups of incorrect movement and hasty
to overconfidence of this age group in their driving abilities. It behavior are believed to be associated with driver impatience.
cannot be attributed to reduced skill or attention since the age The lawbreaking action group is believed to be associated with
group older than 65 years, which is expected to have the most reckless and irresponsible attitude.
reduced skill and attention, had the lowest accident rates in both Average accident rates and ratios were prepared for each fault.
sexes emphasizing the notion of more careful driving. This con- Results are presented in Table VIII. High male rates were ob-
clusion, however, contradicts the Stamatiadis et al. study, which served particularly in violating stop sign, using incorrect lane,
revealed that older drivers are the least safe drivers and middle- violating yield sign, disregarding obligatory signs, and wrong
aged drivers are the safest. This contradiction may be attributed overtaking. An extremely high rate was found in the violation
to different social characteristics or driving habits between the of stop signs. Although this fault was also the highest in fe-
populations of the two studies. Nevertheless, both studies agreed male faults, the difference between the two sexes was very large
that younger drivers ranked second in terms of their safe driv- with the highest male-to-female ratio of 7.26. Using incorrect
ing categorization. Chang, Durkin, and Passman also shared the lane was the second highest rate among female drivers as well.
conclusion of high susceptibility of younger drivers to accidents. The male-to-female ratio was also high (3.91). Priority violation,
Male Female
Accident rate Accident rate Accident rate
Age group No. of (Accidents per No. of (Accidents per male-to-female
(years) accidents 1,000 drivers) accidents 1,000 drivers) ratio p-value Significancea
Male Female
Priority violation Pedestrian 29.33 5.61 8.33 1.62 3.46 .138 Not significant
Yield 45.33 8.71 13.33 2.56 3.40 .015 Significant
Rotary 9.0 1.73 1.33 0.25 6.92 .028 Significant
Critical regulatory sign Stop 280.0 53.34 38.67 7.35 7.26 .000 Significant
violation Obligatory 40.0 7.64 18.0 3.46 2.21 .320 Not significant
Wrong way 10.33 2.0 0.0 0.0 — .016 Significant
Incorrect movement Overtaking 36.33 6.96 0.0 0.0 — .026 Significant
Bending 14.0 2.67 7.0 1.34 1.99 .309 Not significant
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especially at rotary intersections, is among other faults that show A common characteristic that can be noted in all faults of
large differences between the two sexes. significant difference is the readiness of male drivers to take risks
An interesting observation is the nonexistence of danger- in situations where danger is not apparent. Remedy measures
ous faults among female drivers; that is, no lawbreaking faults, should therefore, be directed toward means that will influence
wrong way, or incorrect overtaking. This implies a more respon- male driver behavior and convince males to increase caution
sible attitude among female drivers. This attitude has also been in normal conditions. One way of doing that may be through
demonstrated in the Lowenstein et al. (1997), Osberg and Stiles an effective informational campaign through the media or other
(2000), and Kulanthayan et al. (2000) studies. available means.
To assess the significance of rate differences, statistical test-
ing at the 5% level was performed. The analyses indicate signif-
Analysis of Accident Results
icant differences in the following characteristics:
• observing yield sign, The effect of gender on accidents is evident not only in rate
• observing priority at rotary intersections, magnitude, but also in accident consequences. Rates for prop-
• adhering to stop sign, erty damage, injuries, and fatal accidents were prepared for both
• adhering to traffic direction in the road, gender types. Results are presented in Table IX. Analyses indi-
• performing proper overtaking, cate that male accidents are more harmful.
• using appropriate traffic lane, and Analogous results were shown in the Baker and Clarke (2001)
• driving under the influence of alcohol. and Osberg and Stiles (2000) studies, whereas opposite results
Male Female
were shown in the Evans (2001) and Ore (1998) studies. This CONCLUSIONS
variation, however, should not be viewed as contradictions be-
tween the studies. The Evans (2001) and Ore (1998) studies Analyses of the data reported in this study revealed a defi-
reflect the endurance and vulnerability of females under given nite trend of significantly higher accident rates for male drivers
conditions, whereas, the Baker and Clarke (2001) and Osberg compared with female drivers. A similar trend was obtained after
and Stiles (2000) studies (and the present study) reflect male accident rate adjustment to account for distance traveled by each
characteristics in the choice and acceptability of taking risks sex and for public transportation accidents. Accident rate anal-
that could cause serious harm. yses by region showed similar results. Rates, in general, were
Male-to-female accident rate ratios show a substantial incre- lower in the low-income region compared with the high-income
ment in male injury accidents over the less serious accidents of region. The analyses indicated that accident rate differences due
property damage (ratio increased from 3.16 in property damage to gender were significant only in normal driving conditions. In
accidents to 4.42 in injury accidents). Moreover female accident more complicated driving conditions, such as adverse weather
rates show a trend of reduction as accidents increase in degree or pavement surface conditions, rate differences with respect to
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of harm; that is, female accident rates decreased from 4.61 in gender were not significant. The study showed that drivers be-
property damage accidents to 4.15 accident per 103 drivers in in- tween 36 and 50 years old were the most affected by accidents.
jury accidents. In addition, fatal accidents were associated with Older age groups (above 50 years) had lower accident rates for
only male drivers. Statistical assessment of the differences at the both gender types.
5% level shows significant difference between male and female In a search for possible reasons causing the differences in
accident rates in all accident results. accident rates between the two sexes, particular driver faults
Table X Comparison between results of this study and those of previous studies
were found to be responsible for the majority of the differences. Evans, L. (2001) Female Compared with Male Fatality Risk from Similar Phys-
These are violation of stop sign, using incorrect lane, violating ical Impacts, J. Trauma, Vol. 50, pp. 281–288.
Grime, G. (1987) Handbook of Road Safety Research, Butterworth & Co. Ltd.,
yield sign, disregarding obligatory signs, and wrong overtak-
London.
ing. Reduced attention and driver impatience are believed to Hung, S., Giles, H., Moody, J. (1991) Information-Seeking Triggered by Age,
be the major contributors to the commitment of these faults. Int. J. Aging Hum. Dev., Vol. 33, pp. 269–277.
Furthermore, female drivers did not take risks to commit the Jonah, B. A. (1997) Sensation Seeking and Risky Driving: A Review and
serious lawbreaking faults. The study also revealed that males Synthesis of the Literature, Accid. Anal. Prev., Vol. 29, pp. 651–665.
Jones, B. (1997) Age, Gender and the Effectiveness of High-Threat Letters:
accidents were more harmful and dangerous with regard to their
An Analysis of Oregon’s Driver Improvement Advisory Letters, Accid. Anal.
consequences. Prev., Vol. 29, pp. 225–234.
The findings of this study are compatible with the current Kufera, J. A., Dischinger, P. C., Kerns, T. J., Ho, S. M. (2001) Comparative
literature. Several studies reached similar conclusions, whereas Analysis of Costs among Motor Vehicle Crashes in Maryland, U.S. Depart-
other studies had opposite or different conclusions. Some of the ment of Transportation–NHTSA 3rd Int. Conf. Proc., April, DOT HS 809225,
Baltimore, MD.
differences in results may be attributed to cultural and social
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Kulanthayan, S., Radin Umar, R. S., Ahmad Hariza, H., Mohd Nasir, M. T.,
variations. Comparison of the findings of this study with previ- Harwant, S. (2000) Compliance of Proper Safety Helmet Usage in Motorcy-
ous studies is summarized in Table X. clists, Med. J. Malaysia, Vol. 55, pp. 40–44.
Lowenstein, S. R., Koziol-McLain, J. (2001) Drugs and Traffic Crash Re-
sponsibility: A Study of Injured Motorists in Colorado, J. Trauma, Vol. 50,
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