An examination of the environmental, driver and vehicle factors associated with the serious and fatal crashes of older rural drivers

► We examine the factors involved in the crashes of rural and urban older drivers. ► Those factors more common for rural older drivers lead to higher injury severity. ► Logistic regression was used to predict serious and fatal injury to older drivers. ► Several environmental factors independently predicted serious and fatal injury. ► Means to make the rural driving environment safer for older drivers are indicated.