Literature DB >> 18032909

To continue, modify or relinquish driving: findings from a longitudinal study of healthy ageing.

Carolyn A Unsworth1, Yvonne Wells, Colette Browning, Shane A Thomas, Hal Kendig.   

Abstract

BACKGROUND: The number and proportion of drivers among people entering later life continues to rise. More information on patterns of driving for older adults is required to improve service provision and traffic planning.
OBJECTIVES: To map the changes in driving status for a sample of drivers aged 65 years or older over the period 1994-2000, and to identify factors associated with older people continuing, modifying or relinquishing their status as drivers.
METHODS: The 752 participants were drawn from the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA) program, a longitudinal study of people aged 65 years and older living in the community. Participants were interviewed or contacted for follow-up in 1994, 1996, 1998 and 2000 on a range of topics including their health, functional independence and driving status.
RESULTS: Although the number of recent drivers was smaller as participants died or were admitted to nursing homes over the 6-year data collection period, relatively few participants relinquished driving while remaining in the community. Many drivers reported modifying their driving habits over time, including decisions to restrict their driving to their local area during daylight only. Relationships were explored between driving status and the key variables of age, gender, marital status, instrumental activities of daily living (IADL) independence and self-rated measures of income, health, eyesight and hearing. Multivariate analyses indicated that drivers were more likely to modify their driving habits if they were older, dependent in IADL, and rated their eyesight as poor. Similar factors predicted relinquishing driving, but in addition, women were three times more likely to relinquish driving than men (even when health and disability were taken into account) and people who rated their incomes as 'comfortable' were more likely to relinquish driving than those with lower incomes.
CONCLUSIONS: This study confirmed previous evidence that older drivers self-regulate by modifying their driving behavior as they age. However, since few drivers voluntarily relinquish driving, further research is required to identify ways of supporting older drivers to continue to drive safely. Copyright 2007 S. Karger AG, Basel.

Entities:  

Mesh:

Year:  2007        PMID: 18032909     DOI: 10.1159/000111489

Source DB:  PubMed          Journal:  Gerontology        ISSN: 0304-324X            Impact factor:   5.140


  13 in total

1.  Cohort profile: The Dynamic Analyses to Optimize Ageing (DYNOPTA) project.

Authors:  Kaarin J Anstey; Julie E Byles; Mary A Luszcz; Paul Mitchell; David Steel; Heather Booth; Colette Browning; Peter Butterworth; Robert G Cumming; Judith Healy; Timothy D Windsor; Lesley Ross; Lauren Bartsch; Richard A Burns; Kim Kiely; Carole L Birrell; Gerald A Broe; Jonathan Shaw; Hal Kendig
Journal:  Int J Epidemiol       Date:  2009-01-17       Impact factor: 7.196

2.  Mandatory Physician Reporting of At-Risk Drivers: The Older Driver Example.

Authors:  Yll Agimi; Steven M Albert; Ada O Youk; Patricia I Documet; Claudia A Steiner
Journal:  Gerontologist       Date:  2018-05-08

3.  [Mild dementia and driving ability. Part 1: Fundamentals].

Authors:  D K Wolter
Journal:  Z Gerontol Geriatr       Date:  2014-04       Impact factor: 1.281

4.  Alzheimer Disease Biomarkers and Driving in Clinically Normal Older Adults: Role of Spatial Navigation Abilities.

Authors:  Samantha Allison; Ganesh M Babulal; Sarah H Stout; Peggy P Barco; David B Carr; Anne M Fagan; John C Morris; Catherine M Roe; Denise Head
Journal:  Alzheimer Dis Assoc Disord       Date:  2018 Apr-Jun       Impact factor: 2.703

5.  [Mild dementia and driving ability. Part 2: Assessment and its consequences in practice].

Authors:  D K Wolter
Journal:  Z Gerontol Geriatr       Date:  2014-06       Impact factor: 1.281

6.  Gender differences in adapting driving behavior to accommodate visual health limitations.

Authors:  Andrew J Sarkin; Steven R Tally; Jennalee S Wooldridge; Kyle Choi; Marian Shieh; Robert M Kaplan
Journal:  J Community Health       Date:  2013-12

7.  Driving self-regulation and ride service utilization in a multicommunity, multistate sample of U.S. older adults.

Authors:  Donna C Bird; Katherine Freund; Richard H Fortinsky; Loren Staplin; Bethany A West; Gwen Bergen; Jonathan Downs
Journal:  Traffic Inj Prev       Date:  2016-08-30       Impact factor: 1.491

8.  Poor sense of direction is associated with constricted driving space in older drivers.

Authors:  Kathleen A Turano; Beatriz Munoz; Shirin E Hassan; Donald D Duncan; Emily W Gower; Karen B Roche; Lisa Keay; Cynthia A Munro; Sheila K West
Journal:  J Gerontol B Psychol Sci Soc Sci       Date:  2009-04-09       Impact factor: 4.077

9.  [Dementia and driving].

Authors:  A Brunnauer; V Buschert; G Laux
Journal:  Nervenarzt       Date:  2014-07       Impact factor: 1.214

10.  The effects of demographics, functioning, and perceptions on the relationship between self-reported and objective measures of driving exposure and patterns among older adults.

Authors:  L J Molnar; D W Eby; J M Vivoda; S E Bogard; J S Zakraksek; R M St Louis; N Zanier; L H Ryan; D LeBlanc; J Smith; R Yung; L Nyquist; C DiGuiseppi; G Li; T J Mielenz; D Strogatz
Journal:  Transp Res Part F Traffic Psychol Behav       Date:  2018-03-15
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