Biopsychosocial Risk Factors for Driving Cessation

Dugan, Elizabeth; Lee, Chae Man

doi:10.1177/0898264313503493

Cited by 40 publications

(24 citation statements)

References 42 publications

(47 reference statements)

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“…Older adults are more likely to experience health and functional impairments than their younger counterparts. These age-related declines can interfere with driving ability and lead to driving cessation (Dugan and Lee 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Research on Aging Drivers (LongROAD): study design and methods

Eby

Santos

et al. 2017

Inj. Epidemiol.

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BackgroundAs an important indicator of mobility, driving confers a host of social and health benefits to older adults. Despite the importance of safe mobility as the population ages, longitudinal data are lacking about the natural history and determinants of driving safety in older adults.MethodsThe Longitudinal Research on Aging Drivers (LongROAD) project is a multisite prospective cohort study designed to generate empirical data for understanding the role of medical, behavioral, environmental and technological factors in driving safety during the process of aging.ResultsA total of 2990 active drivers aged 65–79 years at baseline have been recruited through primary care clinics or health care systems in five study sites located in California, Colorado, Maryland, Michigan, and New York. Consented participants were assessed at baseline with standardized research protocols and instruments, including vehicle inspection, functional performance tests, and “brown-bag review” of medications. The primary vehicle of each participant was instrumented with a small data collection device that records detailed driving data whenever the vehicle is operating and detects when a participant is driving. Annual follow-up is being conducted for up to three years with a telephone questionnaire at 12 and 36 months and in-person assessment at 24 months. Medical records are reviewed annually to collect information on clinical diagnoses and healthcare utilization. Driving records, including crashes and violations, are collected annually from state motor vehicle departments. Pilot testing was conducted on 56 volunteers during March–May 2015. Recruitment and enrollment were completed between July 2015 and March 2017.ConclusionsResults of the LongROAD project will generate much-needed evidence for formulating public policy and developing intervention programs to maintain safe mobility while ensuring well-being for older adults.

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Section: Introductionmentioning

confidence: 99%

Longitudinal Research on Aging Drivers (LongROAD): study design and methods

Eby

Santos

et al. 2017

Inj. Epidemiol.

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“…Transportation mobility-frequently synonymous with driving in car-dependent Western societies-is often crucial for continued social participation and access to services (Fristedt, Dahl, Wretstrand, Björklund, & Falkmer, 2014). However, biopsychosocial factors in later life eventually contribute to a decision to reduce and cease driving (Dugan & Lee, 2014). This may pose difficulties for older adults wishing to remain engaged in social activities.…”

mentioning

confidence: 99%

“…However, existing studies exploring these associations understand driving narrowly and do not consider the importance of such mobility may vary by social activity type. First, older adults are a social group undergoing driving cessation (Dugan & Lee, 2014). Even reduced levels of driving, not captured in a driving versus not driving binary, may restrict older persons' social participation.…”

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confidence: 99%

Social Participation in Later Years: The Role of Driving Mobility

Pristavec

2016

GERONB

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“…Older age (10-12), being a woman (13), and non-Caucasian race (13) have consistently been found as predictors for reduced driving mobility. Visual impairment, specifically poorer contrast sensitivity (10; 14), visual acuity (14), and peripheral vision (14), has also been extensively investigated and is predictive of less driving mobility.…”

mentioning

confidence: 99%

“…Visual impairment, specifically poorer contrast sensitivity (10; 14), visual acuity (14), and peripheral vision (14), has also been extensively investigated and is predictive of less driving mobility. Persons who report diabetes, heart disease, or poorer health are also at greater risk for future driving mobility declines (9; 13; 15). Finally, worse cognitive performance, particularly with fluid process-based abilities such as speed of processing, divided attention, and executive function, is also associated with poorer driving mobility (7-9; 16; 17).…”

mentioning

confidence: 99%

Longitudinal Associations Between Changes in Physical Function and Driving Mobility Behaviors of Older Adults

Phillips

Sprague

Freed

et al. 2016

Transportation Research Record

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Objectives To examine time-varying correlations between multiple indices of physical function and driving mobility in older adults across five years. Design Longitudinal Participants Older drivers aged 65-91 (M = 73.6 ± 5.78) who were randomly assigned to the no-contact control arm of the Advanced Cognitive Training for Independent and Vital Elderly study (N = 598). Measurements The driving mobility outcomes were self-reported driving space, driving exposure, driving frequency, and weekly mileage assessed at baseline, and first, second, third, and fifth follow-up visits. Physical functioning measures included grip strength, the Turn360 test, and self-reported physical function. Multilevel models examined relationships between changes in physical functioning and driving mobility outcomes over five years. Results Driving space and driving frequency decreased over time, especially for older individuals. Changes in physical function were positively related to changes in driving mobility after controlling for demographics, attrition, baseline cognitive function and visual acuity, and changes in general health. Patterns of associations varied depending on the specific physical function measure and mobility outcome. Conclusions The findings highlight the time-varying nature of the relationships between physical functioning and driving mobility. Further research is needed to fully understand dynamic associations between driving mobility and key components of mobility that vary over time.

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Biopsychosocial Risk Factors for Driving Cessation

Abstract: Older age, female gender, and minority race were risk factors for current and future cessation. Adults with arthritis were more likely to keep driving compared with those without arthritis.

Cited by 40 publications

References 42 publications

Longitudinal Research on Aging Drivers (LongROAD): study design and methods

Longitudinal Research on Aging Drivers (LongROAD): study design and methods

Social Participation in Later Years: The Role of Driving Mobility

Longitudinal Associations Between Changes in Physical Function and Driving Mobility Behaviors of Older Adults

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