Consequences of Driving Cessation: Decreased Out-of-Home Activity Levels

Abstract

The potential consequences of driving limitations or cessation should be taken into account when advising older drivers and developing alternative transportation strategies to help maintain their mobility.

Continuity and Change in Older Adults’ Out-of-Home Mobility Over Ten Years: A Qualitative-Quantitative Approach

“…The results of the follow-up assessments also correspond with the welldocumented risk of declining health and movability with advancing age (Fozard & Gordon-Salant, 2001;Heikkinen et al, 1997;Ketcham & Stelmach, 2001;Spirduso, 1995), conditions that lead to decreasing out-of-home mobility (CERTU, 2001;Marottoli et al, 2000;OECD, 2001;O'Neill & Dobbs, 2004). Study participants reported decreasing mobility and activities in all related domains.…”

Bus use in a developing world city: Implications for the health and well-being of older passengers

“…Some studies show that poor transport use can be linked to a reduced health status (Marottoli et al, 2000;Ragland et al, 2005), and this may be worse in developing countries where transport problems are a barrier to older peoples' access to basic social services and participation in local activities (Help the Age International, 2002). Of the transport modes available to older people, public transport, and particularly buses, is one of the most viable options, especially for those who cannot afford a car, or who have ceased driving a car.…”

“I Wish We Could Normalize Driving Health:” A Qualitative Study of Clinician Discussions with Older Drivers

“…The difficulty lies in balancing safety, mobility and independence: fatal crash rates per mile travelled increase after age 75, 1 but premature driving cessation is associated with morbidity and early mortality. [2][3][4][5][6][7][8][9][10] Thus, the challenge is to understand how and when to identify at-risk older drivers without limiting the mobility of those who are safe. [10][11][12][13] Efforts to keep older drivers safe but mobile 10,14,15 are complicated, because cognitive, physical and sensory impairments, and their treatments, can affect driving.…”