Driving Cessation and Health Outcomes in Older Adults

Chihuri, Stanford; Mielenz, Thelma J.; DiMaggio, Charles; Betz, Marian E.; DiGuiseppi, Carolyn; Jones, Vanya; Li, Guohua

doi:10.1111/jgs.13931

Cited by 375 publications

(263 citation statements)

References 39 publications

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“…For some, this may necessitate that they stop driving, either immediately or in the longer term. This is associated with its own morbidity, including greater depression [8,9,10,11,12], poorer health [9,13], and lower community engagement [14,15]. For others, however, their driving skills may be relatively unaffected and they may be able to continue driving indefinitely.…”

Section: Introductionmentioning

confidence: 99%

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Connors

Ames

Woodward

et al. 2017

Dement Geriatr Cogn Disord

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Background/Aims: Driving cessation is associated with significant morbidity in older people. People with mild cognitive impairment (MCI) may be at particular risk of this. Very little research has examined driving in this population. Given this, we sought to identify predictors of driving cessation in people with MCI. Methods: One hundred and eighty-five people with MCI were recruited from 9 memory clinics around Australia. People with MCI and their carers reported their driving status and completed measures of cognition, function, neuropsychiatric symptoms, and medication use at regular intervals over a 3-year period. Results: Of the 144 people still driving at baseline, 50 (27.0%) stopped driving during the study. Older age, greater cognitive and functional impairment, and greater decline in cognition and function at 6 months predicted subsequent driving cessation. Twenty-nine of the 50 people (58%) who stopped driving were diagnosed with dementia during the study; all except one of whom ceased driving after their dementia diagnosis. Conclusion: A significant proportion of people diagnosed with MCI stop driving over the following 3 years. This cannot be entirely attributed to developing dementia. Easily assessable characteristics - such as age, cognition, and function - and changes in these measures over 6 months predict driving cessation.

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Section: Introductionmentioning

confidence: 99%

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Connors

Ames

Woodward

et al. 2017

Dement Geriatr Cogn Disord

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“…Segundo estudo internacional (18) , os problemas de saúde são as razões mais comuns para o idoso parar de dirigir, seguidos por conselhos médicos, acidentes de trânsito, intervenções familiares ou influência de algumas variáveis, como a idade.…”

Section: Discussionunclassified

Características Dos Idosos Submetidos Aos Exames Para a Carteira De Habilitação Veicular

Lenardt

Carneiro

Binotto³

et al. 2017

Cogitare Enferm.

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RESUMO: Trata-se de estudo quantitativo descritivo retrospectivo, cujo objetivo foi rastrear as características dos idosos que realizam o exame de aptidão física e mental para a carteira nacional de habilitação veicular. Coletaram-se dados em 1023 formulários de idosos com idade ≥ 60 anos em uma clínica de medicina do tráfego na cidade de Curitiba-PR. Houve predomínio de homens (n=713; 69,7%), idade entre 60 e 64,9 anos (n=418; 40,9%), uso de medicamentos (n=621; 60,7%), sobrepeso (n=419; 41%) e acuidade visual diminuída (n=573; 56%). Quanto à aptidão para dirigir, 216 (21,1%) foram considerados aptos; 803 (78,5%) aptos com restrição e quatro (0,4%) inaptos temporários. A maioria dos idosos motoristas é idoso-jovem, do sexo masculino e que possui restrição para dirigir pelo uso de lentes oculares. Os resultados fornecem subsídios para o avanço da temática em estudos que têm por objetivo aprimorar as avaliações dos idosos e, consequentemente, contribuir para um trânsito mais seguro. DESCRITORES: Idoso; Exame para Habilitação de Motoristas; Condução de Veículo; Enfermagem Geriátrica. CARACTERÍSTICAS DOS IDOSOS SUBMETIDOS AOS EXAMES CHARACTERISTICS OF ELDERLY SUBMITTED TO DRIVER LICENSE TESTSABSTRACT: A quantitative, descriptive and retrospective study was undertaken to screen for the characteristics of elderly people who took the physical and mental aptitude test to get the Brazilian driver license. Data were collected from 1023 forms of elderly aged ≥ 60 years at a clinic for traffic medicine in Curitiba-PR. The predominant characteristics were men (n=713; 69.7%), between 60 and 64.9 years of age (n=418; 40.9%), medicine use (n=621; 60.7%), overweight (n=419; 41%) and reduced visual acuity (n=573; 56%). As regards the aptitude to drive, 216 (21.1%) were considered apt; 803 (78.5%) apt with restriction and four (0.4%) temporarily inapt. Most elderly drivers are young elderly, male with restriction to drive due to the use of corrective lenses. The results offer support to advance on the theme in studies intended to improve the elderly's assessments and, consequently, contribute to safer traffic. DESCRIPTORS: Aged; Automobile Driver Examination; Automobile Driving; Geriatric Nursing. CARACTERÍSTICAS DOS IDOSOS SUBMETIDOS AOS EXAMES PARA A CARTEIRA DE HABILITAÇÃO VEICULARRESUMEN: Se trata de estudio cuantitativa descriptivo retrospectivo con objeto de rastrear las características de los ancianos que realizan el examen de aptitud física y mental para la conducción de vehículos. Fueron recolectados datos en 1023 formularios de ancianos con edad ≥ 60 años en una clínica de medicina del tránsito en la ciudad de Curitiba-PR. Predominaron hombres (n=713; 69,7%), edad entre 60 y 64,9 años (n=418; 40,9%), uso de medicamentos (n=621; 60,7%), sobrepeso (n=419; 41%) y acuidad visual disminuida (n=573; 56%). Respecto a la aptitud para dirigir, 216 (21,1%) fueron considerados aptos; 803 (78,5%) aptos con restricción y cuatro (0,4%) inaptos temporarios. La mayoría de los ancianos motoristas es anciano-joven, del sexo masculino y...

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“…This change in driving status often causes reduced out-ofhome activities and independence (White et al 2016). It is well documented that stopping driving has serious health consequences, such as an increase in depressive symptoms (Chihuri et al 2016). Declines occur not only in mental health but also in social and physical health (White et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Research on Aging Drivers (Longroad): Study Design and Methods

2017

Innovation in Aging

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Background: As 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. Methods: The 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. Results: A 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

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Driving Cessation and Health Outcomes in Older Adults

Cited by 375 publications

References 39 publications

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Características Dos Idosos Submetidos Aos Exames Para a Carteira De Habilitação Veicular

Longitudinal Research on Aging Drivers (Longroad): Study Design and Methods

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