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Driving status and risk of entry into long-term care in older adults

Author

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  • Freeman, E.E.
  • Gange, S.J.
  • Muñoz, B.
  • West, S.K.

Abstract

Objectives. Given the importance of driving in American society, older non-drivers may be unable to meet basic needs while living independently. We assessed whether not driving is an independent risk factor for entering long-term care (LTC) institutions. Methods. Data were used from 1593 older adults who participated in the Salisbury Eye Evaluation cohort study and completed an additional telephone survey. Questions on driving status and LTC entry were obtained by self/proxy report. Cox time-dependent regression procedures were used to adjust for demographic and health factors. Results. Former and never drivers had higher hazards of LTC entry after adjustment for demographic and health variables (hazard ratio [HR] = 4.85; 95% confidence interval [CI] = 3.26, 7.21; and HR = 3.53; 95% CI = 1.89, 6.58, respectively). Also, having no other drivers in the house was an independent risk factor for LTC entry (HR = 1.72; 95% CI = 1.15, 2.57). Discussion. Older adults are expected to make good decisions about when to stop driving, but the hardships imposed on older adults by not driving are not widely recognized. Innovative strategies to improve transportation options for older adults should be considered.

Suggested Citation

  • Freeman, E.E. & Gange, S.J. & Muñoz, B. & West, S.K., 2006. "Driving status and risk of entry into long-term care in older adults," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1254-1259.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.069146_1
    DOI: 10.2105/AJPH.2005.069146
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    Cited by:

    1. Hansen, Stine & Newbold, K. Bruce & Scott, Darren M. & Vrkljan, Brenda & Grenier, Amanda, 2020. "To drive or not to drive: Driving cessation amongst older adults in rural and small towns in Canada," Journal of Transport Geography, Elsevier, vol. 86(C).
    2. Asbridge, Mark & Desapriya, Ediriweera & Ogilvie, Rachel & Cartwright, Jenny & Mehrnoush, Vahid & Ishikawa, Takuro & Nuwan Weerasinghe, Dinesh, 2017. "The impact of restricted driver’s licenses on crash risk for older drivers: A systematic review," Transportation Research Part A: Policy and Practice, Elsevier, vol. 97(C), pages 137-145.
    3. Spinney, Jamie E.L. & Newbold, K. Bruce & Scott, Darren M. & Vrkljan, Brenda & Grenier, Amanda, 2020. "The impact of driving status on out-of-home and social activity engagement among older Canadians," Journal of Transport Geography, Elsevier, vol. 85(C).
    4. Stefania Balzarotti & Eleonora Pagani & Ilaria Telazzi & Martina Gnerre & Federica Biassoni, 2022. "Driving-Related Cognitive Abilities: Evaluating Change over Time in a Sample of Older Adults Undergoing an Assessment Regarding Fitness to Drive," IJERPH, MDPI, vol. 19(19), pages 1-13, October.
    5. Masao Ichikawa & Shinji Nakahara & Hideto Takahashi, 2016. "The impact of transportation alternatives on the decision to cease driving by older adults in Japan," Transportation, Springer, vol. 43(3), pages 443-453, May.

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