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. 2023 Jan-Mar;37(1):13-19.
doi: 10.1097/WAD.0000000000000541. Epub 2023 Jan 18.

Predictors of Driving Cessation in Older Adults: A 12-year Population-based Study

Isabella Wood  1 , Tejal Bhojak  1 , Yichen Jia  2 , Erin Jacobsen  1 , Beth E Snitz  3 , Chung-Chou H Chang  4   2 , Mary Ganguli  1   3   5
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Predictors of Driving Cessation in Older Adults: A 12-year Population-based Study

Isabella Wood et al. Alzheimer Dis Assoc Disord. 2023 Jan-Mar.

Abstract

Background: Changes in physical health and cognition during aging can result in some older adults to stop driving. In this population-based longitudinal study, we describe potential predictors of driving cessation in older adults.

Methods: Age-stratified random population cohort of 1982 adults aged 65 years and older drawn from voter registration lists. Participant characteristics were measured using demographics, physical and self-rated health, sleeping habits, driving status, cognitive screening, modified Center for Epidemiologic Studies-Depression scale, clinical dementia rating, and mini-mental state examination.

Results: Over 12 years of follow-up, 390 participants stopped driving. These individuals were older, more likely to be women and to have a clinical dementia rating score ≥1, had worse self-reported health, and more symptoms of depression, compared with those who were still driving. In addition, individuals with lower test performance in all cognitive domains, loss of visual acuity and fields, and bilateral hearing loss were more likely to stop driving.

Conclusions: Age, sex, cognitive impairments, physical health, and depressive symptoms were associated with driving cessation in this cohort. By identifying potential driving cessation predictors, health care providers and families may better recognize these risk factors and begin the driving cessation discussion early.

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Conflict of interest statement

M.G., B.E.S., and E.J. report grants from National Institute on Aging during the conduct of the study. C.-C.H.C. reports grants from NIH during the conduct of the study. The remaining authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Driving status by annual study cycle
Figure 2.
Figure 2.
Percentages for each reason for driving cessation over the entire course of the study
See this image and copyright information in PMC

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References

    1. Anstey KJ, Wood J, Lord S, et al. Cognitive, sensory and physical factors enabling driving safety in older adults. Clin Psychol Rev. Jan 2005;25(1):45–65. doi:10.1016/j.cpr.2004.07.008 - DOI - PubMed
    1. Ball K, Rebok G. Evaluating the Driving Ability of Older Adults. Journal of Applied Gerontology. 1994;13(1):20–38. doi:10.1177/073346489401300103 - DOI
    1. Yu J, Kahana E, Kahana B, et al. Driving Cessation in Old Age: Gender Influences on Mortality. J Aging Health. Aug-Sep 2021;33(7–8):447–457. doi:10.1177/0898264321991254 - DOI - PubMed
    1. Ragland DR, Satariano WA, MacLeod KE. Driving cessation and increased depressive symptoms. J Gerontol A Biol Sci Med Sci. Mar 2005;60(3):399–403. doi:10.1093/gerona/60.3.399 - DOI - PubMed
    1. Windsor TD, Anstey KJ, Butterworth P, et al. The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. Gerontologist. Apr 2007;47(2):215–23. doi:10.1093/geront/47.2.215 - DOI - PubMed

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