Depressive Symptoms Among Older Adults Who Do Not Drive: Association With Mobility Resources and Perceived Transportation Barriers.
Depressive Symptoms Among Older Adults Who Do Not Drive: Association With Mobility Resources and Perceived Transportation Barriers.
复制标题
DOI：
10.1093/geront/gnu116
复制
发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
N. Choi;D. DiNitto
中科院分区：
文献类型：
--
作者：
N. Choi;D. DiNitto
研究目的：研究非驾驶老年人所依赖的替代移动方式及其对幸福感的影响。设计和方法数据来自2011年（T1，N = 6，680）和2012年（T2，N = 5，413）国家健康和老龄化趋势研究的访谈波，用于检查样本特征的驾驶状态，使用替代移动资源，以及前司机和非司机之间感知的交通相关障碍，以及它们与抑郁症状的关联。结果：大多数非司机依靠他们的非正式支持系统和/或支付援助，以推动他们的地方。大约一半的人报告步行/使用轮椅或踏板车。很大一部分从未开车的人也使用公共交通和货车/班车服务，而一小部分前司机使用这些服务。非司机谁走了运输抑郁症状较低，比那些谁没有走在T1或T2，和交通障碍的感知，以访问朋友/家人与较高的抑郁症状仅在T1。老年人的流动性需求应通过增加步行能力，公共和辅助交通，补充高级交通，并增加非正式的交通提供者的能力，以帮助老年人。
PURPOSE OF THE STUDY To examine alternative means of mobility that nondriving older adults rely on and their impact on well-being. DESIGN AND METHODS Data from the 2011 (T1, N = 6,680) and 2012 (T2, N = 5,413) interview waves of the National Health and Aging Trends Study were used to examine sample characteristics by driving status, use of alternative mobility resources, and perceived transportation-related barriers among ex-drivers and nondrivers, and their association with depressive symptoms. RESULTS A majority of nondrivers relied on their informal support system and/or paid assistance to drive them to places. About half reported walking/using a wheelchair or scooter. A significant proportion of never drivers also used public transportation and van/shuttle services, whereas a smaller proportion of ex-drivers used them. Nondrivers who walked for transport had lower depressive symptoms than those who did not walk at either T1 or T2, and perception of transportation barriers to visiting friends/family was associated with higher depressive symptoms at T1 only. IMPLICATIONS Older adults' mobility needs should be met through increasing walkability, public and paratransit transportation, supplemental senior transportation, and increasing informal caregivers-transportation providers' ability to aid older adults.