Social integration and social support among older adults following driving cessation

Social integration and social support among older adults following driving cessation
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DOI:
10.1093/geronb/63.5.s298
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发表时间:
2008-09-01
影响因子:
6.2
通讯作者:
Rebok, George W.
Rebok, George W.
中科院分区:
医学1区
文献类型:
--
作者:
Mezuk, Briana;Rebok, George W.

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目标.本研究的目的是评估老年人停止驾驶对社会融合和感知支持的影响。数据来自基于人口的巴尔的摩流行病学流域研究。我们将分析限制在60岁以上有驾驶史的参与者(n = 398)。社会融合(接触的数量和频率)和感知的社会支持,从亲戚/朋友,驾驶状态(继续或停止),人口和健康特征进行了评估,在13年的采访间隔。使用公共交通的能力的潜在中介作用也进行了调查。我们使用重复测量随机截取模型来评估随着时间的推移,驾驶停止对社会网络特征的影响。前司机年龄较大,更有可能是女性和非白人,教育程度较低,自测健康状况较差,相对于继续驾驶的司机,简易精神状态检查分数较低。在随访期间,戒烟与朋友网络减少有关(比值比= 0.49)。p
Objectives. The objective of this study was to evaluate the impact of driving cessation on social integration and perceived Support from relatives and friends among older adults.Methods. Data came front the population-based Baltimore Epidemiologic Catchment Area Study. We restricted analyses to participants aged 60+ with a history of driving (n = 398). Social integration (number and frequency of contact) and perceived social support from relatives/friends, driving status (continuing or ceased), and demographic and health characteristics were assessed at interviews 13 years apart. The potential mediating role of ability to use public transit was also investigated. We used repeated measures random-intercept models to evaluate the effect of driving cessation on social network characteristics over time.Results. Former drivers were older, were more likely to be female and non-White, had lower education, had poorer self-rated health, and had lower Mini-Mental State Examination scores relative to continuing drivers. Over the follow-up period, cessation was associated with reduced network, of friends (odds ratio = 0.49. p