The Impact of Transportation Support on Driving Cessation Among Community-Dwelling Older Adults
The Impact of Transportation Support on Driving Cessation Among Community-Dwelling Older Adults
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DOI：
10.1093/geronb/gbs035
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发表时间：
2012-05-01
影响因子：
6.2
通讯作者：
Kahana, Eva
中科院分区：
文献类型：
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作者：
Choi, Moon;Adams, Kathryn Betts;Kahana, Eva
本研究纵向考察了交通支持对退休社区居住的老年人停止驾驶的影响。数据来自佛罗里达退休研究（1990-1992）的三次浪潮，这是一项基于人群的队列研究。分析仅限于基线驾驶的参与者，并于1992年再次接受采访（N = 636）。包括配偶、家庭成员、朋友/邻居、机构/组织（如教会）或雇佣助手的交通费。在控制人口统计学和健康特征的同时，估计离散时间多变量风险模型来检查交通支持对驾驶停止的影响。与那些很少或没有得到支持的人相比，如果参与者至少从朋友/邻居那里得到一些交通支持，他们更有可能停止驾驶（风险比= 2.49,p = .001）。来自组织/机构或雇佣助手的交通支持也与戒烟的可能性显着相关，但只有少数参与者报告得到了这种支持。从配偶或家庭成员那里得到一些或更多的交通支持与停止驾驶没有统计学上的显著关系。研究结果表明，可获得的非亲属交通支持，特别是来自同龄人朋友的支持，在推动生活在退休社区的老年人戒烟方面起着重要作用。
This study longitudinally examines the impact of transportation support on driving cessation among community-dwelling older adults residing in retirement communities.Data came from 3 waves of the Florida Retirement Study (1990-1992), a population-based cohort study. Analysis was limited to participants who drove at baseline and were reinterviewed in 1992 (N = 636). Transportation support from a spouse, family members, friends/neighbors, agencies/organizations (e.g., church), or hired assistants was included. Discrete-time multivariate hazard models were estimated to examine the impact of transportation support on driving cessation while controlling for demographic and health characteristics.Participants were more likely to stop driving if they had received at least some transportation support from friends/neighbors (Hazard Ratio = 2.49, p = .001) as compared with those with little or no support. Transportation support from organizations/agencies or hired assistants was also significantly associated with the likelihood of driving cessation, but only a small number of participants reported to have received such support. Receiving some or more transportation support from a spouse or family members did not have a statistically significant relationship with driving cessation.The findings suggest that available nonkin transportation support, particularly support from peer friends, plays an important role in driving cessation for older adults living in retirement communities.