Driving Habits of Older Adults: A Population-based Study.
Driving Habits of Older Adults: A Population-based Study.
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DOI：
10.1097/wad.0000000000000443
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发表时间：
2021-07-01
影响因子：
2.1
通讯作者：
Ganguli M
中科院分区：
文献类型：
--
作者：
Bhojak T;Jia Y;Jacobsen E;Snitz BE;Chang CH;Ganguli M
在一项基于人群的调查中，描述与1982名老年人的驾驶史、习惯和自我报告的驾驶困难相关的因素。从公开的选民登记名单中抽取的社区分层随机人口样本。参与者进行了评估，包括认知测试和自我报告的当前和过去的驾驶状态，日常生活的工具活动，自我评价的健康，社会支持，身体限制和抑郁症状。我们建立了多变量逻辑回归模型，以确定与从未驾驶，停止驾驶和驾驶时报告困难相关的因素。在多变量模型中，“从不开车”的人比“曾经开车”的人更有可能是老年人、女性、受教育程度较低的人，而且离家的频率也较低。前司机年龄明显较大，更有可能是女性，在注意力认知领域的测试表现较低，有更多的日常生活活动（IADL）困难，离开家的频率较低，右眼视野缺损。目前有驾驶困难的驾驶员比那些没有困难的驾驶员更有可能在注意力方面的测试表现较低，但记忆力较高，更有可能报告抑郁症状，并有视力和听力损失。年龄、女性、婚姻状况和教育程度似乎与停止驾驶有关。认知和功能障碍，情绪症状和身体健康似乎也会影响驾驶停止和减少。我们的研究结果可能对临床医生在评估和教育他们的病人和家庭驾驶安全方面产生影响。
To describe factors associated with driving history, habits, and self-reported driving difficulties of 1982 older adults in a population-based survey. Community Age-stratified random population sample drawn from publicly available voter registration list. Participants underwent assessments including cognitive testing and self-reported current and past driving status, instrumental activities of daily living, self-rated health, social supports, physical limitations, and depressive symptoms. We built multivariable logistic regression models to identify factors associated with never having driven, having ceased driving, and reporting difficulties while driving. In the multivariable model, “never drivers” were more likely than “ever drivers” to be older, female, less educated and to leave home less frequently. Former drivers were significantly older, more likely to be women, have lower test performance in the cognitive domain of attention, have more Instrumental Activities of Daily Living (IADL) difficulties, leave home less frequently and have visual field deficits in the right eye than current drivers. Current drivers with reported driving difficulties were more likely than those without difficulties to have lower test performance in attention but higher in memory, were more likely to report depressive symptoms and to have both vision and hearing loss. Age, female sex, marital status, and education appear to be associated with driving cessation. Cognitive and functional impairments, mood symptoms and physical health also seem to influence driving cessation and reduction. Our findings may have implications for clinicians in assessing and educating their patients and families on driving safety.