Driving cessation: What older former drivers tell us
Driving cessation: What older former drivers tell us
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DOI：
10.1046/j.1532-5415.2001.49087.x
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发表时间：
2001-04-01
影响因子：
6.3
通讯作者：
Barrett-Connor, E
中科院分区：
文献类型：
--
作者：
Dellinger, AM;Sehgal, M;Barrett-Connor, E
目的：为了了解为什么居住在社区环境中的老年驾驶员停止驾驶。设计：纵向队列中的横断面研究。设置：加州南部的一个地理定义的社区。参与者：1，950名年龄在55岁及以上的受访者，他们报告曾经是有执照的驾驶员。测量：与先前的人口统计学，健康和医疗信息相关的自我报告的驾驶习惯的邮寄调查工具。结果：在1，950名符合条件的受访者中，有141人在过去5年内停止驾驶。在停止治疗的患者中，平均年龄为85.5岁，65.2%为女性，大多数报告称他们的健康状况非常好（43.4%）或良好（34.0%）。近三分之二的人报告在停车前每周行驶不到50英里，12.1%的人报告在过去5年中发生过机动车碰撞。报告的最常见停药原因为医学（41.0%）和年龄相关（19.4%）。在双变量分析中，年龄和每周驾驶里程与戒烟相关（P <0.001）。在P小于或等于0.05的水平上，医疗状况、过去5年内发生的车祸和性别均未达到统计学显著性。Logistic回归分析结果发现，医疗条件的数量与驾驶abstract.CONCLUSION：医疗条件和驾驶之间的关系是复杂的，而医疗条件是最常见的原因给出的驾驶停止，那些停止了较少的医疗条件比目前的司机。这表明，对一般健康或功能能力的更广泛测量可能在停止驾驶的决定中起主导作用。
OBJECTIVES: To understand why older drivers living in a community setting stop driving.DESIGN: A cross-sectional study within a longitudinal cohort.SETTING: A geographically defined community in southern California.PARTICIPANTS: 1,950 respondents age 55 and older who reported ever being licensed drivers.MEASUREMENTS: A mailed survey instrument of self-reported driving habits linked to prior demographic, health, and medical information.RESULTS: Of the 1,950 eligible respondents, 141 had stopped driving within the previous 5 years. Among those who stopped, mean age was 85.5 years, 65.2% were female, and the majority reported they were in very good (43.4%) or good (34.0%) health. Nearly two-thirds reported driving less than 50 miles per week prior to stopping and 12.1% reported a motor vehicle crash during the previous 5 years. The most common reasons reported for stopping were medical (41.0%) and age-related (19.4%). In bivariate analyses, age and miles driven per week were each associated with cessation (P less than or equal to .001). Medical conditions, crashes in the previous 5 years, and gender did not reach statistical significance at the P less than or equal to .05 level. Logistic regression results found that the number of medical conditions was inversely associated with driving cessation.CONCLUSION: The relationship between medical conditions and driving is complex; while medical conditions were the most common reason given for driving cessation, those who stopped had fewer medical conditions than current drivers. This suggests that a broader measure of general health or functional ability may play a dominant role in decisions to stop driving.