Driving status and risk of entry into long-term care in older adults
Driving status and risk of entry into long-term care in older adults
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DOI：
10.2105/ajph.2005.069146
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发表时间：
2006-07-01
影响因子：
12.7
通讯作者：
West, Sheila K.
中科院分区：
文献类型：
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作者：
Freeman, Ellen E.;Gange, Stephen J.;West, Sheila K.
目标.考虑到驾驶在美国社会的重要性，老年人在独立生活时可能无法满足基本需求。我们评估了不开车是否是进入长期护理（LTC）机构的独立风险因素。数据来自1593名老年人，他们参加了索尔兹伯里眼科评估队列研究，并完成了额外的电话调查。通过自我/代理报告获得有关驾驶状态和LTC条目的问题。采用考克斯时间依赖回归程序校正人口统计学和健康因素。在调整人口统计学和健康变量后，前驾驶员和从未驾驶员进入LTC的风险较高（风险比[HR] = 4.85; 95%置信区间[CI] = 3.26，7.21; HR = 3.53; 95% CI = 1.89，6.58）。此外，家中没有其他司机是进入LTC的独立风险因素（HR = 1.72; 95%CI = 1.15，2.57）。老年人应该在何时停止驾驶方面做出正确的决定，但不开车给老年人带来的困难并没有得到广泛的认可。应考虑采取创新战略，改善老年人的交通选择。
Objectives. Given the importance of driving in American society, older nondrivers may be unable to meet basic needs while living independently. We assessed whether not driving is an independent risk factor for entering long-term care (LTC) institutions.Methods. Data were used from 1593 older adults who participated in the Salisbury Eye Evaluation cohort study and completed an additional telephone survey. Questions on driving status and LTC entry were obtained by self/proxy report. Cox time-dependent regression procedures were used to adjust for demographic and health factors.Results. Former and never drivers had higher hazards of LTC entry after adjustment for demographic and health variables (hazard ratio [HR] = 4.85; 95% confidence interval [CI] = 3.26, 7.21; and HR = 3.53; 95% CI = 1.89, 6.58, respectively). Also, having no other drivers in the house was an independent risk factor for LTC entry (HR = 1.72; 95% CI = 1.15, 2.57).Discussion. Older adults are expected to make good decisions about when to stop driving, but the hardships imposed on older adults by not driving are not widely recognized. Innovative strategies to improve transportation options for older adults should be considered.