Consequences of driving cessation: Decreased out-of-home activity levels
Consequences of driving cessation: Decreased out-of-home activity levels
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DOI：
10.1093/geronb/55.6.s334
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发表时间：
2000-11-01
影响因子：
6.2
通讯作者：
Berkman, LF
中科院分区：
文献类型：
--
作者：
Marottoli, RA;de Leon, CFM;Berkman, LF
目标。年龄增长、社会经济因素、功能和健康状况下降都与停止驾驶有关，但人们对停止驾驶的后果知之甚少。本研究的目的是验证一个假设，即停止开车会导致户外活动水平的下降。1989年，对纽黑文老年人流行病学研究建立人群（EPESE）队列中幸存的非机构成员进行了驾驶实践调查。在1316名受访者中，截至1988年，502名是在职司机，92名在1982年至1987年期间停止驾驶，722名在1982年之前从未驾驶或停止驾驶。有关社会人口统计和健康相关变量的信息来自1982年、1985年和1988年的家庭EPESE访谈，以及每年的电话访谈。在所有三次家庭访谈中都测量了活动，并根据自我报告的九次户外活动的参与情况创建了活动测量。在控制潜在混杂因素的情况下，使用重复测量随机效应模型来测试停止驾驶对活动的影响。在调整社会人口统计学和健康相关因素后，停止驾驶与户外活动水平的降低密切相关（系数-1.081，标准误差0.264,p < 0.001）。在为老年司机提供建议和制定替代交通策略以帮助他们保持机动性时，应考虑到驾驶限制或停止驾驶的潜在后果。
Objectives. Increasing age, socioeconomic factors, and declining function and health have been linked to driving cessation, but little is known about the consequences of stopping driving. This study was designed to test the hypothesis that driving cessation leads to a decline in out-of-home activity levels.Methods. In 1989 a survey of driving practices was administered to surviving noninstitutionalized members of the New Haven Established Populations for Epidemiologic Studies of the Elderly (EPESE) cohort. Of 1,316 respondents, 502 were active drivers as of 1988, 92 had stopped driving between 1982 and 1987, and 722 never drove or stopped before 1982. Information on sociodemographic and health-related variables came from in-home EPESE interviews in 1982, 1985, and 1988, and from yearly phone interviews. Activity was measured at all three in-home interviews, and an activity measure was created based on self-reported participation in nine out-of-home activities. A repeated measures random-effects model was used to test the effect of driving cessation on activity while controlling for potential confounders.Results. Driving cessation was strongly associated with decreased out-of-home activity levels (coefficient-1.081, standard error 0.264, p < .001) after adjustment for sociademographic and health-related factors.Discussion. The potential consequences of driving limitations or cessation should be taken into account when advising older drivers and developing alternative transportation strategies to help maintain their mobility.