Driving Cessation and Health Trajectories in Older Adults
Driving Cessation and Health Trajectories in Older Adults
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DOI：
10.1093/gerona/glp114
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发表时间：
2009-12-01
影响因子：
5.1
通讯作者：
Roth, David L.
中科院分区：
文献类型：
--
作者：
Edwards, Jerri D.;Lunsman, Melissa;Roth, David L.
背景停止开车的老年人比继续开车的人健康状况更差。然而，目前还不清楚是否过渡到驾驶停止本身导致健康下降或是否驾驶停止随后加剧健康下降随着时间的推移。目前的研究解决了这些问题，使用多层次模型在690名老年人中进行独立和重要老年人高级认知训练研究。在基线和1年、2年、3年和5年随访时评估SF-36问卷所示的驾驶状态和健康状况、自测健康状况、身体表现（360度转弯测试）和抑郁症状。过渡到停止驾驶伴随着身体和社会功能，身体表现和身体角色的显着下降（ps
Background. Older adults who cease driving have poorer health than those who continue to drive. However, it is unclear whether the transition to driving cessation itself results in health declines or whether driving cessation subsequently exacerbates health declines over time.Methods. The current study addresses these questions using multilevel modeling among 690 older adults from the Advanced Cognitive Training for Independent and Vital Elderly study. Driving status and health, as indicated by the SF-36 questionnaire, self-rated health, physical performance (Turn 360 Test), and depressive symptoms were assessed at baseline and at 1-, 2-, 3-, and 5-year follow-up visits.Results. The transition to driving cessation was accompanied by significant declines in physical and social functioning, physical performance, and physical role (ps