Reasons given by older people for limitation or avoidance of driving

Reasons given by older people for limitation or avoidance of driving
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DOI:
10.1093/geront/44.2.237
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发表时间:
2004-04-01
期刊:
影响因子:
5.7
通讯作者:
MacLeod, KE
MacLeod, KE
中科院分区:
医学1区
文献类型:
--
作者:
Ragland, DR;Satariano, WA;MacLeod, KE

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目的:为了了解老年人的驾驶行为,本研究探讨自我报告的原因,驾驶限制或避免。设计和方法:基线访谈进行(n = 2,046)的一部分,以社区为基础的研究老化和体能的人年龄在索诺马,加州。根据年龄和性别对21个限制或避免驾驶的医疗和非医疗原因进行了检查。结果:大多数老年人继续驾驶;然而,许多人,特别是老年妇女,报告了一个或多个限制或避免驾驶的原因。在医学原因中,视力问题是迄今为止最常提到的原因;没有其他健康问题被确定为限制的主要原因。在非医疗原因中,担心事故、担心犯罪和没有理由开车经常被引用。报告驾驶限制的重要预测因素是低收入,有限的功能状态,以及自我报告的视力不佳。含义:了解影响老年人驾驶模式的因素,包括医疗和非医疗原因,将有助于开发两种增强措施,以延长安全驾驶年限和应对驾驶减少的后果。
Purpose: To understand the driving behavior of older adults, this study examines self-reported reasons for driving limitation or avoidance. Design and Methods: Baseline interviews were conducted (n = 2,046) as part of a community-based study of aging and physical performance in persons aged 55 years or older in Sonoma, California. Twenty-one medical and nonmedical reasons for limiting or avoiding driving were examined by age and gender. Results: Most older people continue to drive; however, many, especially older women, report one or more reasons to limit or avoid driving. Among medical reasons, problems with eyesight are by far the most often cited; no other health problem was identified as a major reason for limitation. Among nonmedical reasons, being concerned about an accident, being concerned about crime, and having no reason to drive were often cited. Important predictors of reported driving limitations were low income, limited functional status, and self-report of poor vision. Implications: Understanding factors that affect driving patterns in older adults, including medical and nonmedical reasons, will assist in developing both enhancements to extend safe driving years and responses to the consequences of driving reduction.