The Risk of Functional Limitations After Driving Cessation Among Older Japanese Adults: The JAGES Cohort Study
The Risk of Functional Limitations After Driving Cessation Among Older Japanese Adults: The JAGES Cohort Study
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DOI：
10.2188/jea.je20180260
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发表时间：
2020-08-01
影响因子：
4.7
通讯作者：
Kondo, Katsunori
中科院分区：
文献类型：
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作者：
Hirai, Hiroshi;Ichikawa, Masao;Kondo, Katsunori
背景：人口老龄化和严格的许可政策将增加停止驾驶的老年司机的数量。停止驾驶及其预防造成的不良健康后果正在引起关注。因此，我们在一个社区居民队列中纵向研究了停止驾驶和停止驾驶后使用替代交通工具对功能限制风险的影响（65岁及以上）。方法：使用截至2006/07年的驾驶者队列数据，我们比较了2，704名现任司机和140名前司机（到2010年停止驾驶）。在以前的司机中，77人在停止驾驶后没有使用公共交通或自行车（因此失去了独立的行动能力）。我们基于考克斯比例风险模型计算了功能限制发生率的风险比（HR）及其95%置信区间（CI），其中协变量影响功能限制。从2010年到2016年，645人有功能限制，其中包括38，82和119每1,000人-年在目前的司机，使用公共交通或自行车的前司机，以及仅由他人驾驶的前司机，（HR 1.69; 95% CI，1.15-2.49和HR 2.16; 95% CI，1.51-3.10，相对于当前驱动因素）。驾驶停止与老年人功能限制的风险增加有关，但如果他们能够在驾驶停止后使用公共交通或自行车保持独立的移动性，这种风险可能会减轻。
Background: Population ageing and stringent licensing policies will increase the number of older drivers who stop driving. Adverse health outcomes owing to driving cessation and their prevention are emerging concerns. Therefore, we longitudinally examined the impact of driving cessation and alternative transportation use after cessation on the risk of functional limitations in a cohort of community-dwelling people (65 years and older) in Japan.Methods: Using cohort data of those who drove as of 2006/07, we compared the risk of functional limitations between 2,704 current drivers and 140 former drivers (who stopped driving by 2010). Of the former drivers, 77 did not use public transportation or bicycles after driving cessation (thus losing independent mobility). We calculated the hazard ratios (HRs) for the incidence of functional limitations with 95% confidence intervals (CIs) based on the Cox proportional hazards model with the covariates influencing the functional limitations.Results: From 2010 through 2016, 645 people had functional limitations, which included 38, 82, and 119 per 1,000 person-years among current drivers, former drivers who used public transportation or bicycles, and former drivers who were only driven by others, respectively (HR 1.69; 95% CI, 1.15-2.49 and HR 2.16; 95% CI, 1.51-3.10, relative to current drivers).Conclusion: Driving cessation is associated with an increased risk of functional limitations among older adults, but this risk might be alleviated if they are able to maintain independent mobility using public transportation or bicycles after driving cessation.