Driving patterns and medical conditions in older women

Driving patterns and medical conditions in older women
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DOI:
10.1111/j.1532-5415.1997.tb03772.x
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发表时间:
1997-10-01
影响因子:
6.3
通讯作者:
Cauley, JA
Cauley, JA
中科院分区:
医学1区
文献类型:
--
作者:
Forrest, KYZ;Bunker, CH;Cauley, JA

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描述:描述驾驶模式(例如,驾驶频率),并评估医疗条件和合并症对驾驶模式的影响。设计:医疗条件和驾驶模式之间关系的横断面研究。地点:匹兹堡骨质疏松性骨折研究中心(SOF)的人群队列。参与者:共1768名年龄在71岁或以上的女性。主要测量指标:通过驾驶问卷获得驾驶信息,包括驾驶状态、每周里程、过去一年的最长行程等。通过SOF研究收集人口统计学、生活方式行为和医疗状况的数据。在参与者中,1103人(62.3%)是目前的驾驶员,337人(19.1%)已经停止驾驶,329人(18.6%)一生中从未驾驶过。报告停止驾驶和驾驶量下降的比例随着年龄的增长而增加。大多数医疗条件的患病率是前司机比目前或从未司机。即使在控制了年龄和其他人口统计学变量,骨折,心脏病,糖尿病,自我报告的视力或听力差,以及合并症被认为是独立相关的驾驶量减少,包括驾驶停止,减少里程,避免长途trips.CONCLUSION:个人的医疗条件和合并症的影响驾驶模式在老年司机。因为老年人同时患有几种疾病是很常见的,所以合并症可能是一个更全面的衡量驾驶对医疗影响的指标。
OBJECTIVES: To describe driving patterns (e.g., driving frequency) in older women drivers and to evaluate the impact of medical conditions and comorbidity on driving patterns.DESIGN: Cross-sectional examination of the association between medical conditions and driving patterns.SETTING: Population-based cohort from the Pittsburgh Center of the Study of Osteoporotic Fractures (SOF).PARTICIPANTS: A total of 1768 women aged 71 years or older.MAIN MEASUREMENTS: Driving information was obtained through a driving questionnaire, including driving status, weekly mileage, longest trip in the past year, etc. Data for demographics, lifestyle behavior, and medical conditions were collected through the SOF study.RESULTS: Among the participants, 1103 (62.3%) were current drivers, 337 (19.1%) had stopped driving, and 329 (18.6%) had never driven in their lifetime. The proportion reporting driving cessation and decline in driving amount increased with age. The prevalence of most medical conditions was higher among former drivers than in current or never drivers. Even after controlling for age and other demographic variables, fractures, heart disease, diabetes, self-reported poor vision or hearing, as well as comorbidity were found to be associated independently with decreased driving amount, including driving cessation, decline in mileage, and avoiding long trips.CONCLUSION: Both individual medical conditions and comorbidity influence driving patterns in older drivers. Because it is common for older people to have several medical conditions simultaneously, comorbidity might be a more comprehensive measure of medical impact on driving.