Dataset Information

Associations of Self-Care Health Behaviors With Driving Cessation Among Older Drivers.

ABSTRACT: Older adults are at risk of driving cessation as they age, which can result in negative health outcomes including loss of independence. This study aimed to investigate the associations of self-care health behaviors with the risk of driving cessation. Demographics, health and driving characteristics were captured from healthcare systems in Denver, CO, San Diego, CA, Ann Arbor, MI, Baltimore, MD and Cooperstown, NY for 2,990 adults at baseline then followed from July 2015 to January 2021 via in-person assessments and questionnaires. The follow-up accumulated a total of 7,348 person-years and 46 driving cessations, yielding an incidence rate of 0.63 per 100 person-years. Multivariable Cox proportional hazards regression was used to evaluate the relationship between self-care behaviors and driving cessation, stratified by gender, and accounting for multiple failure events and clustering by study site. Ability to participate in social roles and activities was associated with an 8% reduction in the risk of driving cessation [adjusted hazard ratio (HR): 0.92; 95% CI: 0.89, 0.94]. Increased participation in social activities and relationships is associated with driving longevity in older adults and should be targeted for interventions to maintain driving mobility.

SUBMITTER: Mielenz TJ

PROVIDER: S-EPMC8987349 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Associations of Self-Care Health Behaviors With Driving Cessation Among Older Drivers.

Mielenz Thelma J TJ Whalen Adam M AM Xue Qian-Li QL Andrews Howard H Molnar Lisa J LJ Eby David W DW Li Guohua G

Frontiers in public health 20220324

Older adults are at risk of driving cessation as they age, which can result in negative health outcomes including loss of independence. This study aimed to investigate the associations of self-care health behaviors with the risk of driving cessation. Demographics, health and driving characteristics were captured from healthcare systems in Denver, CO, San Diego, CA, Ann Arbor, MI, Baltimore, MD and Cooperstown, NY for 2,990 adults at baseline then followed from July 2015 to January 2021 <i>via</i ...[more]

PMID: 35400037

Similar Datasets

Project description:BackgroundDriving for older adults is a matter of balancing independence, safety and mobility, and prematurely relinquishing the car keys can impact morbidity and mortality. Discussions about "when to hang up the keys" are difficult for clinicians, drivers, and family members, and therefore are often avoided or delayed. "Advance Driving Directives" (ADDs) may facilitate conversations between health care providers and older drivers focused on prevention and advance planning for driving cessation.ObjectiveTo examine clinician and older driver perspectives on ADDs and driving discussions.DesignQualitative descriptive study using iterative focus groups and interviews with clinicians and drivers.Participants(1) Eight practicing internal medicine physicians, physician assistants or nurse practitioners working at three university-affiliated clinics; and (2) 33 community-dwelling current drivers aged 65 years or older.ApproachTheme analysis of semi-structured focus groups and interviews with clinicians and older drivers was used to explore clinician and driver perspectives on "ADDs" and driving conversations. General inductive qualitative techniques were used to identify barriers and facilitators to conversations between older drivers and their healthcare providers about driving and health.Key resultsFive dominant themes emerged: (1) clinicians usually initiate conversations, but typically not until there are "red flags;" (2) drivers are open to conversations, especially if focused on prevention rather than interventions; (3) family input influences clinicians and drivers; (4) clinical setting factors like short appointments affect conversations; and (5) both clinicians and drivers thought ADDs could be useful in some situations and recommended making general questions about driving a part of routine care.ConclusionsClinicians and older drivers often wait to discuss driving until there are specific "red flags", but both groups support a new framework in which physicians routinely and regularly bring up driving with patients earlier in order to facilitate planning for the future.

Dataset Information

Associations of Self-Care Health Behaviors With Driving Cessation Among Older Drivers.

Publications

Associations of Self-Care Health Behaviors With Driving Cessation Among Older Drivers.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets