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

Frontiers in Public Health

article

Thelma J. Mielenz¹  Adam M. Whalen¹  Qian-Li Xue²  Howard Andrews³  Lisa J. Molnar⁴  David W. Eby⁴  Guohua Li¹ 

[1] Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center;Department of Medicine, School of Medicine, Johns Hopkins University;Department of Biostatistics, Mailman School of Public Health, Columbia University Irving Medical Center;Transportation Research Institute, University of Michigan;Department of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center

关键词: health behavior;    older adult;    self-care;    driving cessation;    physical activity;    sleep;    community engagement;   

DOI  :  10.3389/fpubh.2022.794639

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

CC BY