title: Health, safety, self-regulation and the older driver: it's not just a matter of age.
abstract: OBJECTIVE
  The purpose of this research was to examine the impact of age and health on patterns of driving and self-regulation among older adults who still drive.
  
  
  METHODS
  This analysis presents the results of a nationwide survey of drivers who are 50+(N=3,824, 53.11% response rate), focusing on questions about the impact of their self-reported health on attitudes toward and self-regulation of driving.
  
  
  RESULTS
  The data indicate that as age increases, so too does reported self-regulation of driving, increasing sharply among those ages 70 and older. The data also indicate that respondent's reported confidence in driving and their enjoyment of driving decline as they age. Health status bears a significant relationship with all three of these variables, positively related to confidence in driving skills and to enjoyment in driving, but negatively related to self-regulation reports. As self-reported health declines, respondent's report engages in greater voluntary restrictions of their driving.
  
  
  CONCLUSIONS
  All too often, the driving decision is linked primarily to chronological age. Analysis done here indicates that age alone is not the best indicator of self-regulation and how older adults change their driving behaviors.
  
  
  CONCLUSIONS
  This research presents the results of a nationwide survey of 50+ drivers and their self-reported driving, self-regulation behaviors, and health status. Strong support was found for the argument that chronological age is not an adequate measure of self-regulating behaviors and driver safety among those 50+. In particular, it was found that a person's health status and the interaction between age and health are essential considerations in the decisions around self-regulation and driving. People tend to self-regulate more with age, but the effect becomes much more pronounced as health status declines.
  
  
  CONCLUSIONS
  In the coming years, if older adults can't get to where they want to go and continue to be viable consumers in our national fabric, all industries will eventually suffer. Transportation is a key component to the nation's social contract with older individuals and their families.
authors.affiliation: University of Connecticut, 99 East Main Street, Waterbury, CT 06702, USA. laura.donorfio@uconn.edu
authors.forename: Laura K M
authors.initials: LK
authors.lastname: Donorfio
authors.forename: Lisa A
authors.initials: LA
authors.lastname: D'Ambrosio
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Coughlin
authors.forename: Maureen
authors.initials: M
authors.lastname: Mohyde
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving / Q000523:psychology* / Q000592:standards; D001336:Automobiles / Q000592:standards*; D003625:Data Collection; D005260:Female; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012044:Regression Analysis; D012449:Safety; D020377:Self Efficacy; D012927:Social Control, Informal / Q000379:methods*; D011795:Surveys and Questionnaires; D013672:Technology / Q000639:trends*; D014481:United States