Biopsychosocial risk factors for driving cessation: findings from the Health and Retirement Study.
OBJECTIVE
This study aims to identify social, psychological, and biomedical risk factors for current and future driving cessation in older adults.


METHODS
Data from six waves (1998-2008) of the Health and Retirement Study (HRS) were pooled. Participants aged 65 and above were included in the study (N = 17,349).


RESULTS
Multivariate logistic regression models to identify risk factors for current and future driving cessation were consistent (age, gender, education, race, marital status, income, cognitive function, limits in activities of daily living and instrumental activities of daily living, vision, health, diabetes, stroke, arthritis, and hip fracture). Only one variable, falls, was associated with future driving cessation (odds ratio [OR] = 0.92; confidence interval [CI] = [0.85, 1.0]), but not current driving cessation.


CONCLUSIONS
Older age, female gender, and minority race were risk factors for current and future cessation. Adults with arthritis were more likely to keep driving compared with those without arthritis.
The University of Massachusetts Boston, Boston USA.
Elizabeth
E
Dugan
Chae Man
CM
Lee
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D044469:Racial Groups / Q000706:statistics & numerical data; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
driving cessation; older adults; older drivers; transportation