title: Correlates of subjective transportation deficiency among older adults attending outpatient clinics in a tertiary care hospital in Mexico City.
abstract: OBJECTIVE
  Older adults frequently report problems of transportation. Little is known about the correlates of transportation deficiency in Latin America. Therefore, the aim of the present study was to determine the correlates of subjective transportation deficiency (STD) among community-dwelling older adults attending a tertiary care hospital in Mexico City.
  
  
  METHODS
  Cross-sectional study of 228 participants aged ≥70 years being followed in any of the outpatient clinics of a tertiary care hospital in Mexico City. Data were obtained through a structured questionnaire. Univariate and multivariate logistic regression analyses were carried out in order to identify the correlates of STD.
  
  
  RESULTS
  The mean age of the participants was 79.8 years (SD 6.4) and 67.1% were women. STD was present in 46% of participants. The multivariate logistic regression model showed that female sex, illiteracy, mobility disability and the use of an assistive walking device had an independent and statistically significant association with STD.
  
  
  CONCLUSIONS
  Female sex, illiteracy, mobility disability and the use of an assistive walking device were independent correlates of STD in the present study. Identifying the frequency and correlates of transportation deficiency in vulnerable populations will allow for the identification and implementation of useful public policies, as well as for the optimization of prevention and treatment strategies in an attempt to preserve mobility and autonomy, especially in low- and middle-income countries where previous work on transportation deficiency is lacking. Geriatr Gerontol Int 2017; 17: 1893-1898.
authors.affiliation: Department of Geriatrics, National Institute of Medical Science and Nutrition "Salvador Zubirán", Mexico City, Mexico.
authors.forename: Ana Patricia
authors.initials: AP
authors.lastname: Navarrete-Reyes
authors.affiliation: Department of Geriatrics, National Institute of Medical Science and Nutrition "Salvador Zubirán", Mexico City, Mexico.
authors.forename: Carlos Tonatiuh
authors.initials: CT
authors.lastname: Medina-Rimoldi
authors.affiliation: Department of Geriatrics, National Institute of Medical Science and Nutrition "Salvador Zubirán", Mexico City, Mexico.|Research Center INSERM, Bordeaux, France.
authors.forename: José Alberto
authors.initials: JA
authors.lastname: Avila-Funes
mesh_terms: D000368:Aged; D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D057187:Independent Living; D008297:Male; D008800:Mexico; D062606:Tertiary Care Centers; D014186:Transportation / Q000706:statistics & numerical data*
keywords: Latin America; disability; mobility; older adults; transportation