期刊文章：Driving Cessation and Health Outcomes in Older Adults

資料來源及全文：http://onlinelibrary.wiley.com/doi/10.1111/jgs.13931/abstract

Driving Cessation and Health Outcomes in Older Adults

Stanford Chihuri MPH1,2,
Thelma J. Mielenz PhD, MS1,3,
Charles J. DiMaggio PhD4,
Marian E. Betz MD, MPH5,
Carolyn DiGuiseppi MD, PhD6,
Vanya C. Jones PhD7 and
Guohua Li MD, DrPH1,2,3,*

Article first published online: 19 JAN 2016

DOI: 10.1111/jgs.13931

© 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.


Issue


Journal of the American Geriatrics Society

Keywords:

driving cessation;
older adults;
motor vehicle;
health outcomes

Objectives


To determine what effect driving cessation may have on subsequent health and well-being in older adults.

Design


Systematic review of the evidence in the research literature on the consequences of driving cessation in older adults.

Setting


Community.

Participants


Drivers aged 55 and older.

Measurements


Studies pertinent to the health consequences of driving cessation were identified through a comprehensive search of bibliographic databases. Studies that presented quantitative data for drivers aged 55 and older; used a cross-sectional, cohort, or case–control design; and had a comparison group of current drivers were included in the review.

Results


Sixteen studies met the inclusion criteria. Driving cessation was reported to be associated with declines in general health and physical, social, and cognitive function and with greater risks of admission to long-term care facilities and mortality. A meta-analysis based on pooled data from five studies examining the association between driving cessation and depression revealed that driving cessation almost doubled the risk of depressive symptoms in older adults (summary odds ratio = 1.91, 95% confidence interval = 1.61–2.27).

Conclusion


Driving cessation in older adults appears to contribute to a variety of health problems, particularly depression. These adverse health consequences should be considered in making the decision to cease driving. Intervention programs ensuring mobility and social functions may be needed to mitigate the potential adverse effects of driving cessation on health and well-being in older adults.