Driving Status and Risk of Entry Into Long-Term Care in Older Adults

Freeman, Ellen E.; Gange, Stephen J.; Muñoz, Beatriz; West, Sheila K.

doi:10.2105/ajph.2005.069146

Cited by 246 publications

(174 citation statements)

References 26 publications

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“…Although most older adults continue to drive at an old age, some reduce or cease driving as aging progresses (Betz & Lowenstein, 2010). Driving older adults with age-related illnesses and functional limitations are at higher risk for traffic-related injuries and fatalities (HakamiesBlomqvist, 2004 Kim, 2011) and face social exclusion and challenges in independent living (Engels & Liu, 2011;Freeman, Gange, Munoz, & West, 2006). This driving dilemma for older adults in the United States is created by land use patterns and transportation policies that have encouraged car dependency in most U.S. cities (Giuliano, 2004).…”

Section: Author Manuscriptmentioning

confidence: 99%

Neighborhood Environment and Physical Activity among Older Adults: Do the Relationships Differ by Driving Status?

Ding¹,

Sallis²,

Norman³

et al. 2014

Journal of Aging and Physical Activity

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Some attributes of neighborhood environments are associated with physical activity among older adults. This study examined whether the associations were moderated by driving status. Older adults from neighborhoods differing in walkability and income completed written surveys and wore accelerometers (N=880, mean age=75 years, 56% women). Neighborhood environments were measured by geographic information systems and validated questionnaires. Driving status was defined on the basis of a driver's license, car ownership, and feeling comfortable to drive.Corresponding Author: Ding Ding, Sydney School of Public Health, University of Sydney, Sydney, Australia. melody.ding@sydney.edu.au. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptOutcome variables included accelerometer-based physical activity and self-reported transport and leisure walking. Multilevel generalized linear regression was used. There was no significant Neighborhood Attribute × Driving Status interaction with objective physical activity or reported transport walking. For leisure walking, almost all environmental attributes were positive and significant among driving older adults but not among nondriving older adults (five significant interactions at p<0.05). The findings suggest that driving status is likely to moderate the association between neighborhood environments and older adults' leisure walking.Keywords built environment; walking; moderator; moderation Despite numerous health benefits of regular physical activity (Bouchard, Blair, & Haskell, 2012; Nelson, et al., 2007), older adults remain the least active age group (Centers for Disease Control and Prevention, 2010). In a study based on national data of objectively measured physical activity, only 2.4% of US adults age 60 or older met the recommended physical activity levels (Troiano et al., 2008).Increasing evidence from multiple disciplines has underscored the importance of built environments to physical activity (Heath, et al., 2006;Sallis, Floyd, Rodriguez, & Saelens, 2012). As a result of functional declines and fears of navigating outdoor environments (Rantakokko et al., 2009), attributes of community design may be especially important to older adults (Shigematsu et al., 2009), particularly those with mobility impairments (King et al., 2011). However, only a small number of studies have examined neighborhood environments in relation to physical activity among older adults, and findings were mixed (Cunningham & Michael, 2004;Van Cauwenberg et al., 2011). Overall, neighborhood environments had more consistent associations with self-reported physical activity than with objectively measured physical activity among older adults (Van Cauwenberg et al., 2011). There is evidence supporting the association of physical activity with access and proximity to recreation facilities (Berke et al., 2006;Li, Fisher, Brownson, & Bosworth, 2005;Shigematsu et al., 2009) and with mixed land use patterns (Frank, Kerr, Rosenberg, & King, 2010;Li, Fisher, Bauman et ...

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Section: Author Manuscriptmentioning

confidence: 99%

Neighborhood Environment and Physical Activity among Older Adults: Do the Relationships Differ by Driving Status?

Ding¹,

Sallis²,

Norman³

et al. 2014

Journal of Aging and Physical Activity

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“…When studying perceived physical and mental status, visually impaired individuals report poorer health status with more severe impairment [14][15][16][17]. Additionally, they seem to be at increased risk for disabling outcomes such as falls, injury, accidents, inability to drive, social dependence and increased mortality [18][19][20]. Lamoureux et al [21] have examined the interaction of visual, demographic, personal, cultural and environmental influences on vision related functioning.…”

Section: Introductionmentioning

confidence: 99%

Daily functioning, problem solving and satisfaction for quality of life in visually impaired old persons

Sgaramella

Nota

Carrieri

et al. 2017

International Journal on Disability and Human Development

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Aim: The purpose of this study was to investigate the impact of several dimensions of functioning on satisfaction for quality of life (QoL) experienced by visually impaired older adults. Participants: A sample of 58 older adults (37 women and 21 men) was involved in the study. Their age ranged from 50 to 88 years (M = 68.95, SD = 1.51). They were characterized by visual impairment of different origin and visual acuity (VA) ranging from 4/10 to total blindness. The QoL questionnaire was used along with short form-12 health Survey, the National Eye Institute visual function questionnaire-25 and problem solving inventory (PSI) which analyzes problem solving appraisal. Results: A stepwise regression analysis was conducted in order to find predictors of satisfaction for QoL. A contribution of mental and physical health, more specifically, of problem solving appraisal was found. Conclusion: Results support the notion that the functional relationship between visual impairment and satisfaction for QoL must be understood in terms of approaches that incorporate psychological and socio-cognitive elements. Problem solving appraisal, in fact, makes a substantial contribution to the prediction of variance in life satisfaction and it may play an important role for intervention strategies.Keywords: daily functioning; mental and physical health; older adults; problem solving appraisal and satisfaction for quality of life; visually impaired.

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“…The difficulty lies in balancing safety, mobility and independence: fatal crash rates per mile travelled increase after age 75, 1 but premature driving cessation is associated with morbidity and early mortality. [2][3][4][5][6][7][8][9][10] Thus, the challenge is to understand how and when to identify at-risk older drivers without limiting the mobility of those who are safe. [10][11][12][13] Efforts to keep older drivers safe but mobile 10,14,15 are complicated, because cognitive, physical and sensory impairments, and their treatments, can affect driving.…”

Section: Introductionmentioning

confidence: 99%

“I Wish We Could Normalize Driving Health:” A Qualitative Study of Clinician Discussions with Older Drivers

et al. 2013

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Driving Status and Risk of Entry Into Long-Term Care in Older Adults

Cited by 246 publications

References 26 publications

Neighborhood Environment and Physical Activity among Older Adults: Do the Relationships Differ by Driving Status?

Neighborhood Environment and Physical Activity among Older Adults: Do the Relationships Differ by Driving Status?

Daily functioning, problem solving and satisfaction for quality of life in visually impaired old persons

“I Wish We Could Normalize Driving Health:” A Qualitative Study of Clinician Discussions with Older Drivers

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