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Driving Cessation and Health Outcomes in Older Adults
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 ol...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5021147/ https://www.ncbi.nlm.nih.gov/pubmed/26780879 http://dx.doi.org/10.1111/jgs.13931 |
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author | Chihuri, Stanford Mielenz, Thelma J. DiMaggio, Charles J. Betz, Marian E. DiGuiseppi, Carolyn Jones, Vanya C. Li, Guohua |
author_facet | Chihuri, Stanford Mielenz, Thelma J. DiMaggio, Charles J. Betz, Marian E. DiGuiseppi, Carolyn Jones, Vanya C. Li, Guohua |
author_sort | Chihuri, Stanford |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5021147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50211472016-09-23 Driving Cessation and Health Outcomes in Older Adults Chihuri, Stanford Mielenz, Thelma J. DiMaggio, Charles J. Betz, Marian E. DiGuiseppi, Carolyn Jones, Vanya C. Li, Guohua J Am Geriatr Soc Clinical Investigation 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. John Wiley and Sons Inc. 2016-01-19 2016-02 /pmc/articles/PMC5021147/ /pubmed/26780879 http://dx.doi.org/10.1111/jgs.13931 Text en © 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 (http://creativecommons.org/licenses/by-nc-nd/4.0/) 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. |
spellingShingle | Clinical Investigation Chihuri, Stanford Mielenz, Thelma J. DiMaggio, Charles J. Betz, Marian E. DiGuiseppi, Carolyn Jones, Vanya C. Li, Guohua Driving Cessation and Health Outcomes in Older Adults |
title | Driving Cessation and Health Outcomes in Older Adults |
title_full | Driving Cessation and Health Outcomes in Older Adults |
title_fullStr | Driving Cessation and Health Outcomes in Older Adults |
title_full_unstemmed | Driving Cessation and Health Outcomes in Older Adults |
title_short | Driving Cessation and Health Outcomes in Older Adults |
title_sort | driving cessation and health outcomes in older adults |
topic | Clinical Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5021147/ https://www.ncbi.nlm.nih.gov/pubmed/26780879 http://dx.doi.org/10.1111/jgs.13931 |
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