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J Am Geriatr Soc. 2016 Feb;64(2):332-41. doi: 10.1111/jgs.13931. Epub 2016 Jan 19.

Driving Cessation and Health Outcomes in Older Adults.

Author information

1
Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York City, New York.
2
Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York City, New York.
3
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City, New York.
4
Department of Surgery, New York University School of Medicine, New York City, New York.
5
Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
6
Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
7
Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.

Abstract

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.

KEYWORDS:

driving cessation; health outcomes; motor vehicle; older adults

PMID:
26780879
PMCID:
PMC5021147
DOI:
10.1111/jgs.13931
[Indexed for MEDLINE]
Free PMC Article
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