Automobile Driving in Older Adults: Factors Affecting Driving Restriction in Men and Women

作者：Asse Laetitia Marie Dit^*; Fabrigoule Colette; Helmer Catherine; Laumon Bernard; Lafont Sylviane

来源：Journal of the American Geriatrics Society, 2014, 62(11): 2071-2078.

DOI：10.1111/jgs.13077

• driving restriction
• elderly
• cognitive factors
• sex differences
• dementia

ObjectivesTo identify factors associated with driving restriction in elderly men and women.
DesignProspective cohort study of French drivers from 2003 to 2009.
SettingThe Three-City Cohort of Bordeaux, a prospective study of 2,104 people aged 65 and older.
ParticipantsFive hundred twenty-three drivers with a mean age of 76 (273 male, 250 female).
MeasurementsSociodemographic characteristics, driving habits, health variables, cognitive evaluation and dementia diagnosis. Predementia was defined as no dementia at one follow-up and dementia at the next follow-up.
ResultsOver the 6-year period, 54% of men and 63% of women stopped driving or reduced the distance they drove. Predementia, Parkinson's disease, older age, and a high number of kilometers previously driven were common restriction factors in both sexes. Prevalent dementia, depressive symptomatology, a decline in one or more instrumental activities of daily living, and poor visual working memory were specific factors in men. In women, low income, fear of falling, slow processing speed, and severe decline in global cognitive performance all affected driving restriction.
ConclusionOlder women restricted their driving activity more than older men, regardless of the number of kilometers previously driven, physical health, and cognitive status. Factors affecting driving restriction differed according to sex, and women were more likely to stop driving than men in the period preceding a dementia diagnosis.

• 出版日期2014-11