Abstract
Background: As the elderly population and the number of older drivers grow, public safety concerns about traffic accidents involving older drivers are increasing. Approaches to reduce traffic accidents involving older drivers without limiting their mobility are needed. This study aimed to investigate the driving cessation (DC) rate among older Korean adults and predictors of DC based on the comprehensive mobility framework. Method: In this cross-sectional study, data from 2970 to 10,062 older adults over 65 years old from the 2017 National Survey of Elderly People were analyzed in April 2020. Multivariate logistic regression analyses were conducted to identify the predictors of DC. Results: Residential area, an environmental factor, was a strong predictor of DC (Odds Ratio (OR) 2.21, 95% Confidential Interval (CI) 1.86–2.62). Older drivers living in an area with a metro system were 2.21 more likely to stop driving than those living in an area without a metro system. Other demographic, financial, psychosocial, physical, and cognitive variables also predicted DC. Conclusion: Environmental factors were strong predictors of older adults’ DC. Therefore, political and environmental support, such as the provision of accessible public transportation, is essential to increase the DC rate among older adults to increase public safety without decreasing their mobility.
Highlights
Mobility is defined as the ability to move oneself, including by walking, driving or using transportation from one’s home to the community [1]
We determined that variables belonging to the demographic, financial, psychosocial, environmental, physical, and cognitive domains were predictors of driving cessation (DC) based on the comprehensive mobility model
This study indicated that environmental factors could contribute to DC for older adults
Summary
Mobility is defined as the ability to move oneself, including by walking, driving or using transportation from one’s home to the community [1]. The maintenance of mobility is known to be fundamental to active aging, as it allows older adults to continue to lead dynamic and independent lives [3]. Mobility, such as driving cessation (DC) to due advanced age, have negative impacts on their health status and reduce their quality of life [1,4]. As the elderly population grows, the number of older drivers increases. As the elderly population and the number of older drivers grow, public safety concerns about traffic accidents involving older drivers are increasing. Approaches to reduce traffic accidents involving older drivers without limiting their mobility are needed. This study aimed to investigate the driving cessation (DC) rate among older Korean adults and predictors of DC based on the comprehensive mobility framework. Older drivers living in an area with a metro system were 2.21 more likely to stop driving than those living in an area without a metro system
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