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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences Advance Access published online on January 30, 2009

The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, doi:10.1093/gerona/gln019
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© The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Driving Status and Three-Year Mortality Among Community-Dwelling Older Adults

Jerri D. Edwards1, Martinique Perkins2, Lesley A. Ross2 and Sandra L. Reynolds1

1 School of Aging Studies, University of South Florida, Tampa
2 Department of psychology, University of Alabama at Birmingham

Address correspondence to Jerri D. Edwards, PhD, School of Aging Studies, University of South Florida, 4202 E Fowler Ave, MHC 1326, Tampa, FL 33620. Email: jedwards1{at}cas.usf.edu


   Abstract

Background.: Driving cessation can lead to myriad negative consequences for older adults. The purpose of these analyses was to examine driving status as a predictor of mortality among community-dwelling older adults.

Methods.: This prospective cohort study included 660 community-dwelling adults ranging in age between 63 and 97 years. Between 2000 and 2004, participants completed performance-based assessments of vision, cognition, and physical abilities and indexes of health, depression, self-efficacy, and driving habits. Follow-up telephone interviews were completed approximately 3 years later.

Results.: Among community-dwelling older adults, older age, health, poor near visual acuity, depressive symptoms, compromised cognitive status, and being a nondriver are associated with increased risk for a 3-year mortality. Nondrivers were four to six times more likely to die than drivers during the subsequent 3-year period.

Conclusions.: The ability to drive represents both a sign of cherished independence and underlying health and well-being for older adults. Retaining this ability is an important health concern in the United States.

Keywords Driving cessation; Mortality; Older drivers

Received: March 4, 2008; Accepted: May 8, 2008


Decision Editor: Darryl Wieland, PhD, MPH


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