235408 Voluntary and Involuntary Driving Cessation in Later Life

Tuesday, November 1, 2011: 9:24 AM

Moon Choi, PhD , Department of Epidemiology and Community Health, Virginia Commonwealth University School of Medicine, Richmond, VA
Briana Mezuk, PhD , Department of Epidemiology and Community Health, Virginia Commonwealth University School of Medicine, Richmond, VA
George W. Rebok, MA PhD , Department of Mental Health, The Johns Hopkins University, Baltimore, MD
[Objectives] To characterize and examine the predictors of voluntary and involuntary driving cessation among older adults. [Methods] Data come from the Baltimore Epidemiologic Catchment Area Study, a population-based cohort study. Analysis is limited to participants aged 55 and older who stopped driving prior to the latest interview wave (N=83). The sociodemographic and health-related predictors of voluntary and involuntary driving cessation, and the reasons for cessation, were examined. [Results] Of the 83 former drivers, 69 (83.1%) stopped by their own decision, 11 (13.3%) did by the decision of physician or family, and 3 (3.6%) by the MVA. Both voluntary and involuntary former drivers reported physical illness and vision problems as the main reasons for cessation (30.4% and 57.1%, respectively). Other common reasons for voluntary cessation included financial difficulties and anxiety about driving (10 out of 69 voluntary former drivers, each). Voluntary and involuntary former drivers did not differ in terms of age, sex, race, or socioeconomic status. Those who reported that the decision was involuntary had more functional impairments. [Discussion] Although most participants reported that the decision to stop driving was voluntary, the reasons for this transition suggest that external factors, including financial strain and anxiety about driving, play a role in this transition.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify reasons for driving cessation among older adults; Differentiate between voluntary and involuntary driving cessation in later life

Keywords: Aging, Decision-Making

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I contributed to conceptualizing the study, analyzing the data, and writing and revising the manuscript.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.