Automobile Driving in Older Adults: Factors Affecting Driving Restriction in Men and Women
Identifieur interne : 000B43 ( Main/Merge ); précédent : 000B42; suivant : 000B44Automobile Driving in Older Adults: Factors Affecting Driving Restriction in Men and Women
Auteurs : Laetitia Marie [France] ; Colette Fabrigoule [France] ; Catherine Helmer [France] ; Bernard Laumon [France] ; Sylviane Lafont [France]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée, Femme, Gérontologie.
English descriptors
- KwdEn :
Abstract
OBJECTIVES: To identify factors associated with driving restriction in elderly men and women. DESIGN: Prospective cohort study of French drivers from 2003 to 2009. SETTING: The Three-City Cohort of Bordeaux, a prospective study of 2,104 people aged 65 and older. PARTICIPANTS: Five hundred twenty-three drivers with a mean age of 76 (273 male, 250 female). MEASUREMENTS: Sociodemographic 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. RESULTS: Over 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. CONCLUSION: Older 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.
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sortKey="Marie, Laetitia" sort="Marie, Laetitia" uniqKey="Marie L" first="Laetitia" last="Marie">Laetitia Marie</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, UMRT 9405</s1><s2>Bron</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Bron</wicri:noRegion><wicri:noRegion>UMRT 9405</wicri:noRegion><wicri:noRegion>Bron</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Université de Lyon</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Fabrigoule, Colette" sort="Fabrigoule, Colette" uniqKey="Fabrigoule C" first="Colette" last="Fabrigoule">Colette Fabrigoule</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Unité de Service et de Recherche 3413, Centre National de la Recherche Scientifique / Université Bordeaux Segalen</s1><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Centre National de la Recherche Scientifique / Université Bordeaux Segalen</wicri:noRegion><placeName><settlement type="city">Bordeaux</settlement><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region></placeName><orgName type="university">Université Bordeaux II</orgName><orgName type="institution" wicri:auto="newGroup">Université de Bordeaux</orgName></affiliation></author><author><name sortKey="Helmer, Catherine" sort="Helmer, Catherine" uniqKey="Helmer C" first="Catherine" last="Helmer">Catherine Helmer</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre INSERM U897-Epidemiologie-Biostatistique, L'Institut de Santé Publique, d'Epidemiologie et de Développement</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Département Transport Santé Sécurité, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, UMRT 9405</s1><s2>Bron</s2><s3>FRA</s3><sZ>4 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Bron</wicri:noRegion><wicri:noRegion>UMRT 9405</wicri:noRegion><wicri:noRegion>Bron</wicri:noRegion></affiliation></author><author><name sortKey="Lafont, Sylviane" sort="Lafont, Sylviane" uniqKey="Lafont S" first="Sylviane" last="Lafont">Sylviane Lafont</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, UMRT 9405</s1><s2>Bron</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Bron</wicri:noRegion><wicri:noRegion>UMRT 9405</wicri:noRegion><wicri:noRegion>Bron</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Université de Lyon</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognition</term><term>Comparative study</term><term>Dementia</term><term>Elderly</term><term>Female</term><term>Geriatrics</term><term>Gerontology</term><term>Male</term><term>Sex</term><term>Vehicle driving</term><term>Woman</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Démence</term><term>Conduite véhicule</term><term>Personne âgée</term><term>Sexe</term><term>Femme</term><term>Mâle</term><term>Femelle</term><term>Cognition</term><term>Etude comparative</term><term>Gériatrie</term><term>Gérontologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term><term>Femme</term><term>Gérontologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To identify factors associated with driving restriction in elderly men and women. DESIGN: Prospective cohort study of French drivers from 2003 to 2009. SETTING: The Three-City Cohort of Bordeaux, a prospective study of 2,104 people aged 65 and older. PARTICIPANTS: Five hundred twenty-three drivers with a mean age of 76 (273 male, 250 female). MEASUREMENTS: Sociodemographic 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. RESULTS: Over 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. CONCLUSION: Older 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.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Auvergne-Rhône-Alpes</li><li>Nouvelle-Aquitaine</li><li>Rhône-Alpes</li></region><settlement><li>Bordeaux</li><li>Lyon</li></settlement><orgName><li>Université Bordeaux II</li><li>Université de Bordeaux</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Marie, Laetitia" sort="Marie, Laetitia" uniqKey="Marie L" first="Laetitia" last="Marie">Laetitia Marie</name></noRegion><name sortKey="Fabrigoule, Colette" sort="Fabrigoule, Colette" uniqKey="Fabrigoule C" first="Colette" last="Fabrigoule">Colette Fabrigoule</name><name sortKey="Helmer, Catherine" sort="Helmer, Catherine" uniqKey="Helmer C" first="Catherine" last="Helmer">Catherine Helmer</name><name sortKey="Lafont, Sylviane" sort="Lafont, Sylviane" uniqKey="Lafont S" first="Sylviane" last="Lafont">Sylviane Lafont</name><name sortKey="Lafont, Sylviane" sort="Lafont, Sylviane" uniqKey="Lafont S" first="Sylviane" last="Lafont">Sylviane Lafont</name><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><name sortKey="Marie, Laetitia" sort="Marie, Laetitia" uniqKey="Marie L" first="Laetitia" last="Marie">Laetitia Marie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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