Details:

Alternative Title:
Inj Epidemiol
Publisher's site:
http://dx.doi.org/10.1186/s40621-017-0106-y
Personal Author:
Bond, Elizabeth G.; Durbin, Laura L.; Cisewski, Jodi A.; Qian, Min; Guralnik, Jack M.; ... More +
Bond, Elizabeth G.; Durbin, Laura L.; Cisewski, Jodi A.; Qian, Min; Guralnik, Jack M.; Kasper, Judith D.; Mielenz, Thelma J.; Less -
Description:
Background Continued automobile driving is important for the wellbeing and independence of older adults. Frailty has been associated with a variety of negative health outcomes, but studies are lacking on the potential association between frailty and driving status. The present study uses data from The National Health and Aging Trends Study (NHATS) to assess if the presence of frailty is associated with being a current non-driver. Methods NHATS is a nationally representative cohort study of Medicare beneficiaries (aged ≥65) that have been followed since 2011. We examined frailty status at baseline (Fried’s frailty phenotype) and driving status over 4 years (from 2011 to 2014) excluding never drivers at baseline. Multivariable Poisson regression was used to obtain incidence rate ratios, adjusting for covariates and clustering. To account for the repeated measures in the data collection, generalized estimating equations (GEE) were employed. Results A significant association between baseline frailty and driving status was observed at all four time points. At T4, frail participants at baseline had an incidence rate for becoming a current non-driver 1.80 times (or an 80% increase) that of non-frail participants at baseline (adjusted 95% confidence interval (CI) 1.56–2.07). Conclusions Frailty was associated with an increased rate of being a current non-driver. Based on this association, we posit that screening for and intervening on frailty may help certain older adults who are at risk for becoming a current non-driver to remain on the road longer.
Subject:
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Driving
Epidemiology
Frailty
Measurement
Older Adults
Original Contribution

Source:
Inj Epidemiol. 4.;
Pubmed ID:
28286931
Pubmed Central ID:
PMC5366291
Document Type:
Journal Article;
Funding:
R49 CE002096/CE/NCIPC CDC HHS/United States; U01 AG032947/AG/NIA NIH HHS/United States;
R49 CE002096/CE/NCIPC CDC HHS/United States; U01 AG032947/AG/NIA NIH HHS/United States; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:68115e149c0db7e94dd432e83bd11708a9d358397a7c7a6020cd0bb7faeaadac
File Type:

Supporting Files

• 40621_2017_Article_106.nxml

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