Department of Epidemiology and Community Health, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Aging Ment Health. 2012;16(1):75-83. doi: 10.1080/13607863.2011.583633. Epub 2011 Jun 27.
The aging process is marked by a series of transitions that influence multiple domains of well-being. One important transition for older adults is the process of driving cessation. Numerous studies have examined risk factors for driving cessation among older adults to identify at-risk older drivers for road safety. Recent research has focused on the consequences of driving cessation in later life for health and well-being. However, these reports have been largely empirical and are not drawn from a defined conceptual framework. Establishing a theoretical model of 'how driving cessation interacts with other processes and domains of aging' will promote synthesis of seemingly disparate findings and also link the empirical research on cessation to the broader field of gerontology. This article describes a conceptual model for articulating and examining the components of the driving cessation process based on the stress-coping paradigm. This model situates driving cessation within the context of exogenous stressors, individual vulnerabilities and coping strategies, and environmental hazards and buffers over the lifespan. This model could assist in guiding intervention strategies aimed at reducing premature driving cessation in older drivers with ameliorable impairments while assisting at-risk older drivers to reduce or stop driving in a less stressful way.
衰老过程以一系列影响多个福祉领域的转变为标志。对于老年人来说，一个重要的转变是停止驾驶的过程。许多研究已经研究了老年人停止驾驶的风险因素，以确定道路安全方面的高危老年司机。最近的研究集中在晚年停止驾驶对健康和幸福感的影响。然而，这些报告在很大程度上是经验性的，并没有从一个明确的概念框架中得出。建立一个关于“驾驶停止如何与衰老的其他过程和领域相互作用”的理论模型，将促进看似不同的发现的综合，也将停止驾驶的实证研究与老年学的更广泛领域联系起来。本文描述了一个基于压力应对范式的概念模型，用于阐明和检验驾驶停止过程的组成部分。该模型将驾驶停止置于整个生命周期中外源性压力源、个体脆弱性和应对策略以及环境危害和缓冲的背景下。该模型可以帮助指导干预策略，旨在减少可改善的损伤的老年司机过早停止驾驶，同时帮助高危老年司机以不那么紧张的方式减少或停止驾驶。
