*Address correspondence to Angela L. Curl, School of Social Work, University of Missouri, 709 Clark Hall, Columbia, MO 65211. E-mail:
Gerontologist. 2014 Jun;54(3):423-33. doi: 10.1093/geront/gnt037. Epub 2013 May 7.
Many older adults consider driving vital to maintaining their preferred lifestyle and engagement with society, yet it is normative for individuals to eventually stop driving. This study examined the impact of driving cessation on older adults' productive and social engagement and whether their mental and physical health mediated this relationship.
Multilevel modeling was used to analyze longitudinal data (N = 4,788 adults age 65 and over) from the Health and Retirement Study (1998-2010).
Productive engagement (paid work, formal volunteering, and informal volunteering) was negatively affected when older adults stopped driving, but social engagement was not immediately compromised by their transition to nondriver status. The role of physical health and mental health as mediators in explaining this relationship was negligible.
The results suggest that interventions aimed at maintaining nondrivers' participation in productive roles should focus on factors other than enhancement of health and well-being to spur greater engagement (e.g., availability of and barriers to use of public transportation). Also important in the intervention process is planning for mobility transitions. Future research should test for geographic (e.g., urban vs. rural) differences in the impact of driving cessation on productive and social engagement.
许多老年人认为开车对于维持他们所偏好的生活方式和融入社会至关重要,但最终每个人都需要停止驾驶。本研究探讨了驾驶停止对老年人生产性和社交参与的影响,以及他们的身心健康是否在其中起到中介作用。
使用多层次模型分析了来自健康与退休研究(1998-2010 年)的 4788 名 65 岁及以上成年人的纵向数据。
当老年人停止驾驶时,他们的生产性参与(有偿工作、正式志愿服务和非正式志愿服务)受到负面影响,但他们向非驾驶员身份的过渡并没有立即影响到他们的社交参与。身体健康和心理健康作为解释这种关系的中介因素的作用可以忽略不计。
研究结果表明,旨在维持非驾驶员参与生产性角色的干预措施应该关注除了增强健康和幸福感之外的其他因素,以激发更多的参与(例如,公共交通的可用性和使用障碍)。在干预过程中,还需要规划好出行方式的转变。未来的研究应该测试驾驶停止对生产性和社交参与的影响在地理方面(例如,城市与农村)是否存在差异。