Chihuri Stanford, Mielenz Thelma J, DiMaggio Charles J, Betz Marian E, DiGuiseppi Carolyn, Jones Vanya C, Li Guohua
Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York City, New York.
Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York City, New York.
J Am Geriatr Soc. 2016 Feb;64(2):332-41. doi: 10.1111/jgs.13931. Epub 2016 Jan 19.
To determine what effect driving cessation may have on subsequent health and well-being in older adults.
Systematic review of the evidence in the research literature on the consequences of driving cessation in older adults.
Community.
Drivers aged 55 and older.
Studies pertinent to the health consequences of driving cessation were identified through a comprehensive search of bibliographic databases. Studies that presented quantitative data for drivers aged 55 and older; used a cross-sectional, cohort, or case-control design; and had a comparison group of current drivers were included in the review.
Sixteen studies met the inclusion criteria. Driving cessation was reported to be associated with declines in general health and physical, social, and cognitive function and with greater risks of admission to long-term care facilities and mortality. A meta-analysis based on pooled data from five studies examining the association between driving cessation and depression revealed that driving cessation almost doubled the risk of depressive symptoms in older adults (summary odds ratio = 1.91, 95% confidence interval = 1.61-2.27).
Driving cessation in older adults appears to contribute to a variety of health problems, particularly depression. These adverse health consequences should be considered in making the decision to cease driving. Intervention programs ensuring mobility and social functions may be needed to mitigate the potential adverse effects of driving cessation on health and well-being in older adults.
确定停止驾车对老年人随后的健康和幸福可能产生何种影响。
对关于老年人停止驾车后果的研究文献中的证据进行系统综述。
社区。
55岁及以上的驾驶者。
通过全面检索书目数据库，确定与停止驾车的健康后果相关的研究。纳入综述的研究需为55岁及以上驾驶者提供定量数据；采用横断面、队列或病例对照设计；并有一组当前驾驶者作为对照组。
16项研究符合纳入标准。据报告，停止驾车与总体健康、身体、社会和认知功能下降以及入住长期护理机构和死亡风险增加有关。一项基于五项研究汇总数据的荟萃分析，研究停止驾车与抑郁之间的关联，结果显示停止驾车使老年人出现抑郁症状的风险几乎增加了一倍（汇总比值比 = 1.91，95%置信区间 = 1.61 - 2.27）。
老年人停止驾车似乎会导致各种健康问题，尤其是抑郁。在做出停止驾车的决定时，应考虑这些不良健康后果。可能需要干预计划来确保行动能力和社会功能，以减轻停止驾车对老年人健康和幸福的潜在不利影响。
