Babulal Ganesh M, Williams Monique M, Stout Sarah H, Roe Catherine M
Charles F. and Joanne Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO 63108, USA.
Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Geriatrics (Basel). 2018 Mar;3(1). doi: 10.3390/geriatrics3010012. Epub 2018 Mar 20.
The population of older adults (aged 65 years and older) in the United States will become more racially and ethnically diverse in the next three decades. Additionally, the growth of the aging population will come with an expansion in the number of older drivers and an increased prevalence of chronic neurological conditions. A major gap in the aging literature is an almost exclusive focus on homogenous, non-Hispanic white samples of older adults. It is unclear if this extends to the driving literature. A systematic review of SCOPUS, PubMed, CINAHL Plus, and Web of Science examined articles on driving and racial/ethnic differences among older adults. Eighteen studies met inclusion criteria and their results indicate that racial and ethnic minorities face a greater risk for driving reduction, mobility restriction, and driving cessation. The majority of studies compared African Americans to non-Hispanic whites but only examined race as a covariate. Only four studies explicitly examined racial/ethnic differences. Future research in aging and driving research needs to be more inclusive and actively involve different racial/ethnic groups in study design and analysis.
在未来三十年里，美国老年人口（65岁及以上）在种族和族裔方面将变得更加多样化。此外，老龄化人口的增长将伴随着老年驾驶者数量的增加以及慢性神经疾病患病率的上升。老年学文献中的一个主要差距是几乎只关注同质化的、非西班牙裔白人老年样本。目前尚不清楚这是否也适用于驾驶领域的文献。一项对Scopus、PubMed、CINAHL Plus和科学网的系统综述，研究了关于老年人驾驶及种族/族裔差异的文章。18项研究符合纳入标准，其结果表明，少数族裔面临着更大的驾驶减少、行动受限和停止驾驶的风险。大多数研究将非裔美国人与非西班牙裔白人进行比较，但仅将种族作为协变量进行检验。只有四项研究明确考察了种族/族裔差异。未来关于老龄化和驾驶的研究需要更具包容性，并在研究设计和分析中积极纳入不同的种族/族裔群体。
