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回避行为是老年人道路驾驶技能较差的独立指标。

Avoidance Behavior Is an Independent Indicator of Poorer On-road Driving Skills in Older Adults.

机构信息

Research Division, Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), Bielefeld, Germany.

Division of Geriatric Psychiatry, Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), Bielefeld, Germany.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2020 Nov 13;75(10):2152-2161. doi: 10.1093/geronb/gbz063.

Abstract

OBJECTIVES

The aim of the current work was to investigate the relationship between avoidance of specific driving situations and on-road driving skills in older drivers considering factors found to be related to both avoidance behavior and driving skills.

METHOD

Seventy-two older drivers (M = 76 years) from the general population were included in this study. Self-reported avoidance behavior, driving practice, perceived driving difficulties, driving-related cognitive functions, as well as medical conditions were assessed within two sessions. Standardized on-road assessments served for assessing on-road driving skills in a third session.

RESULTS

Self-reported avoidance behavior was associated with reduced driving skills (r = -.41), and this relationship remained significant beyond the influence of cognitive skills, self-reported health, driving practice, and perceived driving difficulties. Specifically, avoidance of driving in bad weather, poor visibility and complicated parking was found to be associated with reduced driving skills.

DISCUSSION

This study suggest that avoidance behavior is an independent indicator of impaired driving skills in older drivers. Our results argue against the assumption that avoidance behavior may be a reasonable strategy for safe traffic participation. Longitudinal studies are urgently needed to get more evidence on safety aspects of avoidance behavior.

摘要

目的

本研究旨在探讨老年驾驶员回避特定驾驶情境与道路驾驶技能之间的关系,同时考虑与回避行为和驾驶技能相关的因素。

方法

本研究纳入了 72 名来自普通人群的老年驾驶员(平均年龄 76 岁)。在两次测试中,评估了驾驶员的回避行为、驾驶实践、感知驾驶困难、与驾驶相关的认知功能以及身体状况。在第三次测试中,采用标准化的道路评估来评估驾驶员的道路驾驶技能。

结果

回避行为与驾驶技能下降显著相关(r = -.41),且该关系在控制了认知能力、自我报告的健康状况、驾驶实践和感知到的驾驶困难后仍然显著。具体而言,回避恶劣天气、能见度差和复杂停车等驾驶情境与驾驶技能下降有关。

讨论

本研究表明,回避行为是老年驾驶员驾驶技能受损的一个独立指标。我们的结果反驳了回避行为可能是安全参与交通的合理策略的假设。迫切需要进行纵向研究,以获得更多关于回避行为安全方面的证据。

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