College of Nursing, Hanyang University, 222 Wangsimni-ro, Sungdong-gu, Seoul 04763, Korea.
Department of Nursing, Gangneung-Wonju National University, 150 Namwon-ro, Heungeop-myeon, Wonju-si, Gangwon-do 26403, Korea.
Int J Environ Res Public Health. 2020 Oct 1;17(19):7206. doi: 10.3390/ijerph17197206.
As the elderly population and the number of older drivers grow, public safety concerns about traffic accidents involving older drivers are increasing. Approaches to reduce traffic accidents involving older drivers without limiting their mobility are needed. This study aimed to investigate the driving cessation (DC) rate among older Korean adults and predictors of DC based on the comprehensive mobility framework.
In this cross-sectional study, data from 2970 to 10,062 older adults over 65 years old from the 2017 National Survey of Elderly People were analyzed in April 2020. Multivariate logistic regression analyses were conducted to identify the predictors of DC.
Residential area, an environmental factor, was a strong predictor of DC (Odds Ratio (OR) 2.21, 95% Confidential Interval (CI) 1.86-2.62). Older drivers living in an area with a metro system were 2.21 more likely to stop driving than those living in an area without a metro system. Other demographic, financial, psychosocial, physical, and cognitive variables also predicted DC.
Environmental factors were strong predictors of older adults' DC. Therefore, political and environmental support, such as the provision of accessible public transportation, is essential to increase the DC rate among older adults to increase public safety without decreasing their mobility.
随着老年人口和老年驾驶员数量的增加，公众对涉及老年驾驶员的交通事故的安全担忧也在增加。需要采取措施来减少涉及老年驾驶员的交通事故，同时又不限制他们的机动性。本研究旨在根据综合流动性框架，调查韩国老年成年人的驾驶停止（DC）率以及 DC 的预测因素。
在这项横断面研究中，于 2020 年 4 月对 2017 年全国老年人调查中 2970 至 10062 名 65 岁以上的老年人数据进行了分析。进行了多变量逻辑回归分析，以确定 DC 的预测因素。
居住环境是一个环境因素，是 DC 的一个强有力的预测因素（优势比（OR）2.21，95％置信区间（CI）1.86-2.62）。居住在有地铁系统的地区的老年驾驶员停止驾驶的可能性是居住在没有地铁系统地区的驾驶员的 2.21 倍。其他人口统计学，财务，心理社会，身体和认知变量也预测了 DC。
环境因素是老年人 DC 的重要预测因素。因此，需要提供无障碍的公共交通等政治和环境支持，以提高老年人的 DC 率，从而在不降低其机动性的情况下提高公共安全。
