新冠疫情对美国老年驾驶人的影响。
Impact of the COVID-19 Pandemic on Older Adult Driving in the United States.
机构信息
Department of Emergency Medicine, University of Colorado, School of Medicine, Aurora, CO, USA.
VA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, CO, USA.
出版信息
J Appl Gerontol. 2022 Aug;41(8):1821-1830. doi: 10.1177/07334648221091556. Epub 2022 May 18.
OBJECTIVES
To examine how the COVID-19 pandemic affected driving and health outcomes in older adults.
METHODS
We compared Advancing Understanding of Transportation Options (AUTO) study participants enrolled before (December 2019 to March 2020) versus during the pandemic (May 2020 to June 2021). Participants were English-speaking, licensed drivers (≥70 years) who drove weekly and had a primary care provider at a study site and ≥1 medical condition potentially associated with driving cessation. We used baseline self-reported measures on mobility and health.
RESULTS
Compared to those enrolled pre-COVID-19 ( = 61), more participants enrolled during COVID-19 ( = 240) reported driving reductions (26% vs. 70%, 001) and more often for personal preference (vs. medical/emotional reasons). While mean social isolation was higher during than pre-COVID-19, self-reported depression, stress, and overall health PROMIS scores did not differ significantly.
DISCUSSION
Our findings highlight the resiliency of some older adults and have implications for mitigating the negative effects of driving cessation.
目的
探讨 COVID-19 大流行如何影响老年人的驾驶和健康状况。
方法
我们比较了在大流行前（2019 年 12 月至 2020 年 3 月）和大流行期间（2020 年 5 月至 2021 年 6 月）入组的 Advancing Understanding of Transportation Options（AUTO）研究参与者。参与者为讲英语、有驾照（≥70 岁）、每周开车且在研究点有初级保健提供者并有≥1 种可能与停止驾驶相关的医疗状况。我们使用基线自我报告的移动性和健康指标。
结果
与 COVID-19 前入组者（n=61）相比，更多的 COVID-19 期间入组者（n=240）报告了驾驶减少（26%对 70%，0.01），且更多是出于个人偏好（而非医疗/情绪原因）。尽管社交隔离的平均值在大流行期间高于大流行前，但自我报告的抑郁、压力和整体健康 PROMIS 评分并无显著差异。
讨论
我们的发现强调了一些老年人的适应能力，对减轻停止驾驶的负面影响具有重要意义。
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