Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Department of Population Health Sciences, University of Wisconsin-Madison, Madison, Wisconsin, USA.
J Gerontol B Psychol Sci Soc Sci. 2024 Jun 1;79(6). doi: 10.1093/geronb/gbae054.
To characterize the effect of the actual and potential ability to get rides from others on older adults' driving reduction at 3-year follow-up in the United States.
We analyzed National Health and Aging Trends Study data from community-dwelling drivers in 2015 (unweighted n = 5,102). We used weighted logistic regression models to estimate whether getting rides from others in 2015 was associated with older adults increasing the number of driving behaviors they avoided, decreasing the frequency with which they drove, or not driving at 3-year follow-up after adjusting for biopsychosocial variables. We also measured presence of social network members living nearby including household and non-household members and estimated associated odds of driving reduction at 3-year follow-up.
Older adults who got rides from others in 2015 had greater odds of reporting no longer driving at 3-year follow-up compared to those who did not get rides (adjusted odds ratio [aOR] = 1.53, 95% confidence interval [CI]: 1.11-2.11). We found no statistically significant association between older adults living with others or having more nearby confidantes outside their household and their odds of reducing driving at 3-year follow-up.
These findings suggest that getting rides from others plays an important role in the transition to non-driving for older adults. Future research should examine whether other aspects of social networks (e.g., type, quality, and closer proximity) might also be key modifiable coping factors for older adults transitioning to non-driving.
描述在美国，老年人在 3 年随访时减少驾驶的实际和潜在能力与他人搭便车的关系。
我们分析了 2015 年居住在社区中的有驾驶能力的老年人参与的美国国家健康老龄化趋势研究的数据（未加权 n=5102）。我们使用加权逻辑回归模型来估计，2015 年是否与他人搭便车与老年人增加避免驾驶行为的数量、减少驾驶频率或在 3 年随访时不再驾驶有关，调整了生物心理社会变量。我们还测量了居住在附近的社会网络成员的存在情况，包括家庭和非家庭成员，并估计了与 3 年随访时减少驾驶相关的几率。
与没有搭便车的老年人相比，2015 年与他人搭便车的老年人在 3 年随访时报告不再驾驶的几率更高（调整后的优势比[aOR]=1.53，95%置信区间[CI]：1.11-2.11）。我们没有发现老年人与他人一起生活或有更多居住在家庭以外的附近知己与减少驾驶几率之间存在统计学上的显著关联。
这些发现表明，与他人搭便车在老年人向非驾驶过渡中起着重要作用。未来的研究应该探讨社会网络的其他方面（例如，类型、质量和更接近）是否也可能是老年人向非驾驶过渡的关键可调节应对因素。
