Journal
JOURNAL OF AGING AND HEALTH
Volume 24, Issue 8, Pages 1364-1379Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0898264312460574
Keywords
driving; disability; gender disparity; racial disparity; speed of processing intervention
Categories
Funding
- NCRR NIH HHS [UL13RR031990, UL1 RR031990] Funding Source: Medline
- NIA NIH HHS [U01AG14289, U01AG14260, U01 AG014260, U01 AG014289, U01AG14263, U01 AG014276, U01 AG014263, U01AG14282, U01 AG014282, U01AG14276] Funding Source: Medline
- NICHD NIH HHS [K12-HD055881, K12 HD055881] Funding Source: Medline
- NIMH NIH HHS [K01 MH093642] Funding Source: Medline
- NINR NIH HHS [U01NR04508, U01 NR004508, U01NR04507, U01 NR004507] Funding Source: Medline
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Objectives: To longitudinally examine gender and racial disparities in driving cessation among older adults. Methods: Data came from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study (N = 1,789). Logistic generalized estimating equations (GEE) were used to identify predictors of driving cessation; stratified analysis and interaction terms were used to determine whether factors differed by gender and race. Results: Two hundred and five (11.5%) participants stopped driving over the study period. Education was associated with increased risk of cessation for men (adjusted odds ratio [AOR] =1.40, 95% confidence interval [CI] =1.10 to 1.78), but decreased risk for women (AOR = 0.90, 95% CI = 0.82-0.98). Being married was associated with lower risk of cessation for men (AOR = 0.18, 95% CI = 0.06-0.56) but was unrelated to cessation for women (AOR = 1.00, 95% CI = 0.56-1.80). Results were consistent with the hypothesis that racial disparities in cessation widen with increasing age. Discussion: Factors predictive of driving cessation vary by gender. Racial disparities in cessation are wider at older ages. Transportation policies and programs should account for social determinants and aim to address social disparities in driving mobility among older adults.
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