ArticleJournal of epidemiology2020
The Risk of Functional Limitations After Driving Cessation Among Older Japanese Adults: The JAGES Cohort Study.
Article in Journal of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Effects of a Proactive Driving Transition Class on Extending Safe Driving and Preparing for Life After Driving Cessation Among Older Drivers.Geriatrics (Basel, Switzerland) · 2026Article
- Sex Differences in Instrumental Activities of Daily Living and Transportation Modes by Driving Status Among Older Adults.Occupational therapy international · 2026Article
- Article
- Associations between Driving Status, Frequency of Transport use after Driving Cessation, and Social Frailty among Middle-Aged and Older Adults.Annals of geriatric medicine and research · 2024Article
- Revisiting Older Drivers' Risks of At-fault Motor Vehicle Collisions in Japan.Journal of epidemiology · 2024Article
- Transportation Justice and Health.The Milbank quarterly · 2024Article
- Verification of a comprehensive framework for mobility using data from the Canadian Longitudinal Study on Aging: a structural equation modeling analysis.BMC geriatrics · 2023Article
- Association between choices of transportation means and instrumental activities of daily living: observational cohort study of community-dwelling older adults.BMC public health · 2023Observational
- Prevalence of medical factors related to aging among older car drivers: a multicenter, cross-sectional, descriptive study.BMC geriatrics · 2022Observational
- Car Driving Status and Living Arrangement Associated with Sarcopenia among Rural Japanese Older Adults: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Meaningful Activities and Psychosomatic Functions in Japanese Older Adults after Driving Cessation.International journal of environmental research and public health · 2021Article
- Facing double jeopardy: Experiences of driving cessation in older adults during COVID-19 pandemic.Journal of transport & health · 2021Article
- Out-of-Home Activities and Health in Older Adults: A Scoping Review.OTJR : occupation, participation and health · 2021Article
- Frailty and driving status associated with disability: a 24-month follow-up longitudinal study.BMJ open · 2021Article
- Association between Sarcopenia, Its Defining Indices, and Driving Cessation in Older Adults.The journal of nutrition, health & aging · 2021Article
- Three-Year Longitudinal Association Between Built Environmental Factors and Decline in Older Adults' Step Count: Gaining insights for Age-Friendly Urban Planning and Design.International journal of environmental research and public health · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation ageing and stringent licensing policies will increase the number of older drivers who stop driving. Adverse health outcomes owing to driving cessation and their prevention are emerging concerns. Therefore, we longitudinally examined the impact of driving cessation and alternative transportation use after cessation on the risk of functional limitations in a cohort of community-dwelling people (65 years and older) in Japan.
methodsUsing cohort data of those who drove as of 2006/07, we compared the risk of functional limitations between 2,704 current drivers and 140 former drivers (who stopped driving by 2010). Of the former drivers, 77 did not use public transportation or bicycles after driving cessation (thus losing independent mobility). We calculated the hazard ratios (HRs) for the incidence of functional limitations with 95% confidence intervals (CIs) based on the Cox proportional hazards model with the covariates influencing the functional limitations.
resultsFrom 2010 through 2016, 645 people had functional limitations, which included 38, 82, and 119 per 1,000 person-years among current drivers, former drivers who used public transportation or bicycles, and former drivers who were only driven by others, respectively (HR 1.69; 95% CI, 1.15-2.49 and HR 2.16; 95% CI, 1.51-3.10, relative to current drivers).
conclusionDriving cessation is associated with an increased risk of functional limitations among older adults, but this risk might be alleviated if they are able to maintain independent mobility using public transportation or bicycles after driving cessation.
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