Evidence map›Paper›PMID 36383376›Full record

ArticleThe Gerontologist2023

Cars, Guns, Aging, and "Giving Up the Keys".

Marian E Betz, Evan R Polzer, Christopher E Knoepke, Laura C Prater, Joseph A Simonetti, Teresa M Lee, Lauren E Meador, Kathryn A Nearing

Abstract read
In one paragraph

Article in The Gerontologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marian E BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0003-1643-6565
Evan R PolzerDepartment of Emergency Medicine, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Christopher E KnoepkeDivision of Cardiology, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Laura C PraterDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington,USA.
Joseph A SimonettiRocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention, Veterans Health Administration, Aurora, Colorado, USA.
Teresa M LeeDepartment of Neurology, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Lauren E MeadorDepartment of Emergency Medicine, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Kathryn A NearingVA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, Colorado, USA.

Funding

Decision Making Among Older Adults: the AUTO studyR01AG059613 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2019 to 2023
$3.7M
NIA NIH HHS R01 AG059613
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAge-associated changes can impair abilities for safe driving and the use of firearms. We sought to examine multiple perspectives on reducing access to firearms, including similarities and differences compared to reducing driving. RESEARCH DESIGN AND

methodsOnline focus groups and 1-on-1 interviews were conducted (November 2020 to May 2021) in the United States with: older adults who drove and owned firearms; family members of older adult firearm owners/drivers; professionals in aging-related agencies; and firearm retailers/instructors. Recorded sessions were transcribed, coded, and analyzed following a mixed inductive-deductive thematic analysis process.

resultsAmong 104 participants (81 in focus groups, 23 in interviews), 50 (48%) were female, and 92 (88%) White. Key similarities: decisions are emotional and challenging; needs change over time; safety concerns are heightened by new impairments; prior experiences prompt future planning; tension between autonomy and reliance on trusted others; and strategies like reframing may ease transitions and avoid confrontations. Key differences: "retirement" was not an acceptable term for firearms; reducing driving may affect daily independence more, but there are few alternatives for the psychological safety conferred by firearms; and there are specific firearm-related legal concerns but more driving-related regulations, policies, and resources. DISCUSSION AND IMPLICATIONS: The similarities and differences in the processes and preferences related to reducing driving or firearm access have implications for the development of resources to support planning and action. Such resources for the public and providers might empower older adults and their families to make voluntary, shared decisions, and reduce injuries and deaths.

Indexed as

FirearmsAgedAgingAutomobilesFamilyFemaleHumansMaleOwnershipSafetyUnited StatesAdvance planningDrivingFirearmsGuns

Identifiers

PMID36383376
PMCPMC10167763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.