Evidence map›Paper›PMID 42104869›Full record

ArticleOccupational therapy international2026

Sex Differences in Instrumental Activities of Daily Living and Transportation Modes by Driving Status Among Older Adults.

Tsutomu Sasaki, Masao Ichikawa, Kyohei Yamada, Yukiko Tomari, Daiji Kobayashi

Abstract read
In one paragraph

Article in Occupational therapy international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Tsutomu SasakiDepartment of Occupational Therapy, Hokkaido Chitose College of Rehabilitation, Chitose City, Hokkaido, Japan.ORCID https://orcid.org/0009-0006-7105-0920
Masao IchikawaDepartment of Global Public Health Policy, Institute of Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan, tsukuba.ac.jp.
Kyohei YamadaDepartment of Occupational Therapy, Hokkaido Chitose College of Rehabilitation, Chitose City, Hokkaido, Japan.
Yukiko TomariShimamatsu Hospital, Eniwa City, Hokkaido, Japan.
Daiji KobayashiDepartment of Information System Engineering, Faculty of Science and Technology, Chitose Institute of Science and Technology, Chitose City, Hokkaido, Japan.

Funding

Japan Society for the Promotion of Science 23K10537
6 · The paper itself

Abstract

introductionPlanning for driving cessation is essential to support older adults' well-being and access to alternative transportation. As transportation needs vary by activity and sex, it is important to understand how these factors influence mobility after driving cessation. This study aimed to clarify sex differences in transportation modes for daily activities among older adults with different driving status. MATERIALS AND

methodsThis study examined transportation modes used for instrumental activities of daily living (IADLs) and the level of engagement (i.e., frequency of participation) among community-dwelling older adults, stratified by driving status (current, retired, never) and sex. Cross-sectional data were obtained from a 2023 self-administered survey of residents aged 75-80 years in Chitose City, Japan, including 916 current drivers, 238 retired drivers, and 281 never drivers.

resultsNearly all participants engaged in shopping and visiting medical facilities. Current drivers showed higher engagement in IADLs, primarily by driving themselves. Retired and never drivers engaged in fewer IADLs, particularly men, who were less likely to receive rides from others. In contrast, women were more often driven by others, especially among nondrivers. Men reported higher bicycle use across driving statuses. Multivariable analyses showed that driving status was strongly associated with essential IADLs, whereas discretionary IADLs were influenced by sex and social support. DISCUSSION: These findings suggest that mobility support for older adults should consider both sex and driving status. Occupational therapists and policymakers should tailor interventions-such as safe bicycle use training and transportation support-to promote equitable community mobility. Supporting meaningful engagement in daily activities is vital for maintaining health, independence, and social participation after driving cessation.

Indexed as

Activities of Daily LivingAutomobile DrivingTransportationAgedAged, 80 and overAging in PlaceBicyclingCross-Sectional StudiesFemaleHumansIndependent LivingJapanMaleSex FactorsSurveys and Questionnairesageingcommunitydrivinghealthinstrumental activities of daily livingsex

Identifiers

PMID42104869
PMCPMC13156801

What OpenQuestion holds

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LicenceCC BY
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.