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The role of transportation support in the driving cessation process among community-dwelling older adults.

机译:在社区居民中,交通支持在驾驶过程中的作用。

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摘要

This dissertation research aims to examine the role of transportation support in the driving cessation process among community-dwelling older adults. Five different types of transportation supports were tested, and the driving cessation process was defined as consisting of driving avoidance and driving cessation. Role theory and the selection, optimization, and compensation model offered the basis for developing hypotheses about the dynamics between transportation support and the driving cessation process.;Data were obtained from three waves of the Florida Disability Study (1990, 1991, and 1992). The study population consists of generally healthy and active community-dwelling old-old persons residing in Florida retirement communities. Logistic regression models were employed to cross-sectionally examine relationships between transportation support and driving avoidance. Discrete-time multivariate hazard models were used to longitudinally test the impact of transportation support on driving cessation. Sociodemographic characteristics and health conditions were controlled in these multivariate analyses. Chi-square tests, Fisher's exact tests, and T-tests were used to cross-sectionally examine the difference in receiving transportation support by driving status and gender.;All the five types of transportation supports showed insignificant relationships with driving avoidance. Gender was the most influential factor for avoiding driving both at night and on highway. However, driving cessation was influenced by transportation support from hired assistants and friends/neighbors more than by sociodemographic and health factors. Older drivers with a higher number of transportation support was more likely to cease their driving. Regardless of driving status, older adults tended to receive informal transportation support more than formal one.;These findings contribute to knowledge development about how alternative transportation influences older adults' driving cessation and how they meet their transportation needs after driving cessation. The results revealed that driving avoidance and cessation are distinct behaviors, which are influenced by different risk factors. Given the importance of transportation support for older drivers' decision making of driving cessation, gerontological social workers need to approach their clients' mobility limitations from the ecological perspective beyond focusing on individuals' physical impairments. To effectively provide transportation alternatives for older adults, policy makers need to consider accessibility and flexibility of public transportation besides its availability.
机译:本论文的研究旨在探讨交通支持在社区居住的老年人中的驾驶戒烟过程中的作用。测试了五种不同类型的运输支持,并且将驾驶停止过程定义为避免驾驶和停止驾驶。角色理论以及选择,优化和补偿模型为发展有关运输支持与驾驶停止过程之间的动力学假说提供了基础。数据来自佛罗里达残疾人研究的三波浪潮(1990年,1991年和1992年)。研究人群包括居住在佛罗里达州退休社区的总体健康且活跃的社区老年人。使用逻辑回归模型来横断面检查运输支持与避免驾驶之间的关系。离散时间多元危害模型用于纵向测试运输支持对驾驶员停车的影响。这些多元分析控制了社会人口学特征和健康状况。卡方检验,Fisher精确检验和T检验用于横断面检查驾驶状态和性别对接受交通支持的差异。;所有五种交通支持与驾驶回避的关系均无关紧要。性别是避免在夜间和高速公路上开车的最有影响力的因素。但是,受雇助手和朋友/邻居的交通支持对停车的影响比受社会人口统计学和健康因素的影响更大。具有更多交通支持的老年驾驶员更有可能停止驾驶。不论驾驶状态如何,老年人都倾向于获得比正规驾驶更多的非正式交通支持。这些发现有助于人们了解替代性交通如何影响老年人的驾驶戒断以及他们如何满足驾驶戒断后的交通需求。结果表明,驾驶回避和戒烟是不同的行为,受不同风险因素的影响。考虑到交通支持对年长驾驶员决定戒烟的重要性,老年医学社会工作者需要从生态学角度着眼于解决客户行动不便的限制,而不仅仅是关注个人的身体障碍。为了有效地为老年人提供其他交通方式,政策制定者除了要考虑公共交通的可用性外,还需要考虑其可及性和灵活性。

著录项

  • 作者

    Choi, Moon.;

  • 作者单位

    Case Western Reserve University.;

  • 授予单位 Case Western Reserve University.;
  • 学科 Gerontology.;Transportation.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 147 p.
  • 总页数 147
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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