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SOMETHING TO (NOT) TALK ABOUT: QUANTIFYING OLDER DRIVERS’ DISCUSSIONS ABOUT A NONDRIVING FUTURE

机译:关于(否)谈一谈:量化老司机关于非驾驶性未来的讨论

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摘要

Unlike planning for future healthcare and financial needs, few current drivers prepare for the 6–10 years former drivers live after driving cessation. Family and healthcare providers are most often involved in drivers’ decisions about cessation; however, little is known about the extent of these conversations, especially from the drivers’ perspective. From a larger transportation survey (n=874), current drivers (n=624) reported discussions regarding a nondriving future with three stakeholder groups: spouse/partner, adult children/grandchildren, and healthcare providers. In this sample (83% female, 74% Black, mean age 72.0 ± 7.1 years, range 53–92), fewer than 10% reported serious discussions with any group. Over 60% of drivers with family had not talked at all with their spouses or adult (grand)children about future transportation needs. Even more (87%) had not discussed the topic with healthcare providers. Black drivers reported significantly more discussions with adult (grand)children and providers compared to White drivers (Pearson X2(1)= 4.06, p=.04); there were no racial differences between talking with spouses, or by gender with any stakeholder groups. In binary logistic regression models, race significantly predicted provider (p=.02), but not family, discussions. These results show that most current drivers do not engage with salient stakeholders in planning for a nondriving future, which may leave them vulnerable to unnecessary mobility loss after driving cessation. Therefore, interventions that encourage early mobility counseling will need to include fundamental communication and planning even among existing relationships, with the end goal of improving outcomes for former drivers.
机译:与规划未来的医疗保健和财务需求不同,目前的驾驶员很少为前驾驶员在戒烟后生活6-10年做准备。家庭和医疗保健提供者最常参与驾驶员的戒烟决定;但是,对于这些对话的程度知之甚少,尤其是从驾驶员的角度而言。通过较大的交通调查(n = 874),当前的驾驶员(n = 624)报告了与三个利益相关者群体有关不开车的未来的讨论:配偶/伴侣,成年子女/孙子和医疗保健提供者。在该样本中(83%的女性,74%的黑人,平均年龄72.0±7.1岁,范围53-92),少于10%的人表示与任何小组进行了认真的讨论。超过60%的有家人的驾驶员根本没有与配偶或成年(大)孩子谈论未来的交通需求。甚至更多(87%)没有与医疗保健提供者讨论该话题。与白人司机相比,黑人司机报告与成年(大)孩子和服务提供者的讨论要多得多(Pearson X2(1)= 4.06,p = .04);与配偶交谈或与任何利益相关者团体的性别之间没有种族差异。在二元逻辑回归模型中,种族显着预测了提供者(p = .02),但没有家庭讨论。这些结果表明,当前大多数驾驶员在计划不开车的未来时都没有与重要的利益相关者合作,这可能使他们容易遭受驾驶停止后不必要的机动性损失。因此,鼓励早期行动咨询的干预措施即使在现有关系中也必须包括基本的沟通和计划,最终目的是改善前驾驶员的结果。

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