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Driving Cessation and Social Isolation in Older Adults

机译:老年人的驾驶戒烟和社会孤立

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Objective: This study investigated the impact of driving cessation on social isolation in older adults. Method: Data were obtained from Rounds 1 through 6 of the National Health and Aging Trends Study. The study sample consisted of 6,916 Medicare beneficiaries aged 65 or above who were eligible drivers at baseline. Mixed-effects ordered logistic regression and piecewise regression were used to examine the impact of driving cessation on social isolation. Results: In multivariable mixed-effects ordered logistic regression, past-year nondrivers had a twofold increase in the odds of being in a higher social isolation category (odds ratio OR = 2.1, p < .001). Piecewise regression analysis showed that social isolation scores increased by 0.08 points (p = .024) following an incident of driving cessation. Discussion: Driving cessation is associated with a higher risk of social isolation in older adults. Interventions to reduce social isolation among older adults may improve public health by targeting older adults who have recently stopped driving.
机译:目的:探讨戒车对老年人社会孤立的影响。方法:数据来自国家健康和老龄化趋势研究的第 1 轮至第 6 轮。研究样本包括 6,916 名 65 岁或以上的 Medicare 受益人,他们在基线时是符合条件的司机。采用混合效应有序逻辑回归和分段回归分析停止驾驶对社会隔离的影响。结果:在多变量混合效应有序逻辑回归中,过去一年的非驾驶员处于较高社会孤立类别的几率增加了两倍(比值比 [OR] = 2.1,p < 0.001)。分段回归分析显示,在发生停车事件后,社会孤立得分增加了 0.08 分 (p = .024)。讨论:停止驾驶与老年人社会孤立的风险增加有关。减少老年人社会孤立的干预措施可以通过针对最近停止驾驶的老年人来改善公共卫生。

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