@article{b794c108f39041cf82d38c871395f957,
title = "Gender and racial disparities in driving cessation among older adults",
abstract = "Objectives: To longitudinally examine gender and racial disparities in driving cessation among older adults. Methods: Data came from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study (N = 1,789). Logistic generalized estimating equations (GEE) were used to identify predictors of driving cessation; stratified analysis and interaction terms were used to determine whether factors differed by gender and race. Results: Two hundred and five (11.5%) participants stopped driving over the study period. Education was associated with increased risk of cessation for men (adjusted odds ratio [AOR] =1.40, 95% confidence interval [CI] =1.10 to 1.78), but decreased risk for women (AOR = 0.90, 95% CI = 0.82-0.98). Being married was associated with lower risk of cessation for men (AOR = 0.18, 95% CI = 0.06-0.56) but was unrelated to cessation for women (AOR = 1.00, 95% CI = 0.56-1.80). Results were consistent with the hypothesis that racial disparities in cessation widen with increasing age. Discussion: Factors predictive of driving cessation vary by gender. Racial disparities in cessation are wider at older ages. Transportation policies and programs should account for social determinants and aim to address social disparities in driving mobility among older adults.",
keywords = "disability, driving, gender disparity, racial disparity, speed of processing intervention",
author = "Moon Choi and Briana Mezuk and Lohman, {Matthew C.} and Edwards, {Jerri D.} and Rebok, {George W.}",
note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr. Mezuk is supported by the Building Interdisciplinary Research Careers in Women{\textquoteright}s Health program at Virginia Commonwealth University (K12-HD055881). Additional support provided by the VCU Center for Clinical and Translational Research (UL13RR031990). Dr. Choi is supported by grants from the Office of the Executive Vice President for Research and the College of Social Work at the University of Kentucky. ACTIVE is supported by grants from the National Institute on Aging and the National Institute of Nursing Research to Hebrew Senior Life (U01NR04507), Indiana University School of Medicine (U01NR04508), Johns Hopkins University (U01AG14260), New England Research Institutes (U01AG14282), Pennsylvania State University (U01AG14263), University of Alabama at Birmingham (U01AG14289), and University of Florida (U01AG14276). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research, National Institute on Aging, or the National Institutes of Health. Representatives of the funding agency have been involved in the review of the manuscript but not directly involved in the collection, management, analysis, or interpretation of the data. Dr. Rebok is a consultant for Compact Disc Incorporated (CDI), which is at this time in the process of developing an electronic version of the ACTIVE memory training program. He has received no financial support from them for ACTIVE, and the relationship is managed by the Johns Hopkins University according to its established conflict of interest policies.",
year = "2012",
month = dec,
doi = "10.1177/0898264312460574",
language = "English (US)",
volume = "24",
pages = "1364--1379",
journal = "Journal of Aging and Health",
issn = "0898-2643",
publisher = "SAGE Publications Inc.",
number = "8",
}