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Moderating effects of social engagement on driving cessation in older women

  • Nancy A. Pachana (a1), Janni K Leung (a2) (a3), Paul A Gardiner (a2) (a4) and Deirdre McLaughlin (a2)

Abstract

Background:

Driving cessation in later life is associated with depression. This study examines if social support can buffer the negative effects of driving cessation on older women's mental health.

Methods:

Participants were drawn from the 1921–1926 cohort of the Australian Longitudinal Study on Women's Health (ALSWH) and included 4,075 older women (aged 76–87 years) who drove at baseline, following them for three years to assess driving cessation. The outcome variable was mental health, measured by the mental health index (MHI) of the SF-36. The explanatory variables were social support factors, including social interaction, whether the women were living alone or with others, and engagement in social activities. Control variables included age, country of birth, area of residence, ability to manage on income, marital status, and general health.

Results:

Main effect results showed that poor mental health was predicted by driving cessation, low levels of social interaction, and non-engagement in social activities. There was a significant interaction effect of driving status by social activities engagement on mental health. Women who remained active in their engagement of social activities were able to maintain a good level of mental health despite driving cessation.

Conclusion:

Engagement and participation in social activities can help older women who stopped driving maintain a good level of mental health.

Copyright

Corresponding author

Correspondence should be addressed to: Deirdre McLaughlin, School of Public Health, The University of Queensland, Herston Road, Herston, Qld. 4006, Australia. Phone: +61-7-33655335. Email: d.mclaughlin@sph.uq.edu.au.

References

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Breen, D. A., Breen, D. P., Moore, J. W., Breen, P. A. and O'Neill, D. (2007). Driving and dementia. British Medical Journal, 334, 13651369.
Choi, M., Mezuk, B., Lohman, M. C., Edwards, J. D. and Rebok, G. W. (2012). Gender and racial disparities in driving cessation among older adults. Journal of Aging and Health, 24, 13641379.
D'Ambrosio, L. A., Donorfio, L. K. M., Coughlin, J. F., Mohyde, M. and Meyer, J. (2008). Gender differences in self-regulation patterns and attitudes toward driving among older adults. Journal of Women & Aging, 20, 265282.
DiNapoli, E. A. and Scogin, F. R. (2014). Late-life depression. In Pachana, N. A. and Laidlaw, K. (eds.), Handbook of Clinical Geropsychology (pp. 412435). Oxford: Oxford Library of Psychology.
Finlayson, M. and Kaufert, J. (2002). Older women's community mobility: a qualitative exploration. Canadian Journal on Aging, 21, 7584. doi: org/10.1017/S0714980800000659.
Fonda, S. J., Wallace, R. B. and Herzog, A. R. (2001). Changes in driving patterns and worsening depressive symptoms among older adults. Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 56B, S343S351. doi: 10.1093/geronb/56.6.S343.
Freeman, E. E., Gange, S. J., Munoz, B. and West, S. K. (2006). Driving status and risk of entry into long-term care in older adults. American Journal of Public Health, 96, 12541259.
Friedman, B., Heisel, M. and Delavan, R. (2005). Validity of the SF-36 five-item mental health index for major depression in functionally impaired, community-dwelling elderly patients. Journal of the American Geriatric Society, 53, 19781985.
Gallo, J. J., Rebok, G. W. and Lesikar, S. E. (1999). The driving habits of adults aged 60 years and older. Journal of the American Geriatric Society, 47, 335341.
Hakamies-Blomqvist, L. and Wahlström, B. (1998). Why do older drivers give up driving?. Accident Analysis & Prevention, 30, 305312.
Harrison, A. and Ragland, D. R. (2003). Consequences of driving reduction or cessation for older adults. Human Performance, Simulation, User Information Systems, and Older Person Safety and Mobility, 1843, 96104.
Johnson, J. E. (2008). Informal social support networks and the maintenance of voluntary driving cessation by older rural women. Journal of Community Health Nursing, 25, 6575. doi: 10.1080/07370010802017034.
Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G. and Hybels, C. (1993). Abbreviating the duke social support index for use in chronically ill elderly individuals. Psychosomatics: Journal of Consultation Liaison Psychiatry, 34, 6169.
Kohler, S., Thomas, A. J., Lloyd, A., Barber, R., Almeida, O. P. and O'Brien, J. T. (2010). White matter hyperintensities, cortisol levels, brain atrophy and continuing cognitive deficits in late-life depression. British Journal of Psychiatry, 196, 143149. doi: 10.1192/bjp.bp.109.071399.
Lee, C. et al., (2005). Cohort profile: the Australian longitudinal study on women's health. International Journal of Epidemiology, 34, 987–91. doi: 10.1093/ije/dyi098.
Liddle, J., Bennett, S., Allen, S., Lie, D. C., Standen, B. and Pachana, N. A. (2013). The stages of driving cessation for people with dementia: needs and challenges. International Psychogeriatrics, 25, 20332046. doi: org/10.1017/S1041610213001464.
Liddle, J., Gustafsson, L., Bartlett, H. and McKenna, K. (2012). Time use, role participation and life satisfaction of older people: impact of driving status. Australian Occupational Therapy Journal, 59, 384392. doi: 10.1111/j.1440-1630.2011.00956.x.
Liddle, J., Haynes, M., Pachana, N. A., Mitchell, G., McKenna, K. and Gustafsson, L. (2014). Effect of a group intervention to promote older adults’ adjustment to driving cessation on community mobility: a randomized controlled trial. The Gerontologist, 54, 409422. doi: 10.1093/geront/gnt019.
Marottoli, R., Mendes de Leon, C., Glass, T., Williams, C., Cooney, L. and Berkman, L. (2000). Consequences of driving cessation: decreased out-of-home activity levels. Journal of Gerontology: Social Sciences, 55B, S334S340.
Mezuk, B. and Rebok, G. W. (2008). Social integration and social support among older adults following driving cessation. Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 63B, S298S303.
O'Connor, M. L., Edwards, J. D., Waters, M. P., Hudak, E. M. and Valdés, E. G. (2013). Mediators of the association between driving cessation and mortality among older. Journal of Aging and Health, 25, 249S269S.
Oxley, J., Charlton, J., Scully, J. and Koppel, S. (2010). Older female drivers: an emerging transport safety and mobility issue in Australia. Accident Analysis and Prevention, 42, 515522.
Ragland, D. R., Satariano, W. A. and MacLeod, K. E. (2005). Driving cessation and increased depressive symptoms. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60, 399403. doi: 10.1093/gerona/60.3.399.
Siren, A. and Hakamies-Blomqvist, L. (2005). Sense and sensibility: a narrative study of older women's car driving. Transportation Research, F8, 213228.
Warburton, J. and McLaughlin, D. (2005). ‘Lots of little kindnesses’: valuing the role of older Australians as informal volunteers in the community. Ageing and Society, 25, 715730 doi: 10.1017/S0144686X05003648.
Ware, J., Snow, K., Kosinski, M. and Gandek, B. (1993). SF-36 Health Survey: Manual and Interpretation Guide. Boston, MA: Nimrod Press.
Wilkins, J. W., Stutts, J. C. and Schatz, S. J. (1999). Premature reduction and cessation of driving: preliminary study of women who choose not to drive or to drive infrequently. Transportation Research Record, 1693, 8690.
Windsor, T. D., Anstey, K. J., Butterworth, P., Luszcz, M. A. and Andrews, G. R. (2007). The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. Gerontologist, 47, 215223.
Windsor, T. D., Anstey, K. J., Butterworth, P., Lusczc, M. A. and Andrews, G. R. (2009). The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. Gerontologist, 46, 215223.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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