RT Journal Article
SR Electronic
T1 Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 607
OP 613
DO 10.3122/jabfm.2019.04.180326
VO 32
IS 4
A1 Betz, Marian E.
A1 Villavicencio, Leon
A1 Kandasamy, Deepika
A1 Kelley-Baker, Tara
A1 Kim, Woon
A1 DiGuiseppi, Carolyn
A1 Mielenz, Thelma J.
A1 Eby, David W.
A1 Molnar, Lisa J.
A1 Hill, Linda
A1 Strogatz, David
A1 Carr, David B.
A1 Li, Guohua
A1 
YR 2019
UL http://www.jabfm.org/content/32/4/607.abstract
AB Background: Older adult drivers may experience decreases in driving safety with age or health status change. Discussing driving safety may help them plan for driving restriction and eventual cessation. Here, we sought to examine conversations between older adults and their family members and physicians.Methods: In this multi-site cross-sectional analysis of baseline data from the AAA Longitudinal Research on Aging Drivers (LongROAD) cohort study, we measured the prevalence and characteristics of family and physician driving discussions. We examined associations between having driving discussions and participant characteristics using multivariate logistic regression.Results: Of 2990 current drivers aged 65 to 79 years (53% female, 85.5% White), only 14.2% reported discussing driving safety with family and 5.5% had discussions with physicians. Men (adjusted OR, 1.32; 95% CI, 1.05 to 1.66) and those with Master's degrees or higher (adjusted OR, 1.65; 95% CI, 1.27 to 2.13) more often had family discussions. Those with at least a Master's degree were also more likely to speak with their physician (adjusted OR, 1.77; 95% CI, 1.17 to 2.68).Conclusion: Few older adults had driving safety conversations with their family or physicians. Practical and effective interventions are needed to engage family and physicians in assisting older adults with risk assessment and driving cessation planning to maintain mobility and well-being.