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Effects of Cognition on Driving Involvement Among the Oldest Old

Variations by Gender and Alternative Transportation Opportunities

^a The Glennan Center for Geriatrics and Gerontology, Eastern Virginia Medical School, Norfolk

Correspondence: Barbara Freund, PhD, The Glennan Center for Geriatrics and Gerontology, Eastern Virginia Medical School, 825 Fairfax Ave #201, Norfolk, VA 23507. E-mail: freundbm{at}evms.edu.

Decision Editor: Laurence G. Branch, PhD

Purpose: This study explored the impact of cognition and the availability of other drivers on driving restriction and cessation among older adults. Design and Methods: Survey data from the first wave of the Asset and Health Dynamics Among the Oldest Old data were analyzed, using multinomial logistic regressions. Results: Cognitive impairment is associated with driving restriction and cessation, although a noteworthy minority of mildly and severely cognitively impaired individuals continue to drive. Partner's driving and involvement and presence of other drivers in the household moderated the effect of cognition on driving restriction and cessation. Implications: The decision processes surrounding an individual's restricting or stopping driving are complex and may include consideration not only of competence, but also of sense of self-worth and relationship with a partner.

Key Words: Cognition • Aging • ADL and IADL impairments

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