In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 5 ( 2023-5-4), p. e0285313-
Abstract:
Assessing successful ageing (SA) is essential to identify modifiable factors in order to enforce health promotion and prevention actions. SA comprises 3 dimensions: an active engagement with life, a low probability of disease and disease-related disability, and a high cognitive and physical functional capacity. Driving seems to be linked to SA as it is a mean to preserve social interactions and requires preserved functional and cognitive status. This study aims to investigate whether driving status can be considered a proxy of SA, by describing determinants associated with driving status in the 65+. Methods This cross-sectional study is ancillary to the S.AGES (Sujets AGÉS—Aged Subjects) study, an observational prospective cohort study which included patients suffering from chronic pain, type-2 diabetes mellitus or atrial fibrillation from 2009 to 2014. SA was defined by the success of three dimensions: physiological comprised of comorbidity and autonomy scores, psychological comprised of cognitive status and emotional state, and a social dimension. Results 2,098 patients were included of whom 1,226 (58.4%) reported being drivers. 351/2,092 (16.7%) were classified as successful agers: 292/1,266 (23.8%) in the driver group vs. 59/872 (6.8%) in the non-driver group; p 〈 .001. In the final logistic model, after adjustment for relevant variables, SA was associated with driver status OR 1.94 [1.36–2.77]. Conclusion Driving may be considered as a proxy to SA: it reflects elders’ independence, cognitive ability and a means to maintain social interactions. To preserve their mobility and enable them to achieve SA, regular screening of driving skills, specific rehabilitation programs are needed. Moreover development and communication on special transports services, communal rides or even driverless car to avoid apprehension around older adults driving could be solutions.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0285313
DOI:
10.1371/journal.pone.0285313.g001
DOI:
10.1371/journal.pone.0285313.t001
DOI:
10.1371/journal.pone.0285313.t002
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10.1371/journal.pone.0285313.s001
DOI:
10.1371/journal.pone.0285313.s002
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10.1371/journal.pone.0285313.s003
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10.1371/journal.pone.0285313.s004
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10.1371/journal.pone.0285313.s005
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10.1371/journal.pone.0285313.s006
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10.1371/journal.pone.0285313.s007
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10.1371/journal.pone.0285313.s008
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10.1371/journal.pone.0285313.s009
DOI:
10.1371/journal.pone.0285313.s010
DOI:
10.1371/journal.pone.0285313.s011
DOI:
10.1371/journal.pone.0285313.s012
DOI:
10.1371/journal.pone.0285313.r001
DOI:
10.1371/journal.pone.0285313.r002
DOI:
10.1371/journal.pone.0285313.r003
DOI:
10.1371/journal.pone.0285313.r004
DOI:
10.1371/journal.pone.0285313.r005
DOI:
10.1371/journal.pone.0285313.r006
DOI:
10.1371/journal.pone.0285313.r007
DOI:
10.1371/journal.pone.0285313.r008
DOI:
10.1371/journal.pone.0285313.r009
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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