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Utilization of driving and other transportation rehabilitation in the National Health and Aging Trends Study
Institution:1. Perelman School of Medicine, University of Pennsylvania Health System, Philadelphia, PA;2. University of Utah, School of Medicine, Salt Lake City, UT;3. Washington University School of Medicine in St Louis, St Louis, MO;4. University of Florida, Gainesville, FL;5. National Institutes of Health, National Heart, Lung and Blood Institute, Bethesda, MD;6. Marshfield Clinic, Marshfield, WI;7. Brigham and Women''s Hospital, Harvard Medical School, Boston, MA;8. University of Texas Health Science Center, San Antonio, TX;9. Duke University Medical Center, Durham, NC
Abstract:BackgroundAs people age, their mobility begins to decrease. In an effort to maintain mobility, this population can seek out rehabilitation services with the goal of improving their driving. However, it is unclear who has sought out rehabilitation for this purpose.ObjectiveTo better understand, identify, and describe the characteristics of older adults who utilize rehabilitation with the purpose of improved driving.MethodsData was analyzed from the fifth round of the National Health and Aging Trends study (NHATS), which is made up of Medicare beneficiaries over the age of 65 that are community-dwelling. Rehabilitation utilization specifically for improved driving and other transportation was analyzed. Adjusted weighted logistic regression was conducted to better understand and identify the characteristics of the study population that received rehabilitation services for the purpose of improved driving ability.ResultsNineteen percent (N = 1,335) of this cohort received rehabilitation in the past year. Of those, 10% (N = 128) received rehabilitation to specifically improve driving and 2% (N = 25) did so to improve other transportation. Older adults who were single, separated, or never married were less likely to use rehabilitation for improving driving ability, compared to older adults who were married (OR: 0.29; 95% CI: 0.11–0.80).ConclusionOlder adults who are married were more likely to report they wanted to improve their driving ability with rehabilitation. The role of rehabilitation services to improve driving among older adults will play a key role in the coming years as older adults strive to maintain their independence.
Keywords:Automobile driving  Rehabilitation  Aged  NHATS"}  {"#name":"keyword"  "$":{"id":"kwrd0030"}  "$$":[{"#name":"text"  "_":"National Health and Aging Trends Study  OR"}  {"#name":"keyword"  "$":{"id":"kwrd0040"}  "$$":[{"#name":"text"  "_":"odds ratio  SP"}  {"#name":"keyword"  "$":{"id":"kwrd0050"}  "$$":[{"#name":"text"  "_":"sampled person  SPPB"}  {"#name":"keyword"  "$":{"id":"kwrd0060"}  "$$":[{"#name":"text"  "_":"Short Physical Performance Battery
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