作者: Ellen E. Freeman , Stephen J. Gange , Beatriz Muñoz , Sheila K. West
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摘要: Objectives. Given the importance of driving in American society, older nondrivers may be unable to meet basic needs while living independently. We assessed whether not is an independent risk factor for entering long-term care (LTC) institutions. Methods. Data were used from 1593 adults who participated Salisbury Eye Evaluation cohort study and completed additional telephone survey. Questions on status LTC entry obtained by self/proxy report. Cox time-dependent regression procedures adjust demographic health factors. Results. Former never drivers had higher hazards after adjustment variables (hazard ratio [HR]=4.85; 95% confidence interval [CI] = 3.26, 7.21; HR 3.53; CI 1.89, 6.58, respectively). Also, having no other house was (HR 1.72; 1.15, 2.57). Discussion. Older are expected make good decisions about when stop driving, but hardships imposed widely recognized. Innovative strategies improve transportation options should considered. (Am J Public Health. 2006;96:1254‐1259. doi:10.2105/AJPH.2005.069146)