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Centre for Policy on Ageing | |
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Gender effect on driving cessation in pre-dementia and dementia phases results of the 3C population-based study | Author(s) | Laetitia Marie Dit Asse, Colette Fabrigoule, Catherine Helmer |
Journal title | International Journal of Geriatric Psychiatry, vol 32, no 10, October 2017 |
Publisher | Wiley, October 2017 |
Pages | pp 1049-1058 |
Source | http://www.orangejournal.org |
Keywords | Dementia ; Driving capability ; Evaluation ; Older men ; Older women ; Longitudinal surveys ; France. |
Annotation | Ageing entails deterioration in sensory, physical and cognitive functions, raising doubt in the driving capacity of older drivers, especially when the deficits are severe, as in dementia. Many older drivers, especially women, adapt their driving habits in order to compensate for these deficits and eventually stop driving. This France-based study assessed driving cessation in men and women throughout the dementia process, including a two-year pre-dementia phase. The study was based on a three-city cohort of subjects who were aged 65 years and older in 2000 and followed for more than 10 years. Active dementia detection was conducted at each follow-up. The probability of driving cessation was assessed in men and women during the two-year pre-dementia phase and until five years after diagnosis. In the two-year pre-dementia phase, both men and women ceased driving earlier than drivers with no central nervous system pathology, and women ceased driving earlier than men. A total of 45% of men and 74% of women had already ceased driving at dementia diagnosis. In contrast, the probability of cessation within three years after diagnosis was similar between men and women. The study showed that, in this French urban population, few demented drivers, especially women, were still driving after diagnosis. Those who continued to drive three years after the diagnosis all had Alzheimer-type dementia. There is certainly a need for physicians to help these drivers to adapt their driving activity to their deficits and to prepare them to stop driving. (JL). |
Accession Number | CPA-171027220 A |
Classmark | EA: OPF: 4C: BC: BD: 3J: 765 |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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