TY  - JOUR
PY  - 2013//
TI  - Mediators of the association between driving cessation and mortality among older adults
JO  - Journal of aging and health
A1  - O'Connor, Melissa L.
A1  - Edwards, Jerri D.
A1  - Waters, Martinique P.
A1  - Hudak, Elizabeth M.
A1  - Valdés, Elise G.
SP  - 249S
EP  - 269S
VL  - 25
IS  - 8 Suppl
N2  - OBJECTIVE: The present study examined health and physical performance as mediators of the association between driving cessation and mortality among older residents of small and large cities. METHOD: Participants (N = 2,793) were from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study. Participants' driving status and health were measured at baseline, and mortality rates were observed across the subsequent 5 years. RESULTS: Overall, mortality risk was 1.68 times higher for nondrivers versus drivers; this relationship was significantly mediated by physical performance and social, physical, and general health. For large-city residents, mediation effects for all mediators were significant and complete. For small-city residents, only physical and general health were significant mediators, and these effects were partial. DISCUSSION: Health difficulties that accompany or follow driving cessation may explain the association between driving cessation and mortality, particularly for residents of large cities, where alternative transportation options may be more numerous.<p />  <p>Language: en</p>
LA  - en
SN  - 0898-2643
UR  - http://dx.doi.org/10.1177/0898264313497796
ID  - ref1
ER  -