TY  - JOUR
PY  - 2023//
TI  - Social and neighborhood context moderates the associations between processing speed and driving mobility: a 10-year analysis of the ACTIVE study
JO  - Journal of aging and health
A1  - Pope, Caitlin N.
A1  - Wheeler, Katie M.
A1  - Bell, Tyler R.
A1  - Carroll, Brooke E.
A1  - Ross, Lesley A.
A1  - Crowe, Michael
A1  - Black, Shelia R.
A1  - Clay, Olivio J.
A1  - Ball, Karlene K.
SP  - 26S
EP  - 39S
VL  - 35
IS  - 9 Suppl
N2  - OBJECTIVES: Processing speed is essential to functional independence in later life, such as driving a vehicle. Few studies have examined processing speed and driving mobility in the context of racial differences and social determinants of health (SDoH). This study characterized the longitudinal association between processing speed and driving mobility, and how it varied by race and SDoH. <br><br>METHODS: Using data from the control arm of the Advanced Cognitive Training in Vital Elderly study (n = 581, 24.5% Black), multilevel models examined longitudinal associations between processing speed and driving mobility outcomes (driving space, exposure, and difficulty). Race and SDoH moderations were explored. <br><br>RESULTS: Decline in processing speed measures was associated with increased self-reported driving difficulty, but only for older adults with below-average to average scores for neighborhood and built environments and social community context SDoH domains. <br><br>DISCUSSION: Findings emphasize the influence of physical and social environmental characteristics on processing speed and driving mobility.<p />  <p>Language: en</p>
LA  - en
SN  - 0898-2643
UR  - http://dx.doi.org/10.1177/08982643231163907
ID  - ref1
ER  -