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Eighty-one glaucoma subjects and 58 glaucoma suspect controls between age 60 and 80 reported if they had ceased driving, limited their driving in various ways, or preferred another to drive.
Twenty-three percent of glaucoma subjects and 6.9% of suspects had ceased driving (p = 0.01).
In unadjusted analyses, more glaucoma subjects than suspects had ceased driving (22.5% vs. 6.9%, p = 0.02).
When adjusting for age, race, gender, unemployment, cognition, comorbidities, and depressive symptoms, subjects with glaucoma were four times more likely than glaucoma suspect controls to have ceased driving (odds ratio [OR] = 4.0; 95% CI = 1.1-14.7; p = 0.03) (Table 3).
Glaucoma subjects also had a greater mean number of driving limitations (2.0 vs. 1.1, p = 0.004) and were more likely to have ceased driving at night compared to suspects (27.4% vs. 7.4%, p = 0.005) (Table 2).
This paper reviews cognitive and educational interventions designed to promote older driver safety, and discusses possible approaches to the design and implementation of clinical interventions for older adults who have ceased driving.
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To cease driving is a non-issue for those who still drive, it is too early for them to even think of the day when they will no longer be fit to drive.
Ford also told the agency it did not intend to issue a news release about the recall, as it did last month when it instructed owners of the 2013 Escape equipped with the 1.6-liter EcoBoost engine to cease driving the crossover because of a fire hazard, but added that it would "provide comments when requested".
It is anticipated that during follow-up, some participants will cease driving permanently.
For those who cease driving, annual follow-up continues following the same protocol as for all participants, excluding instruments and records relevant only to drivers (e.g., vehicle inspection, driving records) (Fig. 1).
Previous research has demonstrated that older women cease driving when they consider themselves too old for driving, whereas men declare themselves to be safe drivers despite severe illness [25].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com