Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-18T10:13:12.173Z Has data issue: false hasContentIssue false

What are the impacts of giving up the driving licence?

Published online by Cambridge University Press:  24 June 2014

ANU SIREN*
Affiliation:
The Danish National Centre for Social Research, Copenhagen, Denmark.
SONJA HAUSTEIN
Affiliation:
Department of Transport, Technical University of Denmark, Lyngby, Denmark.
*
Address for correspondence: Anu Siren, The Danish National Centre for Social Research, Herluf Trolles Gade 11, DK-1052, Copenhagen, Denmark. E-mail: anu@sfi.dk

Abstract

Driving cessation is a gradual process, where driver's self-regulation plays an important role. Age-based licence renewal may interfere with this process and trigger premature driving cessation. The present study compares Danish drivers (aged 69 years at the baseline) who either renewed or gave up their driving licence. Data were collected in 2009 (N=1,792) and in 2012 (N=863). The standardised interviews covered respondents' background information, health and wellbeing, and transportation patterns. Non-renewers had poorer health already at baseline but did become more dependent on others in their activities after giving up their licence. In travel frequency, neither the differences between renewers and non-renewers nor the changes over time within the groups were pronounced. The groups differed in their use of transport modes already at the baseline: the renewers drove, while non-renewers travelled as passengers, used public transport, walked or cycled. Not renewing the licence was a strong predictor of unmet mobility needs, especially in relation to leisure activities. The present study indicates that younger seniors' mobility is not likely to be affected by the strict renewal policies. However, given the positive economic and safety consequences of independent mobility in old age, society should try to prevent unwarranted mobility loss. Having restrictive, ageist policies that moreover fail as societal investments may work against this goal.

Type
Articles
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Choi, M. and Mezuk, B. 2013. Aging without driving: evidence from the health and retirement study, 1993 to 2008. Journal of Applied Gerontology, 32, 7, 902–12.CrossRefGoogle ScholarPubMed
Critchley, M. 1953. The Parietal Lobes. Hafner Publishing Company, New York.Google Scholar
Dellinger, A. M., Sehgal, M., Sleet, D. A. and Barrett-Connor, E. 2001. Driving cessation: what older former drivers tell us. Journal of the American Geriatrics Society, 49, 4, 431–5.CrossRefGoogle ScholarPubMed
Desapriya, E., Ranatunga, Y. and Pike, I. 2012. We need evidence based tools to identify medically at risk drivers. British Medical Journal, 345, e7087.CrossRefGoogle ScholarPubMed
Edwards, J. D., Lunsman, M., Perkind, M., Rebok, G. W. and Roth, D. L. 2009. Driving cessation and heath trajectories in older adults. Journals of Gerontology: Medical Sciences, 64A, 12, 1290–5.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. 1975. ‘Mini-mental state’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 3, 189–98.CrossRefGoogle Scholar
Fonda, S. J., Wallace, R. B. and Herzog, A. R. 2001. Changes in driving patterns and worsening depressive symptoms among older adults. Journals of Gerontology: Psychological Sciences and Social Sciences, 56B, 6, S343–51.CrossRefGoogle Scholar
Hakamies-Blomqvist, L. 2003. Ageing Europe. The challenges and opportunities for transport safety. Fifth European Traffic Safety Lecture, European Transport Safety Council, Brussels. [Accessed 22 January 2003].Google Scholar
Hakamies-Blomqvist, L., Johansson, K. and Lundberg, C. 1996. Medical screenings of older drivers as a traffic safety measure – a comparative Finnish–Swedish evaluation study. Journal of the American Geriatrics Society, 44, 6, 650–3.CrossRefGoogle Scholar
Hakamies-Blomqvist, L. and Wahlström, B. 1998. Why do older drivers give up driving? Accident Analysis and Prevention, 30, 3, 305–12.CrossRefGoogle ScholarPubMed
Harrison, A. and Ragland, D. R. 2003. Consequences of driving reduction or cessation for older adults. Transportation Research Record, 1843, 96104.CrossRefGoogle Scholar
Hjorthol, R. 2012. Transport resources, mobility and unmet transport needs in old age. Ageing and Society, 33, 7, 1190–211.CrossRefGoogle Scholar
Janke, M. K. 1994. Age-related Disabilities That May Impair Driving and Their Assessment. California State Department of Motor Vehicles, National Highway Safety Administration, Sacramento, California.Google Scholar
Kasper, B. and Scheiner, J. 2005. Spatial development and leisure mobility in an ageing society. In Williams, K. (ed.), Spatial Planning, Urban Form and Sustainable Transport. Ashgate, Aldershot, UK, 83101.Google Scholar
Langford, J. and Koppel, S. 2006. The case for and against mandatory age-based assessment of older drivers. Transportation Research Part F, 9, 5, 353–62.CrossRefGoogle Scholar
Langford, J., Fitzharris, M., Koppel, S. and Newstead, S. 2004. Effectiveness of mandatory license testing for older drivers in reducing crash risk among urban older Australian drivers. Traffic Injury Prevention, 5, 4, 326–35.CrossRefGoogle ScholarPubMed
Marottoli, R., Mendes de Leon, C., Glass, T., Williams, C., Cooney, L. and Berkman, L. 2000. Consequences of driving cessation: decreased out-of-home activity levels. Journals of Gerontology: Social Science, 55B, 6, S334–40.CrossRefGoogle Scholar
Marottoli, R., Mendes de Leon, C., Glass, T., Williams, C., Cooney, L. J., Berkman, L. and Tinetti, M. 1997. Driving cessation and increased depressive symptoms: prospective evidence from the New Haven EPESE. Journal of the American Geriatric Society, 45, 2, 202–6.CrossRefGoogle ScholarPubMed
Mezuk, B. and Rebok, G. W. 2008. Social integration and social support among older adults following driving cessation. Journals of Gerontology: Social Sciences, 63B, 5, S298303.CrossRefGoogle Scholar
Mitchell, C. G. B. 2008. The licensing of older drivers in Europe – a case study. Traffic Injury Prevention, 9, 5, 360–6.CrossRefGoogle ScholarPubMed
Musselwhite, C. 2010. The role of education and training in helping older people to travel after the cessation of driving. International Journal of Education and Ageing, 1, 2, 197212.Google Scholar
Musselwhite, C. B. A. and Shergold, I. 2013. Examining the process of driving cessation in later life. European Journal of Ageing, 10, 2, 89100.CrossRefGoogle ScholarPubMed
O'Neill, D. 2012 a. More mad and more wise. Accident Analysis & Prevention, 49, 263–65.CrossRefGoogle ScholarPubMed
O'Neill, D. 2012 b. Medical screening of older drivers is not evidence based. British Medical Journal, 345, e6371.CrossRefGoogle Scholar
Organisation for Economic Co-operation and Development (OECD) 2001. Ageing and Transport: Mobility Needs and Safety Issues. OECD, Paris.Google Scholar
Pearlin, L. I. and Schooler, C. 1978. The structure of coping. Journal of Health and Social Behaviour, 19, 1, 221.CrossRefGoogle ScholarPubMed
Peel, N., Westmoreland, J. and Steinberg, M. 2002. Transport safety for older people: a study of their experiences, perceptions and management needs. Injury Control and Safety Promotion, 9, 1, 1924.CrossRefGoogle ScholarPubMed
Radloff, L. S. 1977. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 3, 385401.CrossRefGoogle Scholar
Ragland, D. R., Satariano, W. A. and MacLeod, K. E. 2005. Driving cessation and increased depressive symptoms. Journals of Gerontology: Medical Sciences, 60A, 3, 399403.Google Scholar
Rosenbloom, S. 2001. Driving cessation among older people. When does it happen and what impact does it have? Transportation Research Record, 1779, 93–9.CrossRefGoogle Scholar
Scheiner, J. 2006. Does the car make elderly people happy and mobile? Settlement structures, car availability and leisure mobility of the elderly. European Journal of Transport and Infrastructure Research, 6, 2, 151–72.Google Scholar
Scheiner, J. 2010. Social inequalities in travel behaviour: trip distances in the context of residential self-selection and lifestyles. Journal of Transport Geography, 18, 6, 679–90.CrossRefGoogle Scholar
Shulman, K. I., Shedletsky, R. and Silver, I. L. 1986. The challenge of time: clock-drawing and cognitive function in the elderly. International Journal of Geriatric Psychiatry, 1, 2, 135–40.CrossRefGoogle Scholar
Siren, A. and Hakamies-Blomqvist, L. 2004. Private car as the grand equaliser? Demographic factors and mobility in Finnish men and women aged 65+. Transportation Research Pert F: Traffic Psychology and Behaviour, 7, 2, 107–18.CrossRefGoogle Scholar
Siren, A., Hakamies-Blomqvist, L. and Lindeman, M. 2004. Driving cessation and health in older women. Journal of Applied Gerontology, 23, 1, 5869.CrossRefGoogle Scholar
Siren, A., Haustein, S. and Meng, A. 2012. Hvilke ældre bilister fornyer deres kørekort og hvorfor? [Which older drivers renew their license and why?]. Report 7, DTU Transport, Lyngby, Denmark.Google Scholar
Siren, A., Haustein, S., Meng, A., Bell, D., Pokriefke, E., Lang, B., Fernandez Medina, K., Gabaude, C., Marin-Lamellet, C., MonterdeiBort, H. and Strnadova, Z. 2013. Driver licensing legislation. Report 5.1 of the EU project CONSOL. CONSOL Project. Available online at http://consolproject.eu/attachments/article/22/CONSOL%20Report_WP5.1-Legislation%20in%20driving%20licensing.pdf [Accessed 10 March 2014].Google Scholar
Siren, A. and Meng, A. 2012. Cognitive screening of older drivers does not produce safety benefits. Accident Analysis and Prevention, 45, 634–8.CrossRefGoogle Scholar
Tay, R. 2012. Ageing driver licensing requirements and traffic safety. Ageing & Society, 32, 4, 655–72.CrossRefGoogle Scholar
Taylor, B. D. and Tripodes, S. 2001. The effects of driving cessation on the elderly with dementia and their caregivers. Accident Analysis and Prevention, 33, 4, 519–28.CrossRefGoogle ScholarPubMed
Wilkins, J. W., Stutts, J. C. and Schatz, S. J. 1999. Premature reduction and cessation of driving: preliminary study of women who choose not to drive or to drive infrequently. Transportation Research Record, 1693, 8690.CrossRefGoogle Scholar
Windsor, T. D., Anstey, K. J., Butterworth, P., Luszcz, M. A. and Andrews, G. R. 2007. The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. Gerontologist, 47, 2, 215–23.CrossRefGoogle ScholarPubMed