Transit Use Viability Among Older Drivers Losing Driving Privileges

Effective January 1, 2004, Florida Statute 322.18, subsection 5, requires drivers 79 years or older to pass vision tests when renewing their six-year licenses. Such a mandate is part of an "age-based" testing regime that several U.S. states have implemented in recent years with respect to enhancing the safety environment afforded to road users. Implementation of "age-based testing" produces a group of travelers who could provide a resource in understanding travel behavior changes and mode choice after driving cessation. The objective of this study is to provide additional insight into travel behavior changes for persons who lose their driving privileges, particularly their interest in, ability to, and subsequent use of public transit. First, a literature review of developments that have impacted senior travel behavior is presented. Developments such as the changing demographics of seniors, senior socio-economic status and the process of driving retirement (i.e., driving reduction ultimately resulting in driving cessation) are then discussed. A descriptive overview of senior travel behavior as derived from analyses of publicly available datasets is complemented by findings from focus group discussions on senior travel behavior. Recommendations originating from this study are as follows: increase the provision of information to seniors regarding their mobility options; continue the adaptation of vehicles to accommodate older travelers; explore additional roles for local transit providers and monitor trends in driving cessation and senior mobility as part of local public transportation planning functions. Knowledge gaps in our understanding of senior travel needs before and after driving cessation are also presented. In conclusion, there is, no doubt, a strong consensus on the desire to find more efficient and cost effective ways to serve the travel needs of older persons, but there is far less consensus regarding the extent of public resources that should be spent to attract more trips into the realm of public responsibility.

[1]  D. Carr,et al.  The older adult driver. , 2000, American family physician.

[2]  K. Boerner,et al.  Psychosocial aspects of driving transitions in elders with low vision , 2002 .

[3]  A. Perzynski,et al.  Pandora’s Briefcase: Unpacking the Retirement Migration Decision , 2002 .

[4]  M. Sloane,et al.  Visual processing impairment and risk of motor vehicle crash among older adults. , 1998, JAMA.

[5]  Sandi Rosenbloom Older Drivers: Should We Test Them Off the Road? , 2003 .

[6]  B. Messinger-Rapport,et al.  High risk on the highway. How to identify and treat the impaired older driver. , 2000, Geriatrics.

[7]  J. Cauley,et al.  Driving Patterns and Medical Conditions in Older Women , 1997, Journal of the American Geriatrics Society.

[8]  R. Kington,et al.  Sociodemographic and health factors in driving patterns after 50 years of age. , 1994, American journal of public health.

[9]  S. Cutler,et al.  Availability of personal transportation in households of elders: age, gender, and residence differences. , 1992, The Gerontologist.

[10]  D. Carr,et al.  Older Driver Safety: A Report from the Older Drivers Project , 2004, Journal of the American Geriatrics Society.

[11]  Christianna S. Williams,et al.  Consequences of driving cessation: decreased out-of-home activity levels. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[12]  K Freund SURVIVING WITHOUT DRIVING: POLICY OPTIONS FOR SAFE AND SUSTAINABLE SENIOR MOBILITY , 2004 .

[13]  M. Rosselli,et al.  Imposed versus involved: different strategies to effect driving cessation in cognitively impaired older adults. , 2005, Geriatric nursing.

[14]  K. McKinney,et al.  Factors Influencing Expectations to Move or Age in Place at Retirement Among 40- to 65-Year-Olds , 2003 .

[15]  V. Velkoff,et al.  Monthly Retail Trade Sales and Inventories May 1997 , 1993 .

[16]  A. Bachu Current Population Reports , 1999 .

[17]  A J McKnight,et al.  THE FREEDOM OF THE OPEN ROAD: DRIVING AND OLDER ADULTS , 2003 .

[18]  D. Grabowski,et al.  State motor vehicle laws and older drivers. , 2005, Health economics.

[19]  F. Rosner,et al.  Ethical Challenges Posed by Dementia and Driving , 2000, The Journal of Clinical Ethics.

[20]  Jon E Burkhardt,et al.  Mobility Changes: Their Nature, Effects, and Meaning for Elders Who Reduce or Cease Driving , 1999 .

[21]  K. Agent,et al.  Driver License Renewal for the Elderly: A Case Study , 2003 .

[22]  P F Waller,et al.  Crashes and violations among drivers with Alzheimer disease. , 1996, Archives of neurology.

[23]  E L Evans,et al.  INFLUENCES ON MOBILITY AMONG NON-DRIVING OLDER AMERICANS , 2001 .

[24]  R. Gervasi The aging of America. , 1987, The Dental assistant.

[25]  Mônica Sanches Yassuda,et al.  DRIVING CESSATION: THE PERSPECTIVE OF SENIOR DRIVERS , 1997 .

[26]  Joseph F. Coughlin,et al.  Beyond Health and Retirement: Placing Transportation on the Aging Policy Agenda , 2001 .

[27]  A T McGavock,et al.  THE MOBILITY CONSEQUENCES OF THE REDUCTION OR CESSATION OF DRIVING BY OLDER WOMEN , 1998 .

[28]  B. Freund,et al.  Effects of cognition on driving involvement among the oldest old: variations by gender and alternative transportation opportunities. , 2002, The Gerontologist.

[29]  Jason M. Fields,et al.  America''s Families and Living Arrangements: Population Characteristics , 2001 .

[30]  R W Cobb,et al.  Regulating older drivers: how are the states coping? , 1997, Journal of aging & social policy.

[31]  Joseph F. Coughlin,et al.  Ten myths about transportation for the elderly , 1997 .

[32]  A. McKnight,et al.  Age-Based Road Test Policy Evaluation , 1996 .

[33]  Susan J. Rottunda,et al.  Older Women and Driving Cessation , 2003 .

[34]  Don E. Bradley,et al.  A first look at retirement migration trends in 2000. , 2003, The Gerontologist.

[35]  Lisa J. Molnar,et al.  A Brief Look at Driver License Renewal Policies in the United States , 2005 .

[36]  Michael L. Freedman,et al.  Should Alzheimers Disease Patients Be Allowed to Drive? A Medical, Legal, and Ethical Dilemna , 1996, Journal of the American Geriatrics Society.

[37]  F. Hobbs,et al.  65+ in the United States. , 1996 .

[38]  S M Rock,et al.  Impact from changes in Illinois drivers license renewal requirements for older drivers. , 1998, Accident; analysis and prevention.

[39]  D. Sleet,et al.  Driving Cessation: What Older Former Drivers Tell Us , 2001, Journal of the American Geriatrics Society.

[40]  J. Sacks,et al.  Required vision testing for older drivers. , 1992, The New England journal of medicine.

[41]  Lidia P Kostyniuk,et al.  Driving and alternatives: older drivers in Michigan. , 2003, Journal of safety research.

[42]  D. Bennett,et al.  Cessation of driving and unsafe motor vehicle operation by dementia patients. , 1991, Archives of internal medicine.

[43]  M. Baucus Transportation Research Board , 1982 .

[44]  R. Zimmerman,et al.  The second move: health and geographic mobility. , 1991, Journal of gerontology.

[45]  Jean T. Shope What Does Giving Up Driving Mean to Older Drivers., and Why Is It So Difficult? , 2003 .

[46]  Kara E MacLeod,et al.  Problems with vision associated with limitations or avoidance of driving in older populations. , 2004, The journals of gerontology. Series B, Psychological sciences and social sciences.

[47]  R W Cobb,et al.  TRANSPORTATION POLICY FOR AN AGING SOCIETY: KEEPING OLDER AMERICANS ON THE MOVE , 2004 .

[48]  P F Waller,et al.  The Older Driver , 1991, Human factors.

[49]  Jack M Guralnik,et al.  Driving life expectancy of persons aged 70 years and older in the United States. , 2002, American journal of public health.

[50]  Michael A. Kuskowski,et al.  Dementia and driving: Perceptions and changing habits , 1999 .

[51]  S Rosenbloom,et al.  MOBILITY OF THE ELDERLY: GOOD NEWS AND BAD NEWS , 2004 .

[52]  R. Friedland Strategies for Driving Cessation in Alzheimer Disease , 1997, Alzheimer disease and associated disorders.

[53]  B. Taylor,et al.  The effects of driving cessation on the elderly with dementia and their caregivers. , 2001, Accident; analysis and prevention.

[54]  L. Staplin,et al.  Public and Private Policy Initiatives to Move Seniors Forward , 2005 .

[55]  Jean T. Shope,et al.  REDUCTION AND CESSATION OF DRIVING AMONG OLDER DRIVERS IN MICHIGAN: FINAL REPORT , 2000 .

[56]  D T Levy,et al.  The relationship of age and state license renewal policies to driving licensure rates. , 1995, Accident; analysis and prevention.

[57]  M K Janke,et al.  AGE-RELATED DISABILITIES THAT MAY IMPAIR DRIVING AND THEIR ASSESSMENT: LITERATURE REVIEW. , 1994 .

[58]  M. K. Campbell,et al.  Medical conditions associated with driving cessation in community-dwelling, ambulatory elders. , 1993, Journal of gerontology.

[59]  D. Persson,et al.  The elderly driver: deciding when to stop. , 1993, The gerontologist.

[60]  S. Rosenbloom Transportation needs of the elderly population. , 1993, Clinics in geriatric medicine.