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Document type:
Journal Article; Article
Author(s):
Hajek, André; Brettschneider, Christian; Lühmann, Dagmar; van den Bussche, Hendrik; Wiese, Birgitt; Mamone, Silke; Weyerer, Siegfried; Werle, Jochen; Leve, Verena; Fuchs, Angela; Röhr, Susanne; Stein, Janine; Bickel, Horst; Mösch, Edelgard; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; Pentzek, Michael; König, Hans-Helmut
Title:
Driving status and health-related quality of life among the oldest old: a population-based examination using data from the AgeCoDe-AgeQualiDe prospective cohort study.
Abstract:
BACKGROUND: It is almost unknown whether the driving status is associated with HRQOL among individuals in highest age. AIMS: Based on a multicenter prospective cohort study, the objective of this study was to examine whether the driving status is associated with health-related quality of life (HRQOL) among the oldest old in Germany. METHODS: Cross-sectional data from follow-up wave 9 (n = 544) were derived from the "Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). Average age was 90.3 years (± 2.7; 86 to 101 years). The current driver status (no; yes) was used in our analysis. The EuroQoL EQ-5D questionnaire was used to assess HRQOL in this study. RESULTS: Regression analysis showed that being a current driver was associated with the absence of problems in 'self-care' [OR 0.41 (95%-CI 0.17 to 0.98)], and 'usual activities' [OR 0.48 (0.26 to 0.90)], whereas it was not significantly associated with problems in 'pain/discomfort' [OR  0.82 (0.47 to 1.45)] and 'anxiety/depression' [OR  0.71 (0.36 to 1.39)]. Being a current driver was marginally significantly associated with the absence of problems in 'mobility' [OR 0.60 (0.34 to 1.06)]. While being a current driver was not associated with the EQ-VAS in the main model, it was positively associated with the driving status (β = 5.00, p < .05) when functional impairment was removed from the main model. DISCUSSION: Our findings provide first evidence for an association between driving status and HRQOL among the oldest old. CONCLUSIONS: Future longitudinal studies are required to evaluate a possible causal relationship between driving status and HRQOL in very old individuals.
Journal title abbreviation:
Aging Clin Exp Res
Year:
2021
Journal volume:
33
Journal issue:
11
Pages contribution:
3109-3115
Fulltext / DOI:
doi:10.1007/s40520-020-01482-7
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/32006387
Print-ISSN:
1594-0667
TUM Institution:
1367; Klinik und Poliklinik für Psychiatrie und Psychotherapie
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