Driving Status and Transportation Disadvantage Among Medicare Beneficiaries

被引:24
作者
Ryvicker, Miriam [1 ]
Bollens-Lund, Evan [2 ]
Ornstein, Katherine A. [2 ]
机构
[1] Visiting Nurse Serv New York, New York, NY USA
[2] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
关键词
transportation; access to care; service utilization; care coordination; OLDER-ADULTS; DEPRESSIVE SYMPTOMS; CARE APPOINTMENTS; SOCIAL-ISOLATION; SELF-REGULATION; CESSATION; HEALTH; DEMENTIA; ACCESS; RISK;
D O I
10.1177/0733464818806834
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Transportation disadvantage may have important implications for the health, well-being, and quality of life of older adults. This study used the 2015 National Health Aging Trends Study, a nationally representative study of Medicare beneficiaries aged 65 and over (N= 7,498), to generate national estimates of transportation modalities and transportation disadvantage among community-dwelling older adults in the United States. An estimated 10.8 million community-dwelling older adults in the United States rarely or never drive. Among nondrivers, 25% were classified as transportation disadvantaged, representing 2.3 million individuals. Individuals with more chronic medical conditions and those reliant on assistive devices were more likely to report having a transportation disadvantage (p< .05). Being married resulted in a 50% decreased odds of having a transportation disadvantage (p< .01). Some individuals may be at higher risk for transportation-related barriers to engaging in valued activities and accessing care, calling for tailored interventions such as ride-share services combined with care coordination strategies.
引用
收藏
页码:935 / 943
页数:9
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