Health and Quality of Life Outcomes of Driving Cessation for Older People are More Complex Than We Thought

Objectives This study examined whether there are meaningful subgroups of older past drivers who experience better health and quality of life outcomes, and the factors that may contribute to such outcomes. Methods Data from 127 people aged 56-89 years who were past drivers in a New Zealand longitudinal study of aging was used in cluster analysis. Results Older past drivers experienced a range of outcomes regarding health and quality of life following driving cessation that clustered into five subgroups, ranging from people with robust outcomes to those with vulnerable health and quality of life. The subgroups were distinguished by economic position, social support, and volunteering. Conclusions Using methodology to address issues associated with use of aggregated data, there were subgroups of older past drivers who had better health and wellbeing outcomes following driving cessation than the literature has indicated. Further research is needed to identify the characteristics of those who experience better outcomes, including the role of health, the impact of voluntary and involuntary cessation, and the impact of time to cessation, including self-regulation. Clinical implications Older people who stop driving can have positive health and wellbeing outcomes, particularly if they can access social support and volunteering activities.