Transportation in Michigan : older adults and caregivers.
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2011-04-01
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Abstract:Most countries around the globe are experiencing an aging of the population, due to decreased fertility, increased longevity, and the aging of the baby boomers (Global Action on Aging, 2010). Although global aging results, in part, from improved public health, medical care, and technology, it also creates new societal challenges. One challenge is how to maintain older adult safety and mobility in an aging society.
Mobility enables people to engage in the activities needed to not only survive, but also to enjoy life. In most Western Nations and in the United States (US) in particular, mobility is closely linked with the ability to drive a personal automobile. However, as people age, they begin to experience age-related health conditions that can make it difficult to safely operate an automobile (Eby, Molnar, & Kartje, 2009). At the same time, if driving is limited or stopped completely, an individual’s need to get around still remains. Further, having to stop driving has been linked with a number of negative consequences including depression and a drop in overall well-being (e.g., Fonda, Wallace, & Herzog, 2001; Marottoli et al., 1997; Ragland, Satariano, & MacLeod, 2005). Thus, the challenge of maintaining safe mobility in an aging society has been characterized by four complementary and interdependent goals (Eby & Molnar, 2010): (1) to understand and better manage the effects of medical conditions and medications on skills needed for safe driving; (2) to develop and identify procedures and tools for determining fitness to drive; (3) to help those who are able to drive safely continue to do so; and (4) to identify and provide community mobility support to those who are no longer able or choose not to drive.
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