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- Title
Meta-analysis of Driving Cessation and Dementia: Does Sex Matter?.
- Authors
Baines, Nicolette; Au, Bonnie; Rapoport, Mark J; Naglie, Gary; Tierney, Mary C
- Abstract
Objectives The number of drivers with dementia is expected to increase over the coming decades. Because dementia is associated with a higher risk of crashes, driving cessation becomes inevitable as the disease progresses, but many people with dementia resist stopping to drive. This meta-analysis examines whether there are sex differences in the prevalence and incidence of driving cessation among drivers with dementia and compares the pattern of sex differences in drivers with dementia to those without dementia. Method MEDLINE, PsycINFO, Scopus, and CINAHL were searched in July 2015 for observational studies of sex differences in driving cessation. Meta-analyses were performed using a random-effects model. Results Twenty studies provided data on sex differences in driving cessation in older adults with or without dementia. Driving cessation was significantly more prevalent in women with dementia than men (odds ratio [OR] = 2.11, 95% confidence interval [CI] = 1.50–2.98), and the same pattern was found in women without dementia (OR = 2.74, 95% CI = 1.85–4.06). Discussion Our findings suggest that the patterns of driving cessation differ between men and women with dementia, and this may have implications for sex-specific approaches designed to support drivers with dementia both before and after driving cessation.
- Subjects
AUTOMOBILE driving; CINAHL database; CONFIDENCE intervals; DEMENTIA; PSYCHOLOGY information storage &; retrieval systems; MEDLINE; META-analysis; SEX distribution; SYSTEMATIC reviews; STATISTICAL models; ODDS ratio; OLD age; PSYCHOLOGY
- Publication
Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 2018, Vol 73, Issue 7, p1185
- ISSN
1079-5014
- Publication type
Article
- DOI
10.1093/geronb/gbw158