Inequity in health: older rural driving and dementia

Ferrah, Noha, Obieta, Alfredo, Ibrahim, Joseph Elias, Odell, Morris, Yates, Mark and Loff, Bebe 2015, Inequity in health: older rural driving and dementia, Injury prevention, vol. 22, no. 4, pp. 292-296, doi: 10.1136/injuryprev-2015-041601.

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Title Inequity in health: older rural driving and dementia
Author(s) Ferrah, Noha
Obieta, Alfredo
Ibrahim, Joseph Elias
Odell, Morris
Yates, MarkORCID iD for Yates, Mark
Loff, Bebe
Journal name Injury prevention
Volume number 22
Issue number 4
Start page 292
End page 296
Total pages 6
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2015-08
ISSN 1475-5785
Summary Introduction The number of drivers with dementia is expected to increase exponentially over the coming decades. Most individuals with moderate-to-severe dementia (table 1) are unfit to drive.1 Drivers with moderate-to-severe dementia have higher rates of MVCs than age-matched controls.2 Identifying and preventing these individuals from driving is crucial, particularly in urban areas. The density of cars and pedestrians, and the complexity of traffic typically place greater demands on drivers in urban areas, and, therefore, require greater reactivity and forward planning than in rural environments.3 ,4 The ability to drive is a critical means of maintaining one's social inclusion, and is commonly a practical necessity. Therefore, decisions about the entitlement to drive should not unfairly restrict mobility or unnecessarily compound the disadvantages experienced by older people with mild cognitive impairment and early dementia (table 1), particularly as diagnoses are now being made earlier.1 This paper describes the difficulties inherent in addressing the question of when and in what circumstances a diagnosis of dementia might render a person unfit to drive and focuses on those who live in rural areas. We examine the consequences of dementia diagnosis on driving, driver testing requirements and licensing procedures, and the impacts of driving cessation. We then discuss how living in rural areas may alter the level of risk of drivers with dementia and practical implications for licensing policies.
Language eng
DOI 10.1136/injuryprev-2015-041601
Field of Research 1117 Public Health and Health Services
1701 Psychology
Socio Economic Objective 920502 Health Related to Ageing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, BMJ Publishing Group
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