I
picked up a lot of thought-provoking tidbits
at the American Geriatrics Society’s annual
scientific meeting in Seattle this month,
and I plan to pass some of them along.
Herewith, my first report, focusing on a
perennial New Old Age conundrum: seniors and
driving.
The common perception, Dr. Richard
Marottoli, a Yale geriatrician, told me in
an interview, is that most older drivers
eventually put away the car keys (or have
them wrested away) — and that’s the end of
it. In reality, as his new study shows,
“there are stops and starts and sputters.”
Dr. Marottoli and his co-authors
followed more than 600 older drivers in
Connecticut, checking on them by phone every
six months. They were mostly men (probably
because many were approached through a
Veterans Affairs health center), with an
average age of almost 79, who drove an
average of 129 miles weekly. In fact, more
than 70 percent drove daily.
A series of tests showed that while
most had multiple chronic conditions, “it’s
a pretty active, healthy group,” Dr.
Marottoli said.
Over two years, 11 percent of the
group stopped driving. But! More than a
third of those resumed at some point. Those
who returned to driving were healthier and
more functional than those who didn’t.
Maybe, Dr. Marottoli hypothesized,
they’d had an injury or illness,
relinquished the wheel while they recovered,
then continued as before. Or maybe, I
speculated, they intended to stop, found
that transportation alternatives were
inconvenient or nonexistent, so went back on
the road.
The study, reported at the
conference but not yet published, doesn’t
address why people stopped or why they
resumed. (And the stoppers constitute a
small sample, so we don’t know how
representative they are of drivers or former
drivers.) But the Yale group is
investigating those matters next.
Meanwhile, Dr. Marottoli concluded,
“it’s less simple than we think.” Not that
we ever thought it was simple.