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Why rural elders drive against advice.

Julie E Johnson1

  • 1Orvis School of Nursing/134, University of Nevada, Reno, Reno, NV 89557, USA. jej@unr.edu

Journal of Community Health Nursing
|December 24, 2002
PubMed
Summary

Older adults continue driving despite health concerns because they value independence and fear isolation. They need reassurance they won't be forgotten to consider stopping driving.

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Area of Science:

  • Gerontology
  • Public Health
  • Transportation Safety

Background:

  • Driving cessation is a significant life transition for older adults.
  • Rural elders face unique challenges regarding mobility and independence.
  • Maintaining driving privileges is often linked to perceived autonomy.

Purpose of the Study:

  • To explore the motivations of rural elders who continue driving against medical or social advice.
  • To understand the specific reasons behind non-adherence to driving cessation recommendations in isolated communities.

Main Methods:

  • Qualitative study involving semi-structured interviews.
  • Convenience sampling of 45 older adults in rural, isolated areas (population 225-8,700).

Main Results:

  • Declining health was the primary reason for driving cessation advice.
  • Participants cited perceived driving safety, desire for independence, and fear of isolation as reasons for non-compliance.
  • Reassurance against social isolation was a key factor for considering driving cessation.

Conclusions:

  • Interventions for driving cessation in rural elders must address perceived safety and the critical need for independence.
  • Addressing fears of isolation and providing social support are crucial for successful driving cessation in this demographic.

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