@article {7979,
	title = {Trajectories of cognitive decline by driving mobility: evidence from the Health and Retirement Study},
	journal = {International journal of geriatric psychiatry},
	volume = {29},
	year = {2014},
	note = {24022894},
	pages = {447-53},
	publisher = {29},
	abstract = {OBJECTIVE: The recent emphasis of the importance of  aging in place  has highlighted the role of transportation in health promotion over the life course. Driving cessation in later life is associated with numerous poor health outcomes including limitations in social and physical functioning and increased risk of mortality. However, little is known about the relationship between driving cessation and change in cognitive functioning in late life. This study examined the association between driving mobility and trajectories of cognitive functioning among older adults.; METHODS: Using data from six waves  1998-2008  of the Health and Retirement Study, trajectories of cognitive functioning were estimated over a 10-year period using longitudinal mixed effects models  N=9,135 . Cognitive function was assessed with a modified version of the Telephone Interview for Cognitive Status. Driving status and health characteristics were assessed by self-report.; RESULTS: Older adults who did not drive (former and never drivers) at baseline had lower average cognitive scores compared with active drivers. Former drivers had accelerated cognitive decline over the subsequent 10years compared with active drivers (beta=-0.35, 95  Confidence Interval  CI =-0.43 to -0.26) even after controlling for baseline cognitive functioning and health status. The transition to non-driving was associated with a faster cognitive decline among those who were driving at baseline (beta=-0.31, 95  CI=-0.40 to -0.22).; CONCLUSIONS: Older adults without driving mobility had poorer cognitive functioning at baseline and experienced accelerated cognitive decline relative to active drivers over follow-up. Copyright 2013 John Wiley and Sons, Ltd. Copyright 2013 John Wiley and Sons, Ltd.},
	keywords = {Demographics, Health Conditions and Status, Other},
	doi = {10.1002/gps.4024},
	author = {Moon Choi and Matthew C. Lohman and Briana Mezuk}
}
