TY - JOUR
T1 - Driving Status and Transportation Disadvantage Among Medicare Beneficiaries
AU - Ryvicker, Miriam
AU - Bollens-Lund, Evan
AU - Ornstein, Katherine A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr. Ryvicker was supported by the National Institute on Aging (K01AG039463). Dr. Ornstein was supported by the National Institute on Aging (K01AG047923). The content is solely the responsibility of the author and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© The Author(s) 2018.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Transportation disadvantage may have important implications for the health, well-being, and quality of life of older adults. This study used the 2015 National Health Aging Trends Study, a nationally representative study of Medicare beneficiaries aged 65 and over (N = 7,498), to generate national estimates of transportation modalities and transportation disadvantage among community-dwelling older adults in the United States. An estimated 10.8 million community-dwelling older adults in the United States rarely or never drive. Among nondrivers, 25% were classified as transportation disadvantaged, representing 2.3 million individuals. Individuals with more chronic medical conditions and those reliant on assistive devices were more likely to report having a transportation disadvantage (p <.05). Being married resulted in a 50% decreased odds of having a transportation disadvantage (p <.01). Some individuals may be at higher risk for transportation-related barriers to engaging in valued activities and accessing care, calling for tailored interventions such as ride-share services combined with care coordination strategies.
AB - Transportation disadvantage may have important implications for the health, well-being, and quality of life of older adults. This study used the 2015 National Health Aging Trends Study, a nationally representative study of Medicare beneficiaries aged 65 and over (N = 7,498), to generate national estimates of transportation modalities and transportation disadvantage among community-dwelling older adults in the United States. An estimated 10.8 million community-dwelling older adults in the United States rarely or never drive. Among nondrivers, 25% were classified as transportation disadvantaged, representing 2.3 million individuals. Individuals with more chronic medical conditions and those reliant on assistive devices were more likely to report having a transportation disadvantage (p <.05). Being married resulted in a 50% decreased odds of having a transportation disadvantage (p <.01). Some individuals may be at higher risk for transportation-related barriers to engaging in valued activities and accessing care, calling for tailored interventions such as ride-share services combined with care coordination strategies.
KW - access to care
KW - care coordination
KW - service utilization
KW - transportation
UR - http://www.scopus.com/inward/record.url?scp=85059072747&partnerID=8YFLogxK
U2 - 10.1177/0733464818806834
DO - 10.1177/0733464818806834
M3 - Article
C2 - 30362863
AN - SCOPUS:85059072747
SN - 0733-4648
VL - 39
SP - 935
EP - 943
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 9
ER -