Driving Status and Transportation Disadvantage Among Medicare Beneficiaries

Miriam Ryvicker, Evan Bollens-Lund, Katherine A. Ornstein

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)935-943
Number of pages9
JournalJournal of Applied Gerontology
Volume39
Issue number9
DOIs
StatePublished - 1 Sep 2020

Keywords

  • access to care
  • care coordination
  • service utilization
  • transportation

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