| Associations between driving status, frequency of transport use after driving cessation, and social frailty among middle-aged and older people aged 60 years and older |
Tatsuya Fukuei1, Shoma Akaida2,3, Yoshiaki Taniguchi3,4, Daijo Shiratsuchi3, Yuto Kiuchi2,5, Mana Tateishi3, Yukari Aishita1,2, Ryota Kuratsu2, Hyuma Makizako3 
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1Department of Rehabilitation, Kirishima Medical Center, Kagoshima, Japan
2Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan
3Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
4Rehabilitation faculty of Nursing and Welfare, Kyusyu University of Nursing and Social Welfare, Kumamoto, Japan
5Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan |
Correspondence:
Hyuma Makizako,
Email: makizako@health.nop.kagoshima-u.ac.jp
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Received: 12 March 2024 • Revised: 15 June 2024 • Accepted: 2 July 2024 |
| Abstract |
Background
The use of transport other than cars is a modifiable factor in the association between driving cessation and social frailty. Clarifying this relationship may serve as a new preventive measure against social frailty among current non-drivers. This study examined the potential association of driving status and transport use with social frailty, as well as between the frequency of transport use and social frailty, among current non-drivers.
Methods
This study included 977 middle-aged and older adults (average age 65.3 ± 4.8 years). The participants were classified as transport users (more than a few times a week) and transport non-users (less than a few times a month). Based on driving status and transport use, the groups were further classified into current driver, current non-driver/transport user, and current non-driver/transport non-user groups. We performed statistical analyses to examine the relationships between driving status, transport use, and social frailty.
Results
The current non-driver/transport non-user group showed a significant association with a higher social frailty. The current non-driver/transport user group showed no association with social frailty compared with the current driver group. The current non-driver/transport non-user group showed a significant association with a higher social frailty rate (OR 2.14, 95%CI 1.25–3.73).
Conclusions
Participants who did not drive or take transport showed significant associations with increased social frailty. Compared with current driver/transport use, current non-driver/transport non-use was associated with social frailty. |
| Key Words:
Frailty, Social adjustment, Automobile driving, Environment design, Human activities |
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