Association of Depression and Antidepressant Use With Driving Behaviors in Older Adults: A LongROAD Study

Author:

Isom Chelsea A.1ORCID,Baird Sara1,Betz Marian E.23,DiGuiseppi Carolyn G.4ORCID,Eby David W.5,Li Guohua67,Lee Kelly C8,Molnar Lisa J.5,Moran Ryan1,Strogatz David9,Hill Linda1

Affiliation:

1. Herbert Wertheim School of Public Health and Longevity Science, University of California San Diego, San Diego, CA, USA

2. Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA

3. VA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, CO, USA

4. Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA

5. University of Michigan Transportation Research Institute, Ann Arbor, MI, USA

6. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA

7. Department of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA

8. San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, La Jolla, CA, USA

9. Bassett Healthcare Network, Bassett Research Institute, Cooperstown, NY, USA

Abstract

Older adults aged 70 and older who drive have higher crash death rates per mile driven compared to middle aged (35–54 years) adults who drive in the US. Prior studies have found that depression and or antidepressant medication use in older adults are associated with an increase in the vehicular crash rate. Using data from the prospective multi-site AAA Longitudinal Research on Aging Drivers Study, this analysis examined the independent and interdependent associations of self-reported depression and antidepressant use with driving behaviors that can increase motor vehicle crash risk such as hard braking, speeding, and night-time driving in adults over age 65. Of the 2951 participants, 6.4% reported having depression and 21.9% were on an antidepressant medication. Correcting for age, race, gender, and education level, participants on an antidepressant had increased hard braking events (1.22 [1.10–1.34]) but self-reported depression alone was not associated with changes in driving behaviors.

Funder

AAA Foundation for Traffic Safety

Publisher

SAGE Publications

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