{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:04:22Z","timestamp":1792004662896,"version":"4.4.0"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":316,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Transportation is crucial to maintaining social engagement in later life. Lack of transportation is significantly associated with depressive\/anxiety symptoms in older adults. In this study, we examined the extent to which loneliness mediates the relationship between transportation barriers and depressive\/anxiety symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>Using the 2023 National Health and Aging Trends Study (N\u2009=\u20097,547; age 65+), we defined transportation barriers as transportation problems that kept older adults from visiting family\/friends, attending religious services, attending club meetings, or going out for enjoyment. We fitted a path model, and to test the mediation effect, we used bootstrapped analysis to obtain estimates of the indirect effects and their 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the study population, 4.4%, or 2 million people, reported transportation barriers. We found significant direct effects of transportation barriers on loneliness and depressive\/anxiety symptoms and indirect effects of loneliness (0.40, 95% CIs = [0.23, 0.57], z\u2009=\u20094.57, p\u2009&amp;lt;\u2009.001) on depressive\/anxiety symptoms. The ratio of the indirect effect to the total effect of transportation barriers on depressive\/anxiety symptoms (indirect effect [0.40] + direct effect [0.50] = 0.90) was 0.44. The ratio of the indirect effect of loneliness to the direct effect of transportation barriers on depressive\/anxiety symptoms was 0.80.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Loneliness significantly mediates the association between transportation barriers and depression\/anxiety in older adults. Transportation should be recognized as both a mobility and a mental health issue. Policies to enable older adults to continue social engagement, decrease loneliness, and alleviate depression\/anxiety are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geroni\/igaf127","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:03:39Z","timestamp":1762952619000},"source":"Crossref","is-referenced-by-count":4,"title":["Transportation barriers, loneliness, and depressive\/anxiety symptoms in older adults"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8382-1191","authenticated-orcid":false,"given":"Namkee G","family":"Choi","sequence":"first","affiliation":[{"name":"School of Social Work, The University of Texas at Austin , Austin, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6743-8512","authenticated-orcid":false,"given":"C Nathan","family":"Marti","sequence":"additional","affiliation":[{"name":"School of Social Work, The University of Texas at Austin , Austin, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"2025121718564464100_igaf127-B1","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.jsr.2019.03.007","article-title":"Factors and challenges of driving reduction and cessation: A systematic review and meta-synthesis of qualitative studies on self-regulation","volume":"69","author":"Ang","year":"2019","journal-title":"Journal of Safety Research"},{"key":"2025121718564464100_igaf127-B2","doi-asserted-by":"publisher","first-page":"101055","DOI":"10.1016\/j.jth.2021.101055","article-title":"Barriers and facilitators of older adults\u2019 use of ride share services","volume":"21","author":"Bayne","year":"2021","journal-title":"Journal of Transport & Health"},{"key":"2025121718564464100_igaf127-B3","doi-asserted-by":"publisher","first-page":"924309","DOI":"10.3389\/fmed.2022.924309","article-title":"Depressive symptoms and healthcare utilization in late life. 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