{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T23:26:42Z","timestamp":1780702002357,"version":"3.54.1"},"reference-count":52,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014588","name":"Sanofi Pasteur","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014588","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Assessing successful ageing (SA) is essential to identify modifiable factors in order to enforce health promotion and prevention actions. SA comprises 3 dimensions: an active engagement with life, a low probability of disease and disease-related disability, and a high cognitive and physical functional capacity. Driving seems to be linked to SA as it is a mean to preserve social interactions and requires preserved functional and cognitive status. This study aims to investigate whether driving status can be considered a proxy of SA, by describing determinants associated with driving status in the 65+.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study is ancillary to the S.AGES (Sujets AG\u00c9S\u2014Aged Subjects) study, an observational prospective cohort study which included patients suffering from chronic pain, type-2 diabetes mellitus or atrial fibrillation from 2009 to 2014. SA was defined by the success of three dimensions: physiological comprised of comorbidity and autonomy scores, psychological comprised of cognitive status and emotional state, and a social dimension.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>2,098 patients were included of whom 1,226 (58.4%) reported being drivers. 351\/2,092 (16.7%) were classified as successful agers: 292\/1,266 (23.8%) in the driver group vs. 59\/872 (6.8%) in the non-driver group; p &lt; .001. In the final logistic model, after adjustment for relevant variables, SA was associated with driver status OR 1.94 [1.36\u20132.77].<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusion<\/jats:title><jats:p>Driving may be considered as a proxy to SA: it reflects elders\u2019 independence, cognitive ability and a means to maintain social interactions. To preserve their mobility and enable them to achieve SA, regular screening of driving skills, specific rehabilitation programs are needed. Moreover development and communication on special transports services, communal rides or even driverless car to avoid apprehension around older adults driving could be solutions.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0285313","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T18:07:28Z","timestamp":1683223648000},"page":"e0285313","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Association between car driving and successful ageing. 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[cited 2022 Mar 30]. Available from: https:\/\/www.insee.fr\/fr\/statistiques\/3676610?sommaire=3696937"},{"key":"pone.0285313.ref002","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.archger.2019.03.006","article-title":"Prevalence and determinants of driving habits in the oldest old: Results of the multicenter prospective AgeCoDe-AgeQualiDe study","volume":"82","author":"A Hajek","year":"2019","journal-title":"Arch Gerontol Geriatr"},{"key":"pone.0285313.ref003","unstructured":"Polders E, Brijs T, Papadimitriou E, Yannis G, Leopold F, Durso C, et al. ElderSafe\u2014Risks and countermeasures for road traffic of elderly in Europe. undefined [Internet]. 2015 [cited 2022 Mar 30]; Available from: https:\/\/www.semanticscholar.org\/paper\/ElderSafe-Risks-and-countermeasures-for-road-of-in-Polders-Brijs\/19b598d72fe16717f316ca38e9dd2a1da803c51f"},{"key":"pone.0285313.ref004","unstructured":"ONISR_Bilan_D\u00e9finitif_2021 v31mai.pdf [Internet]. [cited 2022 Dec 6]. Available from: https:\/\/www.onisr.securite-routiere.gouv.fr\/sites\/default\/files\/2022-05\/ONISR_Bilan_D%C3%A9finitif_2021%20v31mai.pdf"},{"issue":"1","key":"pone.0285313.ref005","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.cger.2018.08.011","article-title":"Driving in the Geriatric Population","volume":"35","author":"WR Greene","year":"2019","journal-title":"Clin Geriatr Med"},{"issue":"8","key":"pone.0285313.ref006","first-page":"1457","article-title":"Social Participation in Later Years: The Role of Driving Mobility","volume":"73","author":"T. Pristavec","year":"2018","journal-title":"J Gerontol Ser B"},{"key":"pone.0285313.ref007","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/978-1-4613-2173-6_19","volume-title":"Human Behavior and Traffic Safety","author":"JA Michon","year":"1985"},{"key":"pone.0285313.ref008","unstructured":"DVLA. Assessing fitness to drive\u2013a guide for medical professionals [Internet]. Driver and Vehicle Licensing Agency\u2014UK; 2022 May. Available from: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1084397\/assessing-fitness-to-drive-may-2022.pdf"},{"issue":"4","key":"pone.0285313.ref009","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1093\/geront\/37.4.433","article-title":"Successful Aging","volume":"37","author":"JW Rowe","year":"1997","journal-title":"The Gerontologist"},{"issue":"3","key":"pone.0285313.ref010","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.annepidem.2016.12.006","article-title":"Is car use related with successful aging of older adults? Results from the multinational Mediterranean islands study","volume":"27","author":"S Tyrovolas","year":"2017","journal-title":"Ann Epidemiol"},{"issue":"5","key":"pone.0285313.ref011","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1093\/ageing\/afq089","article-title":"Transportation and driving in longitudinal studies on ageing","volume":"39","author":"M Bartley","year":"2010","journal-title":"Age Ageing"},{"key":"pone.0285313.ref012","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ypmed.2018.02.022","article-title":"Looking younger, dying later: General practitioners\u2019 intuitive clinical impression predicts mortality","volume":"111","author":"S Bucher","year":"2018","journal-title":"Prev Med"},{"issue":"8","key":"pone.0285313.ref013","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/s12603-013-0338-7","article-title":"The therapeutic management of chronic pain in ambulatory care patients aged 65 and over in France: the S.AGES cohort. 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A practical method for grading the cognitive state of patients for the clinician","volume":"12","author":"MF Folstein","year":"1975","journal-title":"J Psychiatr Res"},{"issue":"3","key":"pone.0285313.ref019","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1093\/fampra\/11.3.260","article-title":"Screening, detection and management of depression in elderly primary care attenders. I: The acceptability and performance of the 15 item Geriatric Depression Scale (GDS15) and the development of short versions","volume":"11","author":"P D\u2019Ath","year":"1994","journal-title":"Fam Pract"},{"issue":"4","key":"pone.0285313.ref020","doi-asserted-by":"crossref","first-page":"M378","DOI":"10.1093\/gerona\/59.4.M378","article-title":"Case-Finding for Depression in Elderly People: Balancing Ease of Administration With Validity in Varied Treatment Settings","volume":"59","author":"K Blank","year":"2004","journal-title":"J Gerontol Ser A"},{"issue":"3","key":"pone.0285313.ref021","first-page":"184","article-title":"Familienstand und soziale Integration als Pr\u00e4diktoren der Mortalit\u00e4t: eine 5-Jahres-Follow-up-Studie an 55- bis 74j\u00e4hrigen M\u00e4nnern und Frauen in der Region Augsburg","volume":"31","author":"A Baumann","year":"1998","journal-title":"Z F\u00fcr Gerontol Geriatr"},{"issue":"15","key":"pone.0285313.ref022","doi-asserted-by":"crossref","first-page":"5797","DOI":"10.1073\/pnas.1219686110","article-title":"Social isolation, loneliness, and all-cause mortality in older men and women","volume":"110","author":"A Steptoe","year":"2013","journal-title":"Proc Natl Acad Sci"},{"issue":"4","key":"pone.0285313.ref023","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1080\/10618600.1999.10474855","article-title":"Focused Principal Component Analysis: Looking at a Correlation Matrix with a Particular Interest in a Given Variable","volume":"8","author":"B. Falissard","year":"1999","journal-title":"J Comput Graph Stat"},{"issue":"5","key":"pone.0285313.ref024","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1177\/0013164418817803","article-title":"Evaluation of Variance Inflation Factors in Regression Models Using Latent Variable Modeling Methods","volume":"79","author":"KM Marcoulides","year":"2019","journal-title":"Educ Psychol Meas"},{"issue":"5","key":"pone.0285313.ref025","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.respe.2009.04.011","article-title":"L\u2019imputation multiple des donn\u00e9es manquantes al\u00e9atoirement: concepts g\u00e9n\u00e9raux et pr\u00e9sentation d\u2019une m\u00e9thode Monte-Carlo","volume":"57","author":"G Cottrell","year":"2009","journal-title":"Rev D\u00c9pid\u00e9miologie Sant\u00e9 Publique"},{"key":"pone.0285313.ref026","unstructured":"mice.pdf [Internet]. [cited 2022 Jun 3]. Available from: https:\/\/cran.r-project.org\/web\/packages\/mice\/mice.pdf"},{"issue":"3","key":"pone.0285313.ref027","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1370\/afm.272","article-title":"Prevalence of multimorbidity among adults seen in family practice","volume":"3","author":"M Fortin","year":"2005","journal-title":"Ann Fam Med"},{"issue":"9 Pt 2","key":"pone.0285313.ref028","doi-asserted-by":"crossref","first-page":"8S","DOI":"10.1111\/j.1532-5415.1991.tb05927.x","article-title":"Impacts of geriatric evaluation and management programs on defined outcomes: overview of the evidence","volume":"39","author":"LZ Rubenstein","year":"1991","journal-title":"J Am Geriatr Soc"},{"key":"pone.0285313.ref029","unstructured":"Transports en zones rurales: comparaison entre l\u2019Espagne, l\u2019Allemagne et la France [Internet]. Vie publique.fr. [cited 2022 Mar 29]. Available from: https:\/\/www.vie-publique.fr\/en-bref\/270239-transports-en-zones-rurales-comparaisons-espagne-allemagne-france"},{"issue":"7","key":"pone.0285313.ref030","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1017\/S0144686X12000517","article-title":"Transport resources, mobility and unmet transport needs in old age","volume":"33","author":"R. Hjorthol","year":"2013","journal-title":"Ageing Soc"},{"key":"pone.0285313.ref031","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.3389\/fpsyg.2019.01329","article-title":"Driving as a Travel Option for Older Adults: Findings From the Irish Longitudinal Study on Aging","volume":"10","author":"M Gormley","year":"2019","journal-title":"Front Psychol"},{"issue":"11\u201312","key":"pone.0285313.ref032","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/j.mad.2013.11.001","article-title":"How to classify the oldest old according to their health status: A study on 1160 subjects belonging to 552 90+ Italian sib-ships characterized by familial longevity recruited within the GEHA EU Project","volume":"134","author":"E Cevenini","year":"2013","journal-title":"Mech Ageing Dev"},{"issue":"1","key":"pone.0285313.ref033","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1097\/01.JGP.0000192501.03069.bc","article-title":"Definitions and Predictors of Successful Aging: A Comprehensive Review of Larger Quantitative Studies","volume":"14","author":"CA Depp","year":"2006","journal-title":"Am J Geriatr Psychiatry"},{"issue":"2","key":"pone.0285313.ref034","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1684\/pnv.2021.0933","article-title":"Why and how evaluating driving abilities in patients with neurodegenerative diseases?","volume":"19","author":"C Lazeras","year":"2021","journal-title":"G\u00e9riatrie Psychol Neuropsychiatr Viellissement"},{"issue":"19","key":"pone.0285313.ref035","doi-asserted-by":"crossref","first-page":"2343","DOI":"10.1001\/jama.296.19.2343","article-title":"Midlife risk factors and healthy survival in men","volume":"296","author":"BJ Willcox","year":"2006","journal-title":"JAMA"},{"key":"pone.0285313.ref036","article-title":"Successful Aging in Colombia: The Role of Disease","volume":"4","author":"C-L Curcio","year":"2018","journal-title":"Gerontol Geriatr Med"},{"issue":"9","key":"pone.0285313.ref037","doi-asserted-by":"crossref","first-page":"3220","DOI":"10.3390\/ijerph17093220","article-title":"Factors Associated with Successful Aging among Community-Dwelling Older Adults Based on Ecological System Model","volume":"17","author":"H-Y Jang","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"11","key":"pone.0285313.ref038","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1111\/jgs.13077","article-title":"Automobile Driving in Older Adults: Factors Affecting Driving Restriction in Men and Women","volume":"62","author":"L Marie Dit Asse","year":"2014","journal-title":"J Am Geriatr Soc"},{"issue":"10","key":"pone.0285313.ref039","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1111\/jgs.16077","article-title":"Driving Fitness in Different Forms of Dementia: An Update","volume":"67","author":"M Toepper","year":"2019","journal-title":"J Am Geriatr 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Res"},{"issue":"1","key":"pone.0285313.ref043","doi-asserted-by":"crossref","first-page":"14","DOI":"10.5770\/cgj.24.444","article-title":"The SIMARD-MD is not an Effective Driver Screening Tool for Determining Fitness-To-Drive","volume":"24","author":"AM Crizzle","year":"2021","journal-title":"Can Geriatr J"},{"issue":"5","key":"pone.0285313.ref044","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1093\/ageing\/aft073","article-title":"How effective is the Trail Making Test (Parts A and B) in identifying cognitively impaired drivers?","volume":"42","author":"BM Dobbs","year":"2013","journal-title":"Age Ageing"},{"key":"pone.0285313.ref045","doi-asserted-by":"crossref","first-page":"136103","DOI":"10.1016\/j.neulet.2021.136103","article-title":"Systematic review: Automated vehicles and services for people with disabilities","volume":"761","author":"BE Dicianno","year":"2021","journal-title":"Neurosci 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Lancet"},{"issue":"6","key":"pone.0285313.ref049","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1017\/S1463423617000202","article-title":"Cochrane Review Summary: Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations","volume":"18","author":"D. 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