Introduction

Driving is a primary means of mobility. Driving cessation is associated with poor mental health outcomes, including increased risk of depression. We investigated the relationship between driving status and depression symptoms in a large Canadian sample of mid-aged and older adults. We examined whether social support buffers the relationship between driving status and depression symptoms as well as whether the effects depend on gender. Methods: Data were drawn from baseline data from the Canadian Longitudinal Study on Aging (CLSA), a large prospective study of health and aging. At baseline, 1165 participants were classified as former drivers; 40,840 participants were classified as current drivers. Through hierarchical linear regression models, we examined whether the effect of driving status on depression symptoms (CESD-10) was moderated by social support indices (MOS-SSS). Results: Driving cessation was associated with higher symptoms of depression (B = 0.539, 95% CI, 0.237 to 0.842, p < .001). The relationship between driving status and depression symptoms was moderated by social support indices. Former driving men who reported low social support had the greatest number of depression symptoms; the effect of driving status on depression symptoms became attenuated at higher levels of social support. Conclusion: Findings highlight the importance of social support in offsetting poor mental health outcomes associated with driving cessation.

中文翻译：

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社会支持对驾驶状态和抑郁之间的关联的影响因性别而异：CLSA的发现

介绍

驾驶是出行的主要方式。停止驾驶会导致不良的心理健康结果，包括增加的抑郁风险。我们在大量的加拿大中老年人中调查了驾驶状态与抑郁症状之间的关系。我们研究了社会支持是否缓冲了驾驶状态和抑郁症状之间的关系，以及其影响是否取决于性别。方法：数据来自加拿大衰老纵向研究（CLSA）的基线数据，该研究是一项有关健康与衰老的大型前瞻性研究。基线时，有1165名参与者被归类为前驾驶者。40,840名参与者被归类为当前驾驶员。通过分层线性回归模型，我们检查了驾驶状态对抑郁症状（CESD-10）的影响是否受到社会支持指数（MOS-SSS）的缓解。结果：停止驾驶与较高的抑郁症状相关（B = 0.539，95％CI，0.237至0.842，p <.001）。驾驶状态与抑郁症状之间的关系通过社会支持指数得以缓和。据报道，社会支持程度低的前驾车男子的抑郁症状最多。在较高的社会支持水平下，驾驶状态对抑郁症状的影响减弱。结论：研究结果突显了社会支持对抵消因驾驶而导致的不良心理健康结果的重要性。001）。驾驶状态与抑郁症状之间的关系通过社会支持指数得以缓和。据报道，社会支持程度低的前驾车男子的抑郁症状最多。在较高的社会支持水平下，驾驶状态对抑郁症状的影响逐渐减弱。结论：研究结果突显了社会支持在抵消与驾驶终止相关的不良心理健康结果方面的重要性。001）。驾驶状态与抑郁症状之间的关系通过社会支持指数得以缓和。报告称其社会支持程度低的前驾车男子的抑郁症状最多。在较高的社会支持水平下，驾驶状态对抑郁症状的影响减弱。结论：研究结果突显了社会支持对抵消因驾驶而导致的不良心理健康结果的重要性。