Profile of seniors' transportation habits
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by Martin Turcotte
- A large majority of seniors drive cars
- What you should know about this study
- Where seniors live and how this affects their day-to-day travel
- Senior women in Quebec and Newfoundland and Labrador drive less
- Even in the most densely populated neighbourhoods, senior men prefer to drive
- Having visual limitations does not always mean an end to driving
- More than one-quarter of seniors with Alzheimer's disease or another form of dementia had a licence
- Relatively few seniors use public transit
- Accessible transit and taxis are seldom used before age 85
- Access to transportation and seniors' social participation
Most Canadians live in neighbourhoods designed around cars as the means of travel. Consequently, they often have to drive or be driven to work, retail stores, health service centres or recreation and leisure activities. Central neighbourhoods of large cities are the exception in this residential landscape, since residents can more easily go about their daily business on foot or by public transit. However, these central neighbourhoods are home to a minority of people, including a minority of senior citizens (see "Where seniors live and how this affects their day-to-day travel").
While most seniors have retired from the workforce, a majority of them want to grow old in their own homes and take an active part in society. To do so, they need some form of transportation to run errands, participate in recreational or volunteer activities and visit family and friends. Their desire to remain in their homes is not very realistic unless they have adequate transportation. In most residential areas, this means having access to a private vehicle.
Seniors' dependence on cars raises safety issues. Although most seniors drive carefully, statistics show that people aged 70 or older have a higher accident rate per kilometre driven than any other age group except young male drivers, still the highest risk category.1 In addition, seniors are more likely than younger people to be killed when they are involved in a collision.2 In the context of an aging population, the balance between road safety and the autonomy some people associate with driving is a growing concern.
This article examines various issues about seniors' access to transportation or to a vehicle, bearing in mind that the majority of seniors live in areas with few alternatives to car travel. The first part of the article focuses on having a driver's licence and driving a car. It compares men and women by place of residence and age group, and discusses the possession of a driver's licence and the driving habits of seniors who have the weakest visual, auditory, motor and cognitive faculties (and those who have been diagnosed with Alzheimer's disease).
The second part describes seniors' primary forms of transportation other than the car. In particular, the number and proportion of seniors with more limited access to transportation, especially those who need help getting around, are quantified and assessed. The last part of the article examines the impact of seniors' main form of transportation on their level of social participation. Seniors living in residences and institutions are excluded from this study.
In 2009, 3.25 million people aged 65 and over had a driver's licence—three-quarters of all seniors. Of that number, about 200,000 were aged 85 and over. Since people in their 80s and over are, and will continue to be, a fast-growing segment of the senior population,3 the number of elderly drivers will also continue to increase at a rapid pace.
The current generation of seniors comprises a large number of women who have never driven. As a result, there is a substantial gap between the sexes with regard to having a driver's licence, particularly in the 85-and-over age group. In 2009, 67% of men aged 85 and over living in private households had a driver's licence, compared with 26% of women. The dependence of elderly women on their spouse or relatives and friends for transportation is expected to decline sharply in the future, since nearly as many women as men in the 45-to-64 age group have a driver's licence (Chart 1).
The percentage of seniors who have a driver's licence is very similar to the percentage who drove a vehicle in the past month (Table 1). There are slightly larger differences at more advanced ages. It is worth noting, however, that old age is not a barrier to driving for many men. In the 90-and-over population living in private households, 37% of men had driven a vehicle in the previous month, compared with 11% of women.
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This study uses data from the Canadian Community Health Survey – Healthy Aging (CCHS), conducted in 2008 and 2009.The target population consists of people aged 45 and over living in occupied private dwellings in the 10 provinces. Seniors living in residences or institutions are therefore excluded from this study.
Data collection for the Canadian Community Health Survey – Healthy Aging took place between December 2008 and November 2009. During this collection period, a total of 30,865 valid interviews were conducted. In this study, the main focus is on the 16,369 respondents aged 65 and over who represent 4,366,101 senior Canadians.
Health Utilities Index
The Health Utilities Index (HUI) is a health status classification system based on multiple attributes; it measures generic health status and health-related quality of life.1 The version used in the Canadian Community Health Survey (CCHS) was adapted from the HUI Mark 3 (HUI3) previously used in the National Population Health Survey. This instrument allows the calculation of a generic health status index based on attributes collected in two different CCHS modules—Health Utilities Index (HUI) and Pain and Discomfort (HUP). The generic health status index is used in the multivariate analysis on social participation.
In Table 2 of this article, four health attributes are used: vision, hearing, cognition and mobility. For more details on the six levels of ability regarding these attributes, see the table below.
|Level 1||Able to see well enough to read ordinary newsprint and recognize a friend on the other
side of the street, without glasses or contact lenses
|Able to hear what is said in a group conversation with at least three other people, without a
|Able to remember most things, think clearly and solve day-to-day problems||Able to walk around the neighbourhood without difficulty and without walking equipment|
|Level 2||Able to see well enough to read ordinary newsprint and recognize a friend on the other
side of the street, but with glasses or contact lenses
|Able to hear what is said in a conversation with one other person in a quiet room without a hearing aid, but requires a hearing aid to hear what is said in a group conversation with at least three other people||Able to remember most things, but has a little difficulty when trying to think and solve day-to-day problems||Able to walk around the neighbourhood with difficulty but does not require walking equipment or the help
of another person
|Level 3||Able to read ordinary newsprint with or without glasses but unable to recognize a friend on the other side of the street, even with glasses||Able to hear what is said in a conversation with one other person in a quiet room with a
hearing aid, and able to hear what is said in a group conversation with at least three other people, with a hearing aid
|Somewhat forgetful, but able to think clearly and solve day-to-day problems||Able to walk around the neighbourhood with walking equipment but without the help of another person|
|Level 4||Able to recognize a friend on the other side of the street with or without glasses but unable to read ordinary newsprint, even with glasses||Able to hear what is said in a conversation with one other person in a quiet room, without a hearing aid, but unable to hear what is said in a group conversation with at least three other people even with a hearing aid||Somewhat forgetful, and has a little difficulty when trying to think or solve day-to-day problems||Able to walk only short distances with walking equipment, and requires a wheelchair to get around the neighbourhood|
|Level 5||Unable to read ordinary newsprint and unable to
recognize a friend on the other side of the street,
even with glasses
|Able to hear what is said in a conversation with one other person in a quiet room with a
hearing aid, but unable to hear what is said in a group conversation with at least three other people even with a hearing aid
|Very forgetful, and has great difficulty when trying to think or solve day-to-day problems||Unable to walk alone, even with walking equipment. Able to walk short distances with the help of another person and requires a
wheelchair to get around the neighbourhood
|Level 6||Unable to see at all||Unable to hear at all||Unable to remember anything at all, and unable to think or solve day-to-day problems||Cannot walk at all|
Neighbourhood level of dependence on cars
Three categories of neighbourhoods were established using 2006 Census data. Census metropolitan areas and agglomeration areas were divided into census tracts, and neighbourhoods were defined according to census tract boundaries. Outside metropolitan areas, the boundaries for census subdivisions (or municipalities) were used. In each neighbourhood and census subdivision, the proportion of workers with a usual place of work and who commuted to work by car was estimated. The neighbourhoods were then divided into three categories: neighbourhoods with high dependence (more than 85% of workers in the neighbourhood commute to work by car), neighbourhoods with moderate dependence (more than 75% and up to 85% commute by car) and neighbourhoods with the lowest dependence (75% or less commute by car).
For each survey participant, the census tract of residence (or the municipality if they lived outside a metropolitan area) was known. This enabled contextual information about the neighbourhood of residence to be combined with other personal characteristics.
Residential density of neighbourhood of residence
Using the same method as for estimating a neighbourhood's dependence on cars, neighbourhood residential density was measured as the proportion of its residents living in apartments (based on 2006 Census data). Neighbourhoods were divided into six categories. Neighbourhoods with the first level of density (the lowest density) had less than 2% of their population living in apartments. At level 6 (neighbourhoods with the highest density) 57% or more of the population lived in apartments.
- Feeny, David, William Furlong, George W. Torrance, Charles H. Goldsmith, Zenglong Zhu, Sonja Depauw, Margaret Denton and Michael Boyle. 2002. "Multi-attribute and single-attribute utility functions for the Health Utilities Index Mark 3 system," Medical Care. Vol. 40, no. 2.
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In the coming years, delivering services tailored to an aging population will likely involve more financial and human resources in regions where a large number of seniors live. In 2006, people aged 65 and over made up about 13.7% of the Canadian population, and varying proportions in the provinces. The Atlantic provinces, Quebec, Saskatchewan and British Columbia had the highest proportions of seniors. Saskatchewan ranked first, with a proportion of 15.4%, while the proportion in Alberta was 10.7%.
However, the proportion of seniors in a province's population is not the only factor affecting the cost of delivering services to them. Their type of residence and living environment as well as the form of transportation they require may also play an important role.
In general, it is easier to provide care and health services at a senior's home in an urban environment than a rural one, in part because professionals and care providers have less distance to travel. However, people in the 65-to-74 age group are slightly more likely to live outside census metropolitan areas and census agglomerations. In 2009, 22% of people aged 65 and over lived in regions outside census metropolitan areas and census agglomerations, compared with 20% of people aged 45 to 64.
The extent to which people use a car as their primary means of travel varies widely from one type of environment to another. One way of classifying neighbourhoods and municipalities is to estimate the proportion of workers living there who commute to work by car (see "What you should know about this study"). Even though most seniors no longer work, the proportion of their working neighbours who commute to work by car is an indicator of the neighbourhood's general level of dependence on the car. The chart below shows population distribution by age group in three types of neighbourhood. People aged 65 to 74 were as likely as people aged 45 to 54 and 55 to 64 to live in neighbourhoods with the highest level of dependence on cars. The picture was slightly different among people aged 75 and over, as they were less likely to live in highly car-dependant neighbourhoods.
In Canada, the majority of people live in a single-family home, and this is also the case for seniors. However, the proportion of seniors living in this type of dwelling is substantially lower among older age groups. In 2009, 53% of people aged 85 and over lived in a single-family home, compared with 71% of people aged 75 to 84, 70% of people aged 65 to 74 and 75% of people aged 55 to 64.
These statistics are reflected in the residential density of the neighbourhoods where the oldest seniors live. The proportion of people aged 85 or older who lived in a high residential density neighbourhood—that is, the neighbourhood category with the highest proportion of apartment dwellers—was 31%. By comparison, the proportion was 21% in the 65-to-74 age group.
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The proportion of seniors who had a driver's licence varied widely according to province of residence. Saskatchewan and Alberta had the highest proportions (84% and 83% respectively) (Table 1). In contrast, the lowest proportions of seniors who had a driver's licence were in Newfoundland and Labrador and Quebec (69% and 71% respectively). These lower proportions are due to the fact that senior women in these two provinces are less likely to have a licence (55% of senior women in Newfoundland and Labrador and 58% in Quebec had their licence).
Among the oldest seniors (aged 85 and over), the majority of men in every province had a driver's licence. The highest proportions were in New Brunswick (81%), Manitoba (77%) and Saskatchewan (77%) (Chart 2). The proportion of women aged 85 and over with a driver's licence varied by province, from 14% in Quebec to 44% in Saskatchewan.
Possession of a driver's licence also varied across census metropolitan areas (CMA). The lowest proportions of seniors with a driver's licence were in Toronto (63%) and Montréal (64%), the most populous CMAs in Canada. In both these CMAs, less than one-half of senior women had a licence.
The type of neighbourhood people live in is related to whether they drive a car or have a driver's licence and the number of trips they make by car, by public transit or by foot.4 In general, people of all ages who live in higher residential density neighbourhoods are more likely to walk or take public transit when they go out; stores are more likely to be within walking distance, and public transit service is better. Nevertheless, even in neighbourhoods with some of the highest residential density levels in Canada (the central neighbourhoods of the largest CMAs), the majority of men reported that their primary form of transportation was the car (56% of men, compared with 26% of women). In addition, 67% of senior men living in the neighbourhoods with the highest residential density reported that they had driven their vehicle in the previous month, compared with 36% of senior women (Table 1). In short, for senior men, living in a neighbourhood that offers other transportation options does not mean giving up their car.5
Table 1 Proportion of people aged 65 and over with a driver's licence, who drove a vehicle in the previous month and for whom driving was the main form of transportation, by selected characteristics, 2009
The association between income level and having a driver's licence, as well as the likelihood of having driven a car in the past month, was clearer among senior women than men. Among women, each increase in income quintile was associated with a substantial increase in the likelihood of having driven. Among men, only those in the lowest income quintile were slightly different from the rest, though even in their case, almost 80% had a licence (Table 1). In all the other income quintiles, driving a car was extremely common.
It is not seniors' more advanced age that increases the risks of traffic accidents, but rather certain medical conditions that they are more likely to have. Driving a vehicle safely requires good vision, good hearing, adequate cognitive abilities and adequate motor skills—functions that deteriorate naturally with age.
The majority of seniors see well enough to read the newspaper and recognize a friend on the other side of the street with glasses or contact lenses (Level 2 vision) (Table 2). Among seniors with Level 2 vision, 77% had a driver's licence. The proportion of people with a driver's licence obviously decreased among those with more limited vision. It was 43% at Level 3, that is, among people who saw well enough to read the newspaper with or without glasses but could not recognize a friend on the other side of the street, even with glasses. At Levels 5 and 6 (people who did not see well enough to read the newspaper or recognize a friend on the other side of the street, even with glasses), 19% had a driver's licence. The proportion of people at these levels (5 or 6) who had driven in the previous month was somewhat lower (9%).
Table 2 Proportion of people aged 65 and over with a driver's licence, who drove a vehicle in the previous month and for whom driving was the main form of transportation, by level of functional capacity, 2009
Hearing had less influence than vision on having a driver's licence and driving a car. Among seniors who had the most serious hearing problems (Levels 5 and 6), 53% had a licence, and about one-half had driven a vehicle in the previous month.
To drive a car, one has to be able to make quick decisions, remember the rules of the road, the directions to one's destination, and so on. Most seniors (72%) are at Level 1 with regard to their cognitive abilities, which means they are able to remember most things, think clearly and solve everyday problems. Among seniors at Level 1, 79% had a driver's licence. At Levels 5 and 6, people are very likely to forget things and have a great deal of difficulty thinking clearly and solving everyday problems. Of this group, 36%, or about 38,000 seniors, had a driver's licence (Table 2). The number of seniors at Levels 5 and 6 who had driven in the previous month was lower (28,500).
People who are diagnosed with Alzheimer's disease or any other form of dementia (senility) will eventually have to stop driving. Although driving a car is not necessarily a problem for everyone who is diagnosed (especially in the early stages of the disease), experts say that driving ability should be assessed regularly.6 In 2009, 28% of people aged 65 and over who had been diagnosed with Alzheimer's disease or some other form of dementia had a driver's licence. In numerical terms, this is about 20,000 people, including 13,000 men. It should be noted that of these 20,000 seniors, a smaller number, 14,600, had actually driven in the month preceding the survey (Table 2).
Moreover, among seniors who had been diagnosed and whose cognitive ability was at Level 5 or 6 (people at a more advanced stage of the disease), the number with a licence was only about 7,000.
Driving a car usually requires the use of one's legs and a degree of mobility. A minority of seniors are unable to walk (mobility Levels 5 and 6). They can only move around their neighbourhood with the aid of a person, a device or a wheelchair. Nevertheless, just over one-quarter (28%) of seniors with reduced mobility had a driver's licence.
A small number of seniors had a driver's licence but had not used it in the previous month. Consequently, there were similar associations between having a driver's licence by health status and having actually used it in the past month (Table 2). For seniors whose health is deteriorating but who want or need to continue driving if they wish to remain in their homes, various options can minimize the risks of accidents (urban and road design, signage, intelligent transportation systems, vehicle modification and changes in driving habits, etc.).7 The fact remains that aging at home can be very difficult for someone whose disabilities become very severe if a car is their only available means of transportation.
Given the statistics on having a driver's licence, it is not surprising that for all age groups and for both sexes, a minority of people used a primary means of transportation other than a car (public transit, walking, accessible transit or taxi). Among men aged 65 to 74, 84% got around mainly by driving their car, and 9% by being a passenger in a car (Table 3). That left 4% using public transit, 3% walking or bicycling, and the rest using accessible transit or taxis.
As people get older, travelling as a passenger in a private vehicle becomes their main form of transportation; this was the case for about one-half of seniors aged 85 and over (with or without a licence). This was even more common among women of this age group, as 52% travelled primarily as passengers and had no licence while another 7% had a licence but travelled mainly as passengers (Table 3).
Seniors do not use public transit more often as their main form of transportation as they get older. Nor does occasional use increase with age. Rather, the proportion who had used public transit at least once in the previous month declined with increasing age (Table 3). For example, 25% of women aged 55 to 64 had used public transit at least once in the previous month, compared with 18% of women aged 85 and over.
Part of the decline in the use of public transit with age is due to the fact that on average, the elderly go out less often.8 The relatively infrequent use of public transit compared with other means of transportation is possibly also attributable to the fact that seniors, like the rest of the population, tend to live in low residential density neighbourhoods. In those neighbourhoods, public transit, if any, is designed primarily to meet the needs of workers (rush-hour service to key destinations such as the downtown core or main work areas).9 In addition, being unable to drive may mean being unable to use regular public transit. Some seniors with reduced mobility could use accessible transit services, but these are not available in every city or every neighbourhood (for example, kneeling buses that are comfortable and safe, and with travel routes that meet their needs).10
As with the population as a whole, public transit was used more frequently by seniors living in the largest census metropolitan areas (CMAs). More than one-sixth (16%) of seniors in the Montréal CMA used public transit as their primary means of transportation, a higher proportion than in any other CMA. And many seniors in major centres occasionally used public transit, even though it was not their primary mode of transportation (roughly 1 in 3 seniors in Montréal, Toronto and Vancouver had used public transit in the previous month).
Walking and cycling were considerably more popular than public transit as occasional means of transportation. More widespread in large metropolitan areas, these flexible forms of transportation were also relatively common outside these areas (Table 3). Even though walking is good for the environment and urban air quality, it is not danger-free for seniors, since in the five-year period from 1996 to 2001, 34% of fatally injured pedestrians were seniors, nearly triple their proportion in the population.11
Most people probably consider accessible transit and taxis as options of last resort, and people who depend on such forms of transportation may have reduced mobility. On the other hand, accessible transit and taxis may be very important to people who cannot drive and whose relatives do not live nearby or are not always available. The data show that before the age of 85, a very small minority of seniors use either of these types of transportation. The picture is different for people aged 85 and over, especially women: 9% of them used accessible transit or taxis as their primary means of transportation.
Outside census metropolitan areas and census agglomerations, alternatives to the car are virtually non-existent as primary means of travel. In addition, data show that accessible transit services seem to be less available in those areas. Only 1% of seniors living outside census metropolitan areas and census agglomerations reported that their primary form of transportation was accessible transit or taxis, compared with 3% in Toronto.
The reasons given by seniors for not using accessible transit illustrate the lack of these services outside major centres (Chart 3). Only 5% of seniors living in a CMA or a CA and needing help to get around reported that they did not use accessible transit because it was unavailable in their area, compared with 49% of those who did not live in a CMA or a CA.
The inability to get around on one's own makes it difficult to age at home. In 2009, 14% of women aged 65 and over reported that they needed help getting to places to which they could not walk (Table 4). The same was true for 5% of men aged 65 and over. For both men and women, the proportion needing help getting around increased rapidly with more advanced age (28% of men and 54% of women aged 90 and over). This may be a problem, since the size of seniors' social networks tends to shrink as they age,12 while their need for assistance with transportation tends to grow.
People living alone are particularly likely to need help. In 2009, 14% of senior women living alone (136,000) and 6% of senior men in the same situation (24,000) required assistance with transportation (Table 4). These are some of the people who face the greatest obstacles to transportation. In fact, this was one of the groups most likely to have used accessible transit; 13% of seniors who were living alone and had mobility problems had used accessible transit in the previous month. By comparison, this was the case for 3% of seniors who needed help with transportation but were living with their children or other people.
There is substantial interprovincial variation in the need for assistance with transportation. Saskatchewan and Alberta had the lowest proportions of senior women who needed help with transportation (9% in both provinces). This proportion was about double in Nova Scotia (18%) and Prince Edward Island (19%). In Toronto, 1 in 5 senior women stated that they were unable to use transportation without assistance; that equates to 66,000 women in that CMA alone.
There is growing acceptance of the idea that leading an active life and participating in social activities promotes good health and successful aging.13 Consequently, governments and various international organizations are encouraging such behaviours and activities, and are also developing policies to eliminate barriers to participation. At least one study has demonstrated the link between seniors' access to transportation and their social participation, but it was based on a small sample.14 The CCHS – Healthy Aging collected data on participation in various social activities (family activities, physical activities with other people, community activities, volunteer work, etc.). According to the data, inadequate access to transportation or difficulty getting around may be a barrier to social participation.
Seniors whose main form of transportation was driving their car were the most likely to have taken part in a social activity during the previous week (73%), with passengers who had a driver's licence close behind (69%). Public transit users and seniors who walked were a little less likely to participate (61% and 66% respectively). People who were mainly passengers and did not have a licence (53%) and people who used accessible transit or taxis (46%) had the lowest participation rates. Women, particularly those 85 and over, were much more likely to be in the last two groups. When all other factors affecting social participation were kept constant (age, health status, sex, income level, household status, mental health, type of place of residence in a CMA or non-CMA), the conclusion was the same: seniors who travelled mostly by driving their car were more likely to participate than those who used any other form of transportation (except passengers with a licence, who were not significantly different from drivers). According to studies, people who depend on others for transportation have a greater tendency to be reluctant to ask for assistance in getting to leisure activities compared with activities perceived as more essential.15
Respondents were asked if they had felt a desire to participate in more social, recreational or group activities in the past 12 months. Those who answered yes were asked whether one or more of eight possible reasons accounted for the fact that they had not participated as much as they would have liked. Health problems were the most common reason given by men and women aged 75 and over. Elderly men seldom cited transportation problems as the reason for limited participation. For women aged 85 and over however, transportation problems were the second most common reason after health problems for not participating in more social, recreational or group activities (24%). Transportation problems were mentioned by 10% of women aged 75 to 84.
A majority of seniors live in areas where the car is the primary form of transportation. Thus, it is not surprising to find that the majority of seniors, even those of more advanced ages, travel mostly by car. According to various sources,16 the majority of seniors have no intention of moving and plan to remain where they live as long as possible. The number and proportion of seniors who drive can therefore be expected to increase over the coming years.
In 2009, three-quarters of all seniors had a driver's licence. For men, being an older senior is not an obstacle to driving. In the 85-and-over age group, 67% of men and 26% of women had a licence. This large gap between men and women aged 85 and over is expected to diminish in the future, since almost as many women as men aged 55 to 64 had a driver's licence.
A majority of seniors have adequate visual, cognitive and auditory functions and most seniors drive their cars to get around. However, some 14,000 seniors who had very limited sight (they were unable to read the newspaper or recognize a friend on the other side of the street, even with glasses) still had a licence. That is also the case for 40,000 seniors who had a driver's licence but were very likely to forget things and had considerable difficulty thinking clearly and solving everyday problems. In addition, about 20,000 people who had been diagnosed with Alzheimer's disease or some other form of dementia had a driver's licence.
Given the popularity of the car as the main form of transportation, only a minority of seniors used other forms of transportation. For example, 7% of people aged 75 to 84 got around principally by public transit, while 4% mainly walked or cycled. The proportions using these alternative forms of transportation were the same for seniors as for 45-to 54-year-olds.
A very small minority of seniors aged 65 to 84 used accessible transit or taxis as their primary means of transportation. This changed, however, among seniors aged 85 and over where these were the main forms of transportation for 9% of women and 4% of men.
Older senior women are most likely to be limited in their day-to-day travel, either because they are passengers who have no driver's licence or, for those aged 85 and over, because they have to use accessible transit. Furthermore, 54% of women aged 90 and over needed assistance with transportation.
Seniors' main form of transportation is linked to their level of participation in social activities—such as family, educational or cultural activities done with others. In fact, seniors who mainly got around by driving their car or as a passenger with their own driver's licence were more likely to participate in such activities. Seniors who mainly travelled as a passenger without a licence or by using accessible transit or taxis were less likely to participate.
Martin Turcotte is a senior analyst in Statistics Canada's Social and Aboriginal Statistics Division.
- Li, Guohua, Elisa R. Braver and Li-Hui Chen. 2003. "Fragility versus excessive crash involvement as determinants of high death rates per vehicle-mile of travel among older drivers." Accident Analysis and Prevention. Vol. 35, no. 2.
- According to the most recent statistics on traffic collisions in Canada, people aged 65 and over accounted for about 17% of collision fatalities in 2009, even though they make up about 14% of the population and travel fewer kilometres per year on average. See also Ramage-Morin, Pamela L. 2008. "Motor vehicle accident deaths, 1979 to 2004." Health Reports. Vol. 19, no. 3. Statistics Canada Catalogue no. 82-003.
- Statistics Canada. 2010. Population Projections for Canada, Provinces and Territories, 2009 to 2036. Statistics Canada Catalogue no. 91-520-X. According to this report, there were 1.3 million people aged 80 and over in Canada in 2009. According to demographic projections (medium-growth scenario), the 80-and-over population will increase by a factor of 2.6, to 3.3 million, between now and 2036 and by a factor of 3.9, to 5.1 million, between now and 2061.
- Turcotte, Martin. 2008. "Dependence on cars in urban neighbourhoods," Canadian Social Trends. No. 85. Statistics Canada Catalogue no. 11-008-XPE.
- In the 45-to-64 age group, the car remained the main form of transportation of 55% of men living in the highest residential density neighbourhoods, compared with 43% of women. Among seniors, the gender gap was even wider.
- For example, see Hunt, Linda A. 2003. "Driving and Dementia," Generations. Vol. 27, no. 2.
- For a review of these options and their effectiveness, see the following in particular: Anne E. Dickerson, Lisa J. Molnar, David W. Eby, Geri Adler, Michel Bédard, Marla Berg-Weger, Sherrilene Classen, Daniel Foley, Amy Horowitz, Helen Kerschner, Oliver Page, Nina M. Silverstein, Loren Staplin and Leonard Trujillo. 2007. "Transportation and aging: a research agenda for advancing safe mobility." The Gerontologist. Vol. 47, no. 5.
- Turcotte, Martin. 2006. "Seniors' access to transportation," Canadian Social Trends. No. 82. Statistics Canada Catalogue no.11-008-XPE. This study showed in particular that people aged 85 and over were more than twice as likely not to have gone out on survey day as people aged 65 to 74.
- Studies in which seniors were asked their opinions on various transportation options also raised this issue. For example, see Glasgow, Nina and Robin M. Blakely. 2000. "Older nonmetropolitan residents' evaluations of their transportation arrangements," The Journal of Applied Gerontology. Vol. 19, no. 1.
- Transport Canada. 2010. Bus Routes for the Elderly. Urban Transportation Showcase Program. Issue paper no. 81.
- Transport Canada. 2010. A Quick Look at Fatally Injured Vulnerable Roads Users. Road Safety and Motor Vehicle Regulation Directorate. Fact Sheet TP 2436E.
- Milan, Anne and Mireille Vézina. 2011. "Senior women," Women in Canada. Statistics Canada Catalogue no. 89-503.
- World Health Organization. 2002. Active ageing: a policy framework. Geneva.
- Dahan-Oliel, Noémi, Barbara Mazer, Isabelle Gélinas, Bonnie Dobbs and Hélène Lefebvre. 2010. "Transportation use in community-dwelling older adults: association with participation and leisure activities," Canadian Journal on Aging/La Revue canadienne du vieillissement. Vol. 29, no. 4. The obstacle of inadequate access to transportation was noted in this study, which was conducted recently in the Montréal area; however, there were only 90 participants.
Bendixen, Roxanna M., William C. Mann and Machiko Tomita. 2005. "The relationship of home range to functional status and cognitive status of frail elders," Physical and Occupational Therapy in Geriatrics. Vol. 23, no. 2;
Taylor, Brian D. and Sophia Tripodes. 2001. "The effects of driving cessation on the elderly with dementia and their caregivers," Accident Analysis and Prevention. Vol. 33, no. 4.
- For a thorough review, see Lord, Sébastien. 2009. Étude longitudinale de la mobilité quotidienne et de ses rapports avec les choix résidentiels : l'expérience d'un groupe d'aînés vieillissant en banlieue pavillonnaire. Doctoral thesis. École supérieure d'aménagement du territoire et de développement régional.
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