The social and policy predictors of driving mobility among older adults

This research was designed to identify the impact of state driver's license renewal requirements on the driving mobility (i.e., the reduction or cessation of driving) of older (70 years or older) drivers in the United States. Nationally representative data from four waves (1993-2000) of the Asset and Health Dynamics of the Oldest Old study were linked to state policies on relicensing and used in a longitudinal logistic regression analysis. The author assessed the driving behaviors of a sample of 9,638 men and women. The findings demonstrate that the driving mobility of older people is influenced by state relicensing policies. The analysis indicates that five policies--accelerated renewal, mental testing, peripheral vision testing, renewal in person at age 70+ (as opposed to renewal by mail or online), and restricted licensing--have a significant effect on an older driver's decision to reduce or cease driving. The driving patterns of older adults are influenced not only by their health and socioeconomic backgrounds, but also by state relicensing policies. In terms of public policy, this result shows that there is a mechanism for extending the years of independent mobility for older people: restricted licensing.     

Informal Caregiving for Elders in Sweden: An Analysis of Current Policy Developments

The purpose of this study was to conduct a systematic review of the literature related to state policies concerning older drivers and to draw policy conclusions about which policies appear to work to reduce older driver crashes and to identify areas needed for further research. Specific policies examined in this paper concern medical reporting and medical review, license renewal processes, and driver testing. A study was included in the systematic review if it met the following criteria: published in English between 1991and January 2013; included data on human subjects aged 65 and older residing in the United States; included information on at least one policy related to older drivers; and had a transportation-related outcome variable (e.g., crash, fatality, renewal). A total of 29 studies met inclusion criteria. Twenty-two studies investigated license renewal and seven articles examined medical reporting. In-person license renewal requirements were associated with reduced risk for fatal crashes. Restricted licenses were associated with reduced number of miles driven per week. More intensive renewal requirements and being the subject of a medical report to the licensing authority was associated with delicensure. Given the importance of driving to mobility, quality of life, and public safety, more research is needed.     

Mandatory Testing of Drivers on the Basis of Age and Degenerative Diseases: Stakeholder Opinions

Concerns about the driving competence of older drivers have led to policy discussions about mandatory aged-based and disorder-based assessments. This study explored the attitudes, beliefs, and preferences of older adults, law enforcement officers, and licensing authorities toward reexamination of driving skills for persons with Alzheimer's disease (AD) and Parkinson's disease (PD) and at varying ages. With few exceptions, participants across all groups supported retesting drivers with AD. Moderate support was given for further evaluation of 90-year-olds and those with PD. Least endorsement was given for reassessment of 70-year-old drivers. Findings have implications for legislative changes to address drivers with AD and PD and at older ages.     

Regulating older drivers: how are the states coping?

The nation's population is growing older and its dependence upon the automobile for mobility has never been higher. Traffic safety data indicate that older operators have more fatal crashes than other age groups. As more people approach their senior years the safety issues surrounding older drivers will become even more important. Findings from a 1995 survey are reported identifying the practices of states and the perceptions of licensing officials concerning the older driver issue. The results indicate a diversity in approaches and a series of institutional and behavioral conflicts in the older driver policy subsystem that contribute to imperfect licensing controls.     

Policies for older volunteers: A study of Germany and Italy, 1990–2008

Older people increase their well-being and contribute to the community when they volunteer. Therefore, policy-makers sometimes consider supporting older volunteers. However, they reach different conclusions on whether they should introduce policies for older volunteers, and on what policy would be the most suitable. This article studies how policies for older volunteers emerged in Germany and Italy, both countries having one of the oldest populations in the world. It explores the political discourse on older volunteers, and how this discourse translates into policies. To do this, the article presents data collected in expert interviews and document analysis. Findings show that German policy-makers stress the contribution of volunteering to older people's well-being and have introduced policies for older volunteers. Italian policy-makers, in contrast, frame older volunteers as social service providers and have decided not to single out specific age groups in their policies for volunteers. Moreover, the policies are influenced by the policy-makers' perceptions and path-dependencies, meaning policies and institutions that were introduced in the past. These findings suggest that whether or not policies for older volunteers emerge depends less on the characteristics of the older population and more on the society and its political traditions.     

Briefly Noted

Almost 70% of Americans think it's unlikely a driver will get caught for driving while impaired by marijuana, according to a survey released last month by the AAA Foundation for Traffic Safety. And 14.8 million drivers themselves report driving within an hour of using marijuana — and engaging in this activity within the past month. According to research, the impairing effects of marijuana occur within the first one to four hours after smoking, and marijuana users who drive while intoxicated are more than twice as likely to be involved in a crash. “Marijuana can significantly alter reaction times and impair a driver's judgment. Yet, many drivers don't consider marijuana‐impaired driving as risky as other behaviors like driving drunk or talking on the phone while driving,” said Dr. David Yang, executive director of the AAA Foundation for Traffic Safety. “It is important for everyone to understand that driving after recently using marijuana can put themselves and others at risk.” In the AAA Foundation survey, almost 14% of millennials report driving within one hour after using marijuana in the past 30 days; 10% of Generation Z reports doing this. “It's time to face the facts. Any driver who gets behind the wheel high can be arrested and prosecuted,” said Jake Nelson, AAA director of traffic safety and advocacy. “Law enforcement officials are getting more sophisticated in their methods for identifying marijuana‐impaired drivers and the consequences are not worth the risk.” AAA recommends all motorists avoid driving while impaired by marijuana or any other drug (including alcohol) to avoid arrest and keep the roads safe. Just because a drug is legal does not mean it is safe to use while operating a motor vehicle. Drivers who get behind the wheel while impaired put themselves and others at risk.     

Walking the Tightrope: Developing a Systems Approach to Balance Safety and Mobility for an Aging Society

In an aging population, safety and mobility are often viewed as being in conflict, when in fact they are two values that must be reflected equally in transportation policy. The challenge for policy makers and for society is to emphasize and optimize both. To achieve this, a comprehensive systems approach to driver health, personal decision-making and planning, community and transportation systems construction, vehicle design, and licensing regulations is needed. Such an approach requires crafting policies based on conceptualizing the issue as a continuum of resources facilitating safety and mobility regardless of driving status. The discussion that follows reviews components of the issue and suggestions for developing a comprehensive approach.     

Walking the tightrope: developing a systems approach to balance safety and mobility for an aging society

In an aging population, safety and mobility are often viewed as being in conflict, when in fact they are two values that must be reflected equally in transportation policy. The challenge for policy makers and for society is to emphasize and optimize both. To achieve this, a comprehensive systems approach to driver health, personal decision-making and planning, community and transportation systems construction, vehicle design, and licensing regulations is needed. Such an approach requires crafting policies based on conceptualizing the issue as a continuum of resources facilitating safety and mobility regardless of driving status. The discussion that follows reviews components of the issue and suggestions for developing a comprehensive approach.     

Housing for Families but Not for People: Federal Policy and Normative Family Ideals in Midcentury California

Abstract

Scholars have documented the harmful effects of urban redevelopment in the middle of the twentieth century with a particular focus on “redlining” to achieve racial segregation. This article considers another way that the state influenced social geography. In the middle of the twentieth century, some city planners argued for housing for single people and childless couples, but federal guidelines and funding specified that new housing be for nuclear, heterosexual families with children. Two historical cases demonstrate how planners attempted to create housing for alternative households but were unsuccessful. These two cases show that in addition to the documented effects of shaping the economic and racial landscapes of cities, federal housing policy sent strong signals to people about acceptable family formations by limiting the type and quantity of housing stock available. By examining how planners attempted to move forward with housing for all types of households, this article shows that federal family-oriented policies were not uncontested even if they were usually implemented. These cases highlight the complicated relationship among federal policies, normative culture, and the built environment. This article proposes that we should further investigate the ways in which the built environment has served as a mediator between the state, as exemplified by housing policies, and culture—normative ideals about the family—in a recursive sense; while federal policies both reflected and projected dominant cultural ideology concerning the primacy and importance of nuclear families, urban redevelopment projects presented this relationship in built form when redevelopment took the form of housing for families but not for single people or childless couples.     

“STREETVILLE FOREVER”: ETHNICITY,COLLECTIVE ACTION,AND THE STATE

Contemporary state policies in European and American societies mark a shift from older forms of governance focussed on the centrally concentrated state toward strategies that aim to limit governmental intervention by getting people to govern themselves. This means that individuals and communities are charged with carrying out roles and functions that were traditionally performed by the state. In this article I examine the conditions in which local people in an urban neighbourhood in the United Kingdom who were the objects of this new mode of governance came to negotiate and resist its policies and structures. Residents and community workers came together in opposition to the local Council to make demands that they considered to be of interest to the members of their neighbourhood across ethnic, racial, gender, and class boundaries. In so doing they crafted a multiracial neighbourhood identity that was more inclusive than the categories deployed by the state. This examination of collective initiatives that resist and challenge the state's strategies for local governance illuminates some of the complexities, contradictions, and limits of the contemporary state.     

The potential role of physical activity on driving performance and safety among older adults

The elderly represent the fastest growing driving population. Older drivers have a high crash rate per distance traveled, a high risk of injury or death in traffic accidents, and are commonly found to be ‘at fault’ in crashes. This reality has focused more interest on issues associated with the fitness to drive and the safety of older drivers. Many older adults depend greatly on their personal vehicle for transportation and suffer a marked loss of quality of life when, as a consequence of no longer being able or permitted to drive, their mobility becomes significantly restricted. The reasons for the deterioration of driving performance that occur during the aging process are multi-factorial and a great deal of research has focused on the identification of those factors. Nevertheless, some studies incorporating training programs have tried, with some success, to improve the driving-related abilities of older drivers. It has been demonstrated that physical activity can promote several skills that are associated with driving performance in older drivers. Few studies, though, have conducted exercise interventions among older drivers intended to enhance their driving-related abilities and promote road safety. In this context, the purpose of this work consists of examining the perceptual, cognitive, health, and physical factors related to fitness to drive in older adults and identifying possible strategies that can enhance their driving-related abilities. Moreover, potential mechanisms underlying the relationship among physical activity, driving ability, and road safety are discussed.     

Life and labor on the internal colonial edge: Political economy of kolberi in Rojhelat

Through the investigation of kolberi (cross-border labor), this paper sheds light on the state’s policy of de-development (or internal colonialization) of the Kurdish region (known as Rojhelat) in Iran. While the most dangerous form of labor, kolberi has become a dominant employment opportunity for Rojhelat Kurds in the last decade. There are no Iranian state laws criminalizing kolberi, and yet those laborers die on a regular basis—being shot or thrown off mountain cliffs by the state forces, stepping into minefields, and so forth. Nevertheless, there is not a single scholarly paper on this subject. Using the mixed methods research approach, our study analyzes the existing data along with in-depth interviews with 20 people who are currently engaged in kolberi to contextualize this understudied phenomenon. Our finding demonstrates that kolberi is a direct outcome of a uni-ethno-religious policies of development and part and parcel of the state's Perso-Shi‘ification strategy in Kurdistan. Therefore, kolberi is more of a political phenomenon than an economic one.     

Community Practice in the Bulldozer’s Shadow: The History and Legacy of Social Work in Urban Renewal

Social work has a long history of involvement in urban development policy, dating to the settlement house movement. This article explores a neglected part of this history by analyzing the role of social work in urban renewal programs. The functions of social work in urban renewal—including relocating families displaced by slum clearance and community organizing to foster resident input in planning—reflect enduring tensions in practice between social justice and social control. Implications for current practice are explored as the profession continues to define its part in urban redevelopment policies.     

International Policy Perspectives on Independence in Old Age

The promotion of independence in old age has become a common principle in aging policies internationally. The term independence, however, has a variety of meanings that are shaped by social/political/economic contexts and the values and attitudes toward older people. Interpretations of independence affect the ways in which policies are translated into strategies and services. The promotion of independence features prominently in the aging policies of the United Nations and the World Health Organization but does not fit well with the cultural values and social contexts of some countries. A comparison of aging policies in four countries—Australia, Denmark, India, and United Kingdom—found that the principle of promoting independence is not universally adopted. The author proposes that the profile and meaning of independence in policy is shaped by values surrounding individual, family, and social responsibilities. Consideration is given to the limitations and culturally bound nature of independence as a policy principle.     

Social Work Training or Social Work Education? An Approach to Curriculum Design

Population ageing, economic circumstances and human behaviour are placing social welfare systems under great strain. In England, extensive reform of the social work profession is taking place. Training curricula are being redesigned in the context of new standards of competence for social workers—the Professional Capabilities Framework (PCF). Students must be equipped on qualifying to address an extensive range of human problems, presenting major challenges to educators. Critical theory suggests an approach to tackle one such challenge—selecting the essential content required for areas of particular practice. Teaching on social work with older people is used to illustrate this. Habermas' theory of cognitive interests highlights the different professional roles served by the social work knowledge base—instrumental, interpretive and emancipatory. Howe's application of sociological theory distinguished four social work roles corresponding to these. It is suggested that curriculum design decisions must enable practitioners to operate in each. When preparing students to work with older people, educators therefore need to include interpretive and emancipatory perspectives, and not construct social work purely as an instrumental response to problems older people present. This approach provides one useful rationale for curriculum design decisions, which is applicable to other areas of practice, and to contexts outside England.     

THE HABIT OF GIVING

Many charitable organizations believe it is worthwhile to solicit very small donations, particularly from young people, because these gifts form a habit of giving which leads to larger donations in the future. Indeed, there is some evidence of a positive correlation between giving when young and giving when old. However, such a correlation, by itself, does not constitute evidence of habit formation. Using data on alumni contributions to a university, we assess whether the correlation is due to habit formation—true state dependence—or to unobservable factors such as affinity to the school. We further examine whether habits form by the mere act of giving or based on the amount given. We implement an instrumental variables approach using the fact that performance of the school's athletic teams and solicitation by one's former roommates generate shocks to giving while young that are plausibly uncorrelated with giving when older. There is strong evidence of habit formation on the extensive margin, but not in the amount given. This finding has important implications for fundraising strategies, charities' accounting practices, and tax policy. (JEL D64, D91, D12)     

Taking Older People's Rights Seriously: The Role of International Law

ABSTRACT

Older people face many difficult challenges that amount to a deplorable violation of their basic human rights (poverty, discrimination, denial of social services, etc.). However, the world has been slow to react. Factors that limit global responses to the challenges of aging include: limited political will, the prevalence of neo-liberalism, and NGOs' longstanding advocacy for other seemingly “more” disadvantaged groups. Such oppression of and discrimination against older people require a concerted world-wide response. We contend that the introduction of an international convention on the human rights of older people is most relevant. Reinforced by a potent international monitoring system, the convention should contain comprehensive and legally binding provisions that require participating states to promote older people's rights. It is argued that international law would be a powerful force in defending and protecting older persons, operating as a baseline for establishing underlying values for national aging policies and linking older persons' concerns with other segments of society.     

The Dual Strategy and Gender Policies of the Women's Movement in Korea: Family Headship System Repeal through Strategic Innovation

Abstract

Social movements sometimes successfully attain their goals by implementing policies and laws that represent their claims. Movement leaders raise issues susceptible to enactment as policies or laws, exploit legally and institutionally assured resources, and even participate at times in governmental policymaking and parliamentary lawmaking processes. This engagement strategy maximizes a movement's power to achieve its goals only when it is combined with the conventional activities of mobilizing collective action and forming dense networks across movement organizations to pressure the state. Based on the case study of Korean women's movements and their efforts to abrogate the patrilineal succession of family headship, I argue that movement activists' strategic innovation of blending “institutional politics” with conventional “movement politics”—that is, pursuing a dual strategy (Cohen and Arato 1992) and evolving into “movement institutionalization”—is critical to accomplishing gender policies and laws that, at least institutionally and legally, ensure gender equality.     

Regional Mobility Spaces? Visa Waiver Policies and Regional Integration

Visa policies today are a central instrument for filtering wanted and unwanted types of travellers, leading to a hierarchy of mobility rights. While there is evidence of a “global mobility divide”, we still know little about the role of regional integration when it comes to the distribution of mobility rights and the (re)structuring of mobility spaces. Against this background, the article examines the structure of visa relations in different bodies of regional integration (EU, MERCOSUR, ASEAN, ECOWAS, EAC, NAFTA, SADC and SICA). The article compares visa policies in the member states of these institutions in 1969 and 2010 from a social network perspective. While one would generally expect each institution's member states to become more similar with regard to both internal and external mobility regulations, we find that not all regional clusters align their visa policies. Potential explanations for this state of affairs are investigated.     

Housing Canada's Oldest-Old: Correlates of Their Residential Status

ABSTRACT

The authors examined determinants that contribute to keeping Canada's oldest-old (those 85 years and older) living in their own homes by focusing on determinants associated with living in certain types of homes. Multivariate logistic regression was done on a sample of 722 community dwellers aged 85 years and older from the 2001 Participation and Activity Limitation Survey. It was found that gender, marital status, and financial status determine residential status of the oldest-old and that high and low levels of mobility and instrumental activities of daily living foster community living. Previous findings suggest a trajectory of social exclusion (from house to apartment to facility). The current study shows the oldest old as socially stable, living in their homes. New policies to support their residential status and modifications to old policies are critical.