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Objectives: The purpose of this investigation was to determine what older adults find most concerning about driving as they age and how these concerns are related to driving skill, behaviors, and experiences.

Methods: In partnership with the Maryland Motor Vehicle Administration, a sample of 751 older adults ages 65 and older completed an online survey between October 2017 and May 2018. A content analysis was used to code open-ended responses about driver concerns, and multivariate logistic regression models were used to analyze the associations between driving concerns and driving skill, behavior, and experiences.

Results: Eighty-four percent of participants reported at least one driving concern, with 44% concerned about others’ driving, 34% concerned about their own driving, and 24% concerned about driving conditions. The most frequently mentioned driving concerns were other drivers in general, driving at night, visual ability and awareness, and other drivers being aggressive or reckless. Being concerned with their own driving was significantly associated with decreased perceived driving skill and increased odds of experiencing negative driving experiences in the past year. Being concerned about others’ driving was associated with increased odds of wearing a seat belt (adjusted odds ratio [AOR]?=?2.67; 95% confidence interval [CI], 1.02, 7.00), having high perceived driving skills in emergency situations (AOR = 1.56; 95% CI, 1.14, 2.12), and getting in a near crash or collision in the past year (AOR = 1.50; 95% CI, 1.04, 2.18).

Conclusions: Older adult drivers are frequently concerned about their own driving as well as the driving of others. Implications for future research and health practice are discussed.  相似文献   
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Fractionation of metals in natural sediment and suspended particulate matter (SPM) of Tadjan River is investigated. Competitive sorption, sorption capacities of sediment and SPM as well as fractionation of metal-loaded sediment and SPM are also examined. A risk assessment code (RAC) is applied to estimate the risk of heavy metals release into the environment during the sorption process. Results revealed that sediments and SPM containing more than 25 % of clay minerals and higher amounts of calcite have great capacity of metal sorption, particularly for Cu, Ni, and Mn. Assessing the risk of metals release prior to and following sorption tests indicates that RAC of metals would significantly increase from the level of no or low risk in natural sediment and SPM to high or very high risk after sorption. The Langmuir model reveals that the highest affinity for Cu, Mn, and Ni in sediment is the organic fraction. The classic isotherm models of Freundlich and Langmuir can fit the data from chemical extraction studies of adsorbed metals, indicating that although sorption was apparently a physical and chemical process in the river, isotherm models can be used to simulate the sorption and accumulation in different geochemical phases within the particulate matter.  相似文献   
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