{"doi":"10.1111/jgs.18493","title":"Driving predictors in a cohort of cognitively impaired Mexican American and non‐Hispanic White individuals","abstract":"BACKGROUND: Individuals with Alzheimer's disease and Alzheimer's disease-related dementias may lose the ability to drive safely as their disease progresses. Little is known about driving prevalence in older Latinx and non-Hispanic White (NHW) individuals. We investigated the prevalence of driving status among individuals with cognitive impairment in a population-based cohort. METHODS: This was a cross-sectional analysis of the cohort BASIC-Cognitive study in a community of Mexican American (MA) and NHW individuals in South Texas. Participants scored ≤25 on the Montreal Cognitive Assessment (MoCA), indicating a likelihood of cognitive impairment. Current driving status was assessed by the Harmonized Cognitive Assessment Protocol informant interview. Logistic regression was used to assess driving versus non-driving adjusted for pre-specified covariates. Chi-square and Mann-Whitney U tests were used to compare NHW and MA differences in driving outcomes from the American Academy of Neurology (AAN) questions for evaluating driving risk in dementia. RESULTS: There were 635 participants, 77.0 mean age, 62.4% women, and 17.3 mean MoCA. Of these, 360 (61.4%) were current drivers with 250 of 411 (60.8%) MA participants driving, and 121 of 190 (63.70%) NHW participants driving (p = 0.50). In fully adjusted models age, sex, cognitive impairment, language preference, and Activities of Daily Living scores were significant predictors for the likelihood of driving (p < 0.0001). Severity of cognitive impairment was inversely associated with odds of driving, but this relationship was not found in those preferring Spanish language for interviews. Around one-third of all caregivers had concerns about their care-recipient driving. There were no significant differences in MA and NHW driving habits and outcomes from the AAN questionnaire. CONCLUSIONS: The majority of participants with cognitive impairment were currently driving. This is a cause for concern for many caregivers. There were no significant ethnic driving differences. Associations with current driving in cognitively impaired persons require further research.","journal":"Journal of the American Geriatrics Society","year":2023,"id":375049,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8389,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":366551,"name":"Darin B. Zahuranec","orcid":"0000-0002-9772-2469","position":1,"is_corresponding":false},{"id":929591,"name":"Wen Chang","orcid":"0000-0002-9664-7735","position":2,"is_corresponding":false},{"id":426139,"name":"Steven G. Heeringa","orcid":"0000-0002-3920-8074","position":3,"is_corresponding":false},{"id":426134,"name":"Emily M. Briceño","orcid":"0000-0002-9360-8917","position":4,"is_corresponding":false},{"id":426135,"name":"Roshanak Mehdipanah","orcid":"0000-0001-6821-0715","position":5,"is_corresponding":false},{"id":426136,"name":"Xavier F. Gonzales","orcid":"0000-0003-2692-2241","position":6,"is_corresponding":false},{"id":399917,"name":"Deborah A. Levine","orcid":"0000-0002-6864-8001","position":7,"is_corresponding":false},{"id":366900,"name":"Kenneth M. Langa","orcid":"0000-0002-2798-1836","position":8,"is_corresponding":false},{"id":426137,"name":"Nelda Garcia","orcid":"0000-0001-5161-2806","position":9,"is_corresponding":false},{"id":366550,"name":"Lewis B. Morgenstern","orcid":"0000-0002-5787-592X","position":10,"is_corresponding":false},{"id":1105944,"name":"Madelyn Malvitz","orcid":"0000-0002-0822-5971","position":0,"is_corresponding":true}],"reference_count":26,"raw_metadata":null,"created_at":"2026-07-19T01:16:19.336238Z","pmid":"37382492","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}