Mobility and Transport for Elderly and Disabled Patients

Claes-Eric Norrbom, Agneta Stahl

• Publisher: Routledge
• Year: 2022
• Print ISBN: 9782881247637
• eBook ISBN: 9781134306978
• Edition: 1
• Topic: Medicine
• Subtopic: Health Care Delivery

First Published in 1991. This is Volume 13 in a series of Transportation Studies. It contains 2 parts of the proceedings of a Conference held at Stockholmsmassan, Alvsjo, Sweden, 21-24 May 1989, organized by the Swedish Board of Transport in co-operation with the Department of Traffic Planning and Engineering, Lund Institute of Technology.

SESSION F:
TRAVEL NEEDS AND TRAVEL PATTERNS

LONG-DISTANCE MOBILITY OF THE ELDERLY

E. CHAIGNEAU
J.F. LEFOL

Researchers/INRETS – FRANCE

1. INTRODUCTION

Some physical constraints which can hinder mobility become more frequent with age: in fact, elderly people make fewer longdistance journeys.

How important are the differences between younger and older people, and from what age does a significant reduction in these journeys become apparent? What part do handicaps caused by physical aging play in this reduced mobility? To what extent do other factors intervene – another type of handicap, financial for example, fewer opportunities for travelling or, more simply, persistance of a more sedentary way of life acquired at a time when travel was less accessible? Finally, are there different types of elderly people, characterized by varying degrees of mobility and favouring one type of travel or another?

The object of this paper is to provide some answers to these several questions. However, before doing so, it is necessary to supply some indications as to the data-base used.

The statistical source is the 1981-1982 survey on transport behaviour, carried out with reference to a sample of 7000 “ordinary” households :

– Persons living in a community, old-people’s homes or hospitals, for example, are not included in the study.

– The threshold distance has been set at 100 km from the place of residence. Each person’s journeys were noted over a period of three months; this time-scale is insufficient for fully understanding the behaviour patterns of a given individual. Therefore, comparisons between different categories only will be presented.

– The survey does not provide information on any physical handicaps the person may suffer from. Only the influence of socio-demographic factors on the number and nature of the journeys undertaken will be presented.

In the first part, the effect of age on the number and the nature of the journeys made is analysed. In the study of the elderly population, the age limit has been set at 65, corresponding to the moment when the majority has already retired.

2. AGE DETERMINED MOBILITY

Long-distance mobility peaks between the ages of 30 and 45. People of this age-group make on average four trips annually. Such mobility diminishes as of the age 45, but it is above all after 75 that a large decrease is to be observed : in effect, after that, the average number of journeys is limited to only one a year (figure 1).

Nevertheless, if these journeys are less frequent, each one is extended over a longer period : an average of five days before the age of 65, seven days between the ages of 65 and 75 and eight days after that. However, elderly people make proportionally more day-trips. All in all, the total time spent away from the place of residence is stable for adults until approximately the age of 70 or 75; it drops by half once that age has been reached.

The distance to the destination (a little less than 400 km on average) and the proportion of journeys made abroad (9Z) do not differentiate elderly people from the rest of the population. However, other characteristics define the differences in behaviour between younger and older people.

2.1 The types of journeys : maintaining a certain sociability and the pursuit of greater comfort (figures 2 and 3)

Contacts with close family – the prime motivation for travel at all ages – are closely maintained between the ages of 65 and 75, and particularly in terms of the time spent at the destination. These journeys are considerably reduced after the age of 75; but no less than the average for other types of travel. It is moreover quite probable that they are replaced by visits of relatives to the elderly. On the other hand, elderly people maintain many fewer links with more distant relations or friends.

The types of journeys preferred by the elderly cannot be dissociated from the pursuit of a certain comfort. This is the case with tourist trips made during the day or those with hotel lodging provided. These types of journeys are all the more popular because they are organized: this is indeed the case for half of them. The organized nature of these journeys indeed meets the requirements of a certain number of travellers, particularly in cases where the household does not have a car. Organized tours are very popular with elderly people: they amount to 15% of the journeys made by the over-65s, and even 25% for the over-75s, compared with less than 4% for the rest of the population. A very large selection of organizers is available, mostly linked with the person’s, or his spouse’s former professional activity: plant production comittee, superannuation fund, or municipal services…

On the contrary, the proportion of tourist trips where lodging is more precarious, and where the person is less taken in charge (camping, rural hostels, r...

Table of contents

• Cover
• Half Title
• Series
• Title Page
• Copyright Page
• Table of Contents
• Introduction to the Series
• Preface
• Acknowledgements
• Opening Speech
• Plenary Session I: Expected Changes: Society, Individual. Industrialized and Developing Nations
• Plenary Session II: Approaches – A State of the Art
• Plenary Session III: A Conference Summary of Workshop Sessions
• Plenary Session IV: Where to go for the Next Decade – Panel Discussion
• Session A: Political Perspectives and Policies
• Session B: Enhanced Mobility
• Session C: Private Transportation C1: Adaptation of Private Vehicles
• Session D: Public Transportation
• Session E: Special Transportation Systems
• Session F: Travel Needs and Travel Patterns