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How does driving license withdrawal affect subjective well-being?: A Swedish comparative survey study of visual field loss
Swedish National Road and Transport Research Institute, Society, environment and transport, Mobility, actors and planning processes. Örebro University, Sweden.ORCID iD: 0000-0002-4984-7857
Swedish National Road and Transport Research Institute, Society, environment and transport, Mobility, actors and planning processes.ORCID iD: 0000-0001-8979-8781
Swedish National Road and Transport Research Institute.ORCID iD: 0000-0002-6833-9444
Karolinska Institutet, Sweden; Swedish Transport Agency, Sweden.ORCID iD: 0000-0003-1865-3440
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2021 (English)In: European Transport Research Review, ISSN 1867-0717, E-ISSN 1866-8887, Vol. 13, no 1, article id 51Article in journal (Refereed) Published
Abstract [en]

Research has found strong relationships between access to transport, accessibility of activities, and subjective well-being (SWB), and society is said to be car dependent. Accordingly, this study investigates, in a Swedish context, whether and how withdrawal of a driving license for a private car due to visual field loss (VFL) affects SWB. A web survey was used for statistical comparisons of three respondent groups (n = 436): people with a driving license, people with a driving license and VFL, and people whose driving license was withdrawn due to VFL. The inclusion criterion for all participants was that they should have a diagnosis that could cause VFL. The no-license group had lower overall SWB than did respondents with driving licenses. The no-license group also perceived less access to transport means in order to live a life to be satisfied with than did the other groups. The most used transport means in the no-license group was getting a lift in a car, though this group had a strong desire to drive a car. Few respondents in the license groups wanted to use specific transport means to a greater extent, car driving being the most used transport means. Some inter-group differences were seen regarding how access to activities (measured by frequency of actual trips) affected SWB. This study found a significant negative effect of driving license withdrawal on SWB. However, the results imply that qualitative aspects other than the relationship between the frequencies of trips and activities might also affect SWB, and more research on this subject is needed. © 2021, The Author(s).

Place, publisher, year, edition, pages
Springer Science and Business Media Deutschland GmbH , 2021. Vol. 13, no 1, article id 51
National Category
Transport Systems and Logistics
Identifiers
URN: urn:nbn:se:vti:diva-17099DOI: 10.1186/s12544-021-00511-4ISI: 000696207500002Scopus ID: 2-s2.0-85115066346OAI: oai:DiVA.org:vti-17099DiVA, id: diva2:1598523
Available from: 2021-09-29 Created: 2021-09-29 Last updated: 2025-09-11Bibliographically approved
In thesis
1. Förändringar i transportrelaterad välfärd och myndighetsförtroende: en studie om personer som fått sitt körkort återkallat på grund av synfältsbortfall
Open this publication in new window or tab >>Förändringar i transportrelaterad välfärd och myndighetsförtroende: en studie om personer som fått sitt körkort återkallat på grund av synfältsbortfall
2021 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Access to transport, and thus accessibility to desired and needed activities, is of importance for the individual's welfare and subjective well-being. In many western contexts, land use and infrastructure are configured for the benefit of cars. A withdrawn driving license (WDL) might thereby affect welfare and subjective well-being. Further, if the WDL is perceived as unfair, trust for authorities involved in the WDL process can be affected. The overall aim is to explore changes of having a WDL due to visual field loss (VFL), concerning transport-related welfare and trust in authorities. Four studies were conducted, and both qualitative and quantitative methods have been used. The results showed that the WDL had led to negative welfare consequences for the respondents, such as ended careers, limited or ceased opportunities for leisure activities, and difficulties managing daily errands. These consequences can be explained by lacking or unsatisfactory alternative transport arrangements (study I). Also, the WDL had led to worsen overall subjective wellbeing. This can, for example, be explained by the respondents' perception of unsatisfactory access to transport means, to live a life to be satisfied with (study II). The respondents perceived the vision tests on which the WDL isbased as unfair, as they do not measure individual driving ability related to traffic safety. Perceptions of outcomes and processes were fueled by experiences of deficiencies regarding, for example, performance and information, leading to a decrease in trust in the authorities involved in the process of WDL due to VFL: the Health Care (the physician being obligated to report the VFL to the Swedish Transport Agency), the Swedish Transport Agency (decisions on WDL), and the Judicial system (decisions in cases of appeals) (study III). Gender had no effect on trust for none of these authorities. Though, diagnosis (reasons for VFL) had effect, and differences in degree oftrust for each of the three authorities were seen, related to type of diagnosis. The results also showed that low trust related to WDL process can generate lower trust in authorities in general (53%) (study IV). Finally, the thesis contributes to insights of goal conflicts that driving license withdrawals can entail, dealing with issues of safety, accessibility, and justice.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2021. p. 123
Series
Studies from The Swedish Institute for Disability Research ; 104
Keywords
Subjective well-being, quality of life, transport disadvantage, social exclusion, transport equity, impairment, mobility, participation
National Category
Other Health Sciences
Identifiers
urn:nbn:se:vti:diva-17503 (URN)9789175294131 (ISBN)
Public defence
2021-12-16, Örebro universitet, Forumhuset, Hörsal F, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2021-12-06 Created: 2021-12-06 Last updated: 2025-09-11Bibliographically approved

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Nyberg, JonnaBjörklund, GunillaAretun, ÅsaBerg, Hans-Yngve

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