Having both hands on the steering wheel: Driving behaviour of white-collar workers with degenerative eye conditions

- Driving is the preferred commute mode among the participants of this study.
- A gradient of exclusion related to available commute alternatives to driving was evident.
- Motivations behind driving behaviour related to practical and normative motivations.
- Risk assessment of driving behaviour proved challenging for participants.

Because people in the United States are highly reliant on cars for transportation, individuals with restricted driving abilities face severe accessibility constraints in the labour market. Guided by the social exclusion framework, we used a qualitative approach to gain insights into the role of car driving and alternative commute modes in the lives of white-collar workers with degenerative eye conditions. The study participants gradually restricted their driving behaviour as the disease progressed. They also exhibited several types of commute solutions, which lent themselves to a variation in the experienced degree of exclusion (both between participants and within participants over time), with changes in vision state and available resources. Another aim of our study was to identify the motivations for driving behaviour. The results showed that while a desire to reduce the risk of an accident motivated the participants to stop driving, certain normative (for men) and practical considerations motivated participants to continue driving. While all of the participants eventually stopped driving due to vision decline, the decision to quit often occurred only after the participants experienced one or more car accidents. Workplace accessibility is a factor that hinders labour market participation of individuals with degenerative eye conditions and encourages individuals to engage in risky behaviour.