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Home hazards and falls in the elderly: The role of health and functional status

Author

Listed:
  • Northridge, M.E.
  • Nevitt, M.C.
  • Kelsey, J.L.
  • Link, B.

Abstract

Objectives. This study was undertaken to determine whether vigorous and frail older people who identify environmental hazards in their homes have an increased risk for falls. Methods. A 1-year prospective study was conducted among 266 female and 59 male community-dwelling volunteers aged 60 to 93 years who had fallen at least once during the previous year. Composite measures of home safety and of frailty were derived using principal components analysis. Participants were divided into vigorous and frail groups, and associations between baseline home safety measures and falls at home over the follow-up year were compared between the two groups. Results. Frail individuals were more than twice as likely as vigorous individuals to fall during follow-up (rate ratio [RR] = 2.24; 95% confidence interval [CI] = 1.54, 3.27). In the study group as a whole, falls were not strongly associated with the presence of home hazards. However, when compared with vigorous older persons living with fewer home hazards, vigorous older persons living with more home hazards were more likely to fall. The increased risk for falls among vigorous elderly was limited to falls where home hazards were present. By contrast, living with more home hazards was not associated with increased likelihood of falls among frail older persons. Conclusions. While frail older persons experience higher overall fall rates, vigorous older persons should not be overlooked in fall prevention projects.

Suggested Citation

  • Northridge, M.E. & Nevitt, M.C. & Kelsey, J.L. & Link, B., 1995. "Home hazards and falls in the elderly: The role of health and functional status," American Journal of Public Health, American Public Health Association, vol. 85(4), pages 509-515.
    • Handle: RePEc:aph:ajpbhl:1995:85:4:509-515_6
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    Cited by:

    1. Mi Jung Lee & Daejin Kim & Sergio Romero & Ickpyo Hong & Nikolay Bliznyuk & Craig Velozo, 2022. "Examining Older Adults’ Home Functioning Using the American Housing Survey," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    2. Alberto J Caban-Martinez & Theodore K Courtney & Wen-Ruey Chang & David A Lombardi & Yueng-Hsiang Huang & Melanye J Brennan & Melissa J Perry & Jeffrey N Katz & Santosh K Verma, 2014. "Preventing Slips and Falls through Leisure-Time Physical Activity: Findings from a Study of Limited-Service Restaurants," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-5, October.
    3. Nancy Edwards & Joshun Dulai & Alvi Rahman, 2019. "A Scoping Review of Epidemiological, Ergonomic, and Longitudinal Cohort Studies Examining the Links between Stair and Bathroom Falls and the Built Environment," IJERPH, MDPI, vol. 16(9), pages 1-24, May.
    4. Lava R Timsina & Joanna L Willetts & Melanye J Brennan & Helen Marucci-Wellman & David A Lombardi & Theodore K Courtney & Santosh K Verma, 2017. "Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-21, May.

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