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Effect of Number of Household Members on Falls among Disabled Older People

Author

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  • Juyeong Kim

    (Department of Public Health, Sahmyook University, Seoul 01795, Korea)

  • Ye Seol Lee

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yangpyeong 12564, Korea)

  • Tae Hyun Kim

    (Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea)

Abstract

Objectives: To investigate the effect of the number of cohabitating household members on falls among an disabled aging Korean population. Methods: We used data from the first to the fourth waves of the Korea Longitudinal Study of Aging. Using the first wave at baseline, data included 1414 individuals aged 45 years and older who needed assistance for performance of activities of daily living (ADL) or instrumental activities of daily living (IADL). We classified falls as overall falls, falls requiring medical treatment, and hip fractures caused by falls. The number of cohabitating family members was classified as none (living alone), one, two, or more. A generalized estimating equation with logit link was used to examine the association between the number of cohabitating household members with overall falls and injuries caused by falls. Results: Compared to living with two or more household members, living alone was associated with higher odds of overall falls, falls needing medical treatment, and hip fractures caused by falls (odds ratio (OR) 2.13, 95% confidence interval [CI] 1.36–3.34; OR 2.13, 95% CI 1.28–3.53; OR 1.93, 95% CI 1.01–3.69, respectively). These associations were particularly strong in individuals with cognitive decline. Conclusions Living alone is associated with higher odds of overall falls, falls needing medical treatment, and hip fractures caused by falls, particularly for those with cognitive decline. Conclusions: Intervention programs to prevent falls in disabled, aging adults, especially those living alone and those with declined cognitive function, need to provide home care services and promote the use of safety equipment.

Suggested Citation

  • Juyeong Kim & Ye Seol Lee & Tae Hyun Kim, 2022. "Effect of Number of Household Members on Falls among Disabled Older People," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5888-:d:814060
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    References listed on IDEAS

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    1. Kathrin Boerner & Joann P. Reinhardt, 2003. "Giving While in Need: Support Provided by Disabled Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(5), pages 297-304.
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    Cited by:

    1. Anca Maria Pop & Octav Marius Russu & Sándor György Zuh & Andrei Marian Feier & Tudor Sorin Pop, 2023. "The Impact of Living Arrangements on the Prevalence of Falls after Total Joint Arthroplasty: A Comparison between Institutionalized and General Geriatric Population," IJERPH, MDPI, vol. 20(4), pages 1-9, February.
    2. John Rodwell, 2022. "Cumulative Health Drivers of Overnight Hospitalization for Australian Working-Age Adults Living Alone: The Early Warning Potential of Functionality," IJERPH, MDPI, vol. 19(22), pages 1-11, November.
    3. John Rodwell, 2022. "Health Need Factors Are the Key Drivers of Hospitalization among the Elderly Living Alone: An Analysis of Longitudinal Data," IJERPH, MDPI, vol. 19(22), pages 1-12, November.

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