Dataset Information

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study.

ABSTRACT:

Objectives

Our study aimed to identify the risk factors of incident falls between men and women.

Design

Prospective cohort study.

Setting

The study recruited participants from the Central region of Singapore. Baseline and follow-up data were collected via a face-to-face survey.

Participants

Community-dwelling adults aged 40 years and above from the Population Health Index Survey.

Outcome measure

Incident falls were defined as the experience of a fall between the baseline and 1-year follow-up but having no falls 1 year prior to baseline. Multiple logistic regressions were performed to determine the association of sociodemographic factors, medical history and lifestyle with incident falls. Sex subgroup analyses were conducted to examine sex-specific risk factors for incident falls.

Results

1056 participants were included in the analysis. At 1-year follow-up, 9.6% of the participants experienced an incident fall. Incidence of falls in women was 9.8% compared with 7.4% in men. In the multivariable analysis for the overall sample, older age (OR: 1.88, 95% CI: 1.10 to 2.86), being pre-frail (OR: 2.13, 95% CI: 1.12 to 4.00) and having depression or feeling depressed/anxious (OR: 2.35, 95% CI: 1.10 to 4.99) were associated with higher odds for incident falls. In subgroup analyses, older age was a risk factor for incident falls in men (OR: 2.68, 95% CI: 1.21 to 5.90) and pre-frail was a risk factor for incident falls in women (OR: 2.82, 95% CI: 1.28 to 6.20). There was no significant interaction effect between sex and age group (p value=0.341) and sex and frailty status (p value=0.181).

Conclusion

Older age, presence of pre-frailty and having depression or feeling depressed/anxious were associated with higher odds of incident falls. In our subgroup analyses, older age was a risk factor for incident falls in men and being pre-frail was a risk factor for incident falls in women. These findings provide useful information for community health services in designing falls prevention programmes for community-dwelling adults in a multi-ethnic Asian population.

SUBMITTER: Yip WF

PROVIDER: S-EPMC9990598 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study.

Yip Wan Fen WF Ge Lixia L Heng Bee Hoon BH Tan Woan Shin WS

BMJ open 20230303 3

<h4>Objectives</h4>Our study aimed to identify the risk factors of incident falls between men and women.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>The study recruited participants from the Central region of Singapore. Baseline and follow-up data were collected via a face-to-face survey.<h4>Participants</h4>Community-dwelling adults aged 40 years and above from the Population Health Index Survey.<h4>Outcome measure</h4>Incident falls were defined as the experience of a fall between t ...[more]

PMID: 36868598

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Project description:ObjectivesTo determine the relationship between neighborhood-level socioeconomic characteristics, life-space mobility, and incident falls in community-dwelling older adults.DesignProspective, observational cohort study with a baseline in-home assessment and 6-month telephone follow-up.SettingCentral Alabama.ParticipantsCommunity-dwelling adults aged 65 and older recruited from a random sample of Medicare beneficiaries (N = 1,000).MeasurementsNeighborhood disadvantage was measured using a composite index derived from baseline neighborhood-level residential census tract socioeconomic variables. Data on individual-level socioeconomic characteristics, clinical variables, and life-space collected at baseline were included as covariates in a multivariate model using generalized estimating equations to assess the association with incident falls in the 6 months after baseline.ResultsOf the 940 participants who completed baseline and follow-up assessments, 126 (13%) reported one or more new falls in the 6 months after baseline. There was an independent nonlinear association between neighborhood disadvantage (according to increasing quartiles of disadvantage) and incident falls after adjusting for confounders: The lowest quartile served as reference; 2nd quartile odds ratio (OR) = 2.4, 95% confidence interval (CI) = 1.2-4.6; 3rd quartile OR = 1.9, 95% CI = 1.0-3.7; 4th quartile OR = 3.2, 95% CI = 1.7-6.0. Each 10-point decrement in life-space (OR = 1.2, 95% CI = 1.0-1.3) was associated with a higher risk of falls.ConclusionGreater neighborhood disadvantage was associated with greater risk of falls. Life-space also contributes separately to fall risk. Community-dwelling older adults in disadvantaged neighborhoods, particularly those with limited mobility, may benefit from a more-rigorous assessment of their fall risk by healthcare providers. Neighborhood level socioeconomic characteristics should also be an important consideration when identifying vulnerable populations that may benefit the most from fall prevention programs.

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Dataset Information

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study.

Objectives

Design

Setting

Participants

Outcome measure

Results

Conclusion

Publications

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study.

Similar Datasets

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