Abstract
Background
Falls in older people commonly cause morbidity and mortality, loss of independence, and poor quality of life. Differences in residential environments might influence falls experienced by elderly people in urban and rural areas.
Aim
The purpose of this study was to provide data through the comparative analysis of physical and environmental factors influencing falls in the frail elderly individuals in urban and rural areas, which might be used for developing the fall prevention program.
Methods
A total of 534 frail elderly individuals living in regional communities were assessed over 2 months. Discomfort when walking, avoiding falls, awareness of falls, physical activity, fear of falling, depression, and a safety score for the home environment were measured.
Results
Frail elderly individuals in urban and rural areas had significant differences in terms of their prior experience of falls; the number of falls; the intake of hypertension medication, arthritis medication, and painkillers, respectively, discomfort when walking; physical activity; and the safety score of their home environments. There were significant differences between the frail elderly individuals living in urban and rural areas with the highest incidence of falls with regard to their education level, marital status, residential types, the intake of arthritis medication and painkillers, walking discomfort, physical activity, and the safety score of their home environments. In the factors influencing falls of frail elderly individuals in urban areas, stroke, visual impairment, and the fear of falling were significant explanatory variables. In the factors influencing falls of frail elderly individuals in rural areas, dizziness, walking discomfort and the fear of falling were significant explanatory variables.
Discussion
These results indicate that different factors influence falls among the elderly living in different residential areas.
Conclusion
Based on these results, a multidimensional customized fall prevention program should be considered by various factors according to residential environments to effectively prevent falls among elderly adults.
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References
Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319:1701–1707
Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35:ii37–ii41
Stalenhoef P, Diederiks J, Knottnerus J, Kester A, Crebolder H (2002) A risk model for the prediction of recurrent falls in community-dwelling elderly: a prospective cohort study. J Clin Epidemiol 55:1088–1094
Jeong K, Lee Y, Park B, Lee S, Lee Y (2012) Analysis of the survey of living conditions and welfare needs of Korean older persons, vol 47. Korea Institute for Health and Social Affairs
Hartholt KA, van der Velde N, Looman CW, van Lieshout EM, Panneman MJ, van Beeck EF, Patka P, van der Cammen TJ (2010) Trends in fall-related hospital admissions in older persons in the Netherlands. Arch Intern Med 170:905–911
Tideiksaar R (1989) Geriatric falls: assessing the cause, preventing recurrence. Geriatrics 44:57–61, 64
Vassallo M, Stockdale R, Sharma JC, Briggs R, Allen S (2005) A comparative study of the use of four fall risk assessment tools on acute medical wards. J Am Geriatr Soc 53:1034–1038
Rubenstein LZ, Josephson KR, Robbins AS (1994) Falls in the nursing home. Ann Intern Med 121:442–451
Peel C, Brown CJ, Lane A, Milliken E, Patel K (2008) A survey of fall prevention knowledge and practice patterns in home health physical therapists. J Geriatr Phys Ther 31:64–70
Mitty E, Flores S (2007) Fall prevention in assisted living: assessment and strategies. Geriatr Nurs 28:349–357
Pynoos J, Steinman BA, Nguyen AQ (2010) Environmental assessment and modification as fall-prevention strategies for older adults. Clin Geriatr Med 26:633–644
Choi M (2004) A study on the difference of residential consciousness by regional comparison of urban vs rural elderly in Korea. Korean Inst Archit 6:1–10
Lord SR, Menz HB, Sherrington C (2006) Home environment risk factors for falls in older people and the efficacy of home modifications. Age Ageing 35:ii55–ii59
Welfare MoHa (2012) 2012 manual of home visiting health care. Ministry of Health and Welfare, Ministry of Health and Welfare
Hyeon IS, Park M, Park KM, Kim CN (2010) The effects of a fall prevention program on the low-income elderly at risk of falls. J Korean Acad Community Health Nurs 21:200–209
Hwang SY (2011) Knowledge, efficacy, and prevention behavior related to fall of older people in a hospital. SoonChunHyang University, Asan
Choe MA, Kim J, Jeon M, Chae YR (2010) Evaluation of the Korean version of physical activity scale for the elderly (K-PASE). Korean J Women Health Nurs 16:47–59
Song MS (1991) Construction of a functional status prediction model for the elderly. Seoul National University, Seoul
Gu M, Kang Y, Kim S (2002) Growing younger and more active. Hyunmoon, Seoul
2012 manual of home visiting health care (2012) Ministry of Health and Welfare, Seoul
Park A-J, Lim N-Y, Kim Y-S, Lee Y-K, Song J-H (2011) Incidence and predictors of falls in institutionalized elderly. J Muscle Joint Health 18:50–62
Carter SE, Campbell EM, Sanson-Fisher RW, Gillespie WJ (2000) Accidents in older people living at home: a community-based study assessing prevalence, type, location and injuries. Aust N Z J Public Health 24:633–636
Rantz MJ, Skubic M, Abbott C, Galambos C, Pak Y, Ho DK, Stone EE, Rui L, Back J, Miller SJ (2013) In-home fall risk assessment and detection sensor system. J Gerontol Nurs 39:18–22
Park IS, Jang DJ (2002) Home safety assessment for fall prevention in elderly people in a rural community. J Korean Gerontol Nurs 4:178–186
Lim KC, June KJ, Yoon JL (2009) The comparison of health status, functional status, and home environment hazards in terms of the fear of falling in community-dwelling older adults. J Korea Gerontol Soc 29:1577–1589
Paek KW, Song HJ, Cho JP (2002) Effectiveness of bathroom grab bar to prevent falls in elderly. J Korea Gerontol Soc 22:85–98
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All procedures performed in studies involving human participants were in accordance with the ethical standards of French institutional and/or national research committees and with the 1964 Helsinki declaration and its later amendments or with comparable ethical standards.
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Informed consent was obtained from all the individual participants included in the study.
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Yoo, J.S., Kim, C.G., Yim, J. et al. Factors influencing falls in the frail elderly individuals in urban and rural areas. Aging Clin Exp Res 28, 687–697 (2016). https://doi.org/10.1007/s40520-015-0469-2
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DOI: https://doi.org/10.1007/s40520-015-0469-2