A Comprehensive Assessment of Risk Factors for Falls in Community-Dwelling Older Adults

J Gerontol Nurs. 2018 Oct 1;44(10):40-48. doi: 10.3928/00989134-20180913-04.

Abstract

Falls in community-dwelling older adults are a complicated phenomenon that are attributed to sociodemographic characteristics, health conditions, functional problems, and environmental factors. The current cross-sectional and correlational study aimed to explore comprehensive risk factors for falls in community-dwelling older adults using a nationally representative data file (N = 5,930). Descriptive statistics were used and multiple logistic regression analyses were performed. Study findings showed that homebound or semi-homebound older adults were 50% more likely to experience a fall than non-homebound individuals. Impaired balance was the strongest predictor (odds ratio [OR] = 2.37, p < 0.001), followed by problems moving around in the home. Arthritis (OR = 1.39, p = 0.009) and depression or anxiety (OR = 1.28, p = 0.013) were additional risk factors. Community health or home health nurses need to assess these risk factors when planning fall intervention programs for older adults using evidence-based prevention strategies. [Journal of Gerontological Nursing, 44(10), 40-48.].

MeSH terms

  • Accidental Falls*
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Humans
  • Independent Living*
  • Logistic Models
  • Male
  • Risk Assessment
  • Risk Factors
  • Socioeconomic Factors
  • United States