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Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History

Background: Although fear of falling (FOF) has been studied since FOF has negative consequences for the elderly, there is limited information about the risk factors of FOF, including the environment. The purpose of this study was to describe individual and environmental factors of FOF between those...

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Autores principales: Lee, Seonhye, Oh, Eunmi, Hong, Gwi-Ryung Son
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982021/
https://www.ncbi.nlm.nih.gov/pubmed/29757960
http://dx.doi.org/10.3390/ijerph15050982
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author Lee, Seonhye
Oh, Eunmi
Hong, Gwi-Ryung Son
author_facet Lee, Seonhye
Oh, Eunmi
Hong, Gwi-Ryung Son
author_sort Lee, Seonhye
collection PubMed
description Background: Although fear of falling (FOF) has been studied since FOF has negative consequences for the elderly, there is limited information about the risk factors of FOF, including the environment. The purpose of this study was to describe individual and environmental factors of FOF between those with and without a fall history from an ecological aspect and to examine whether individual and environmental factors differently affect the FOF according to the state of fall history in community-dwelling older adults in Korea. Methods: Data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults were used. Participants were 7730 older adults. Hierarchical logistic regression analysis was conducted to examine the predictors of FOF. Results: According to the ecological model, female and discomfort with the neighborhood environment were significantly associated with greater odds of reporting FOF in both older adults with fall history and those without. A significant interaction was not observed between any variable of FOF in participants with and without a fall history. Conclusions: An ecological model including individual and environmental factors should be considered when conducting research and designing programs and decision policies related to FOF for older adults with and without a history of falling.
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spelling pubmed-59820212018-06-07 Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History Lee, Seonhye Oh, Eunmi Hong, Gwi-Ryung Son Int J Environ Res Public Health Article Background: Although fear of falling (FOF) has been studied since FOF has negative consequences for the elderly, there is limited information about the risk factors of FOF, including the environment. The purpose of this study was to describe individual and environmental factors of FOF between those with and without a fall history from an ecological aspect and to examine whether individual and environmental factors differently affect the FOF according to the state of fall history in community-dwelling older adults in Korea. Methods: Data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults were used. Participants were 7730 older adults. Hierarchical logistic regression analysis was conducted to examine the predictors of FOF. Results: According to the ecological model, female and discomfort with the neighborhood environment were significantly associated with greater odds of reporting FOF in both older adults with fall history and those without. A significant interaction was not observed between any variable of FOF in participants with and without a fall history. Conclusions: An ecological model including individual and environmental factors should be considered when conducting research and designing programs and decision policies related to FOF for older adults with and without a history of falling. MDPI 2018-05-14 2018-05 /pmc/articles/PMC5982021/ /pubmed/29757960 http://dx.doi.org/10.3390/ijerph15050982 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Seonhye
Oh, Eunmi
Hong, Gwi-Ryung Son
Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title_full Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title_fullStr Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title_full_unstemmed Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title_short Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History
title_sort comparison of factors associated with fear of falling between older adults with and without a fall history
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982021/
https://www.ncbi.nlm.nih.gov/pubmed/29757960
http://dx.doi.org/10.3390/ijerph15050982
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