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Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis

The aim of this systematic review and meta-analysis was to determine whether differences in reported fall rates exist between different ethnic groups. Searches were carried out on four databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science....

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Autores principales: Wehner-Hewson, Natasha, Watts, Paul, Buscombe, Richard, Bourne, Nicholas, Hewson, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633486/
https://www.ncbi.nlm.nih.gov/pubmed/34786654
http://dx.doi.org/10.1007/s40615-021-01179-1
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author Wehner-Hewson, Natasha
Watts, Paul
Buscombe, Richard
Bourne, Nicholas
Hewson, David
author_facet Wehner-Hewson, Natasha
Watts, Paul
Buscombe, Richard
Bourne, Nicholas
Hewson, David
author_sort Wehner-Hewson, Natasha
collection PubMed
description The aim of this systematic review and meta-analysis was to determine whether differences in reported fall rates exist between different ethnic groups. Searches were carried out on four databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science. Only English language studies with community-dwelling participants aged 60 + years were included. Studies also needed to compare fall prevalence for at least two or more ethnic groups. Two reviewers independently screened all articles and evaluated study quality. Twenty-three articles were included for systematic review, and meta-analyses were carried out on the 16 retrospective studies that reported falls in the previous 12 months. The Asian group demonstrated significantly lower fall prevalence than all other ethnic groups at 13.89% (10.87, 16.91). The Hispanic group had a fall prevalence of 18.54% (12.95, 24.13), closely followed by the Black group at 18.60% (13.27, 23.93). The White group had the highest prevalence at 23.77% (18.66, 28.88). Some studies provided adjusted estimates of effect statistics for the odds/risk of falls, which showed that differences still existed between some ethnic groups even after adjusting for other risk factors. Overall, differences in fall prevalence do appear to exist between different ethnic groups, although the reasons for these differences currently remain undetermined and require further investigation. These findings highlight the need to provide more ethnically tailored responses to public health challenges, which could potentially increase the adherence to prevention interventions, and allow for a more targeted use of resources.
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spelling pubmed-96334862022-11-05 Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis Wehner-Hewson, Natasha Watts, Paul Buscombe, Richard Bourne, Nicholas Hewson, David J Racial Ethn Health Disparities Article The aim of this systematic review and meta-analysis was to determine whether differences in reported fall rates exist between different ethnic groups. Searches were carried out on four databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science. Only English language studies with community-dwelling participants aged 60 + years were included. Studies also needed to compare fall prevalence for at least two or more ethnic groups. Two reviewers independently screened all articles and evaluated study quality. Twenty-three articles were included for systematic review, and meta-analyses were carried out on the 16 retrospective studies that reported falls in the previous 12 months. The Asian group demonstrated significantly lower fall prevalence than all other ethnic groups at 13.89% (10.87, 16.91). The Hispanic group had a fall prevalence of 18.54% (12.95, 24.13), closely followed by the Black group at 18.60% (13.27, 23.93). The White group had the highest prevalence at 23.77% (18.66, 28.88). Some studies provided adjusted estimates of effect statistics for the odds/risk of falls, which showed that differences still existed between some ethnic groups even after adjusting for other risk factors. Overall, differences in fall prevalence do appear to exist between different ethnic groups, although the reasons for these differences currently remain undetermined and require further investigation. These findings highlight the need to provide more ethnically tailored responses to public health challenges, which could potentially increase the adherence to prevention interventions, and allow for a more targeted use of resources. Springer International Publishing 2021-11-16 2022 /pmc/articles/PMC9633486/ /pubmed/34786654 http://dx.doi.org/10.1007/s40615-021-01179-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Wehner-Hewson, Natasha
Watts, Paul
Buscombe, Richard
Bourne, Nicholas
Hewson, David
Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title_full Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title_fullStr Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title_full_unstemmed Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title_short Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
title_sort racial and ethnic differences in falls among older adults: a systematic review and meta-analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633486/
https://www.ncbi.nlm.nih.gov/pubmed/34786654
http://dx.doi.org/10.1007/s40615-021-01179-1
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