دورية أكاديمية
Association between a hilly neighborhood environment and falls among rural older adults: a cross-sectional study.
| العنوان: | Association between a hilly neighborhood environment and falls among rural older adults: a cross-sectional study. |
|---|---|
| المؤلفون: | Kitayuguchi J; Physical Education and Medicine Research Center UNNAN, Japan., Abe T; Center for Community-Based Healthcare Research and Education (CoHRE), Organization for Research and Academic Information, Shimane University, Japan., Okuyama K; Center for Community-Based Healthcare Research and Education (CoHRE), Organization for Research and Academic Information, Shimane University, Japan.; Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Sweden., Gomi T; Physical Education and Medicine Research Center UNNAN, Japan., Okada S; Physical Education and Medicine Research Foundation, Japan., Shiwaku K; Shimane University Faculty of Medicine, Japan., Mutoh Y; The Research Institute of Health Rehabilitation of Tokyo, Japan. |
| المصدر: | Journal of rural medicine : JRM [J Rural Med] 2021 Oct; Vol. 16 (4), pp. 214-221. Date of Electronic Publication: 2021 Oct 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Japanese Association of Rural Medicine Country of Publication: Japan NLM ID: 101274897 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1880-487X (Print) Linking ISSN: 1880487X NLM ISO Abbreviation: J Rural Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Tokyo, Japan : Japanese Association of Rural Medicine, [2005]- |
| مستخلص: | Objective: Falls in older adults are a major public health issue, and it is unclear whether the neighborhood environment is associated with falls among this group. This cross-sectional study investigated whether hilly neighborhood environmental factors were associated with fall status (falls or fear of falling) in rural Japanese older adults. Materials and Methods: Data obtained from 965 participants aged 65 years and older living in Unnan City, Shimane Prefecture, Japan, in 2017 were analyzed. Fall status was assessed based on the 1-year fall incidence (yes/no) for the past year and fear of falling (yes/no) using a self-report questionnaire. For hilly neighborhood environmental factors, the mean elevation and land slope were assessed using a geographic information system. The logistic regression model examined the odds ratios (OR) and 95% confidence intervals (CIs) of fall status in quartiles for elevation and land slope, respectively, and was adjusted for confounders. Results: Falls and fear of falling were observed in 16.8% and 43.2% of participants, respectively. Falls were associated with elevation (OR 1.99, 95% CI 1.17-3.37 for Q2 vs. Q1; OR 2.02, 95% CI 1.19-3.44 for Q3 vs. Q1) and land slope (OR 1.74, 95% CI 1.04-2.93 for Q3 vs. Q1; OR 1.74, 95% CI 1.04-2.93 for Q4 vs. Q1). Fear of falling was associated with elevation (OR 1.78, 95% CI 1.19-2.65 for Q3 vs. Q1) and land slope (OR 1.51, 95% CI 1.01-2.25 for Q4 vs. Q1). Conclusion: Our study found that elevation and land slope as hilly neighborhood environment factors were positively associated with falls or fear of falling among older adults living in rural Japan. Prospective observational studies that investigate the effects of region-specific environmental factors on falls among older adults should be conducted. Competing Interests: The authors declare that they have no conflicts of interest. (©2021 The Japanese Association of Rural Medicine.) |
| References: | J Geriatr Phys Ther. 2009;32(3):91-6. (PMID: 20128332) J Gerontol B Psychol Sci Soc Sci. 2009 Mar;64(2):252-7. (PMID: 19181694) J Rural Health. 2012 Fall;28(4):339-47. (PMID: 23083080) Cochrane Database Syst Rev. 2018 Jul 23;7:CD012221. (PMID: 30035305) Int J Health Geogr. 2020 Nov 25;19(1):51. (PMID: 33239058) Arch Gerontol Geriatr. 1996 Sep-Oct;23(2):95-109. (PMID: 15374155) J Rural Health. 2005 Summer;21(3):239-44. (PMID: 16092298) Injury. 2012 Jul;43(7):1199-203. (PMID: 22541759) J Phys Act Health. 2018 Aug 1;15(8):553-563. (PMID: 29676658) Age Ageing. 1997 Jul;26(4):261-8. (PMID: 9271288) Age Ageing. 2001 Nov;30 Suppl 4:3-7. (PMID: 11769786) Gait Posture. 2008 Jul;28(1):101-7. (PMID: 18093833) JAMA. 2010 Jan 20;303(3):258-66. (PMID: 20085954) Sports Med. 2018 Jul;48(7):1635-1660. (PMID: 29721838) JAMA. 2009 Nov 25;302(20):2214-21. (PMID: 19934422) J Am Geriatr Soc. 2001 May;49(5):664-72. (PMID: 11380764) Cochrane Database Syst Rev. 2019 Jan 31;1:CD012424. (PMID: 30703272) Int J Environ Res Public Health. 2020 Feb 14;17(4):. (PMID: 32074960) Prev Med. 2016 Aug;89:112-120. (PMID: 27196142) Int J Behav Nutr Phys Act. 2017 Aug 7;14(1):103. (PMID: 28784183) Aust J Public Health. 1993 Sep;17(3):240-5. (PMID: 8286498) J Gerontol. 1993 Sep;48 Spec No:35-8. (PMID: 8409238) J Am Geriatr Soc. 2005 Dec;53(12):2190-4. (PMID: 16398908) Phys Ther. 2002 Mar;82(3):264-72. (PMID: 11869155) J Gerontol. 1994 May;49(3):M140-7. (PMID: 8169336) Health Place. 2019 Jan;55:51-58. (PMID: 30472036) Int J Health Geogr. 2011 Jul 21;10:43. (PMID: 21777439) Int J Environ Res Public Health. 2018 Sep 19;15(9):. (PMID: 30235862) BMJ Open. 2020 Mar 26;10(3):e033338. (PMID: 32220911) Cochrane Database Syst Rev. 2012 Sep 12;(9):CD007146. (PMID: 22972103) Int J Environ Res Public Health. 2019 Apr 28;16(9):. (PMID: 31035336) Lancet. 2012 Dec 15;380(9859):2197-223. (PMID: 23245608) J Am Geriatr Soc. 2005 Sep;53(9):1618-22. (PMID: 16137297) Int J Health Geogr. 2019 May 10;18(1):10. (PMID: 31077213) Front Public Health. 2021 Jan 12;8:612599. (PMID: 33511098) Am J Prev Med. 2009 Nov;37(5):455-63. (PMID: 19840702) Inj Prev. 2006 Oct;12(5):290-5. (PMID: 17018668) Epidemiology. 2010 Sep;21(5):658-68. (PMID: 20585256) Injury. 2005 Nov;36(11):1316-22. (PMID: 16214476) Age Ageing. 1994 Jul;23(4):323-7. (PMID: 7976782) BMC Public Health. 2011 Aug 19;11:657. (PMID: 21854598) Prev Med. 2009 Dec;49(6):490-6. (PMID: 19769998) J Bone Miner Res. 1998 Sep;13(9):1468-74. (PMID: 9738520) Ann Behav Med. 2004 Apr;27(2):91-9. (PMID: 15026293) Soc Sci Med. 2017 Jun;182:45-51. (PMID: 28412640) Am J Public Health. 2004 Oct;94(10):1682-6. (PMID: 15451731) Int J Environ Res Public Health. 2017 Sep 07;14(9):. (PMID: 28880204) |
| فهرسة مساهمة: | Keywords: community-dwelling older adults; elevation; falls; fear of falling; hilliness |
| تواريخ الأحداث: | Date Created: 20211028 Latest Revision: 20211030 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8527625 |
| DOI: | 10.2185/jrm.2021-028 |
| PMID: | 34707730 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1880-487X |
|---|---|
| DOI: | 10.2185/jrm.2021-028 |