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Int. J. Environ. Res. Public Health 2017, 14(2), 163; doi:10.3390/ijerph14020163

Neighborhood Factors and Fall-Related Injuries among Older Adults Seen by Emergency Medical Service Providers

1
Department of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX 77843, USA
2
Department of Architecture, College of Architecture, Texas A&M University, College Station, TX 77843, USA
*
Author to whom correspondence should be addressed.
Received: 13 December 2016 / Revised: 27 January 2017 / Accepted: 4 February 2017 / Published: 8 February 2017
(This article belongs to the Special Issue Aging and Health Promotion)
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Abstract

Falls are serious health problems among older adults, and are the leading cause of fatal and nonfatal injuries treated by emergency medical services (EMS). Although considerable research has examined the risk factors of falls at the individual level, relatively few studies have addressed the risk factors at the neighborhood level. This study examines the characteristics of neighborhood environments associated with fall injuries reported to EMS providers. A total of 13,163 EMS records from 2011 to 2014 involving adults aged 65 and older in the city of San Antonio (TX, USA) were analyzed at the census tract level (n = 264). Negative binomial regression was used to identify significant census tract-based neighborhood environmental variables associated with the count of fall injuries in each census tract. Adjusting for exposure variable and the size of the census tract, neighborhoods with higher residential stability, captured as the percent of those who lived in the same house as the previous year were associated with decreased count of fall injuries. Neighborhoods with higher residential density and having a higher vacancy rate were associated with increased count of fall injuries. The study highlights the importance of stable and safe neighborhoods in reducing fall risks among older adults, which should be considered a prerequisite for promoting age-friendly environments. View Full-Text
Keywords: fall injuries; older adults; aging; elderly; environmental risk factors fall injuries; older adults; aging; elderly; environmental risk factors
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Lee, S.; Lee, C.; Rodiek, S. Neighborhood Factors and Fall-Related Injuries among Older Adults Seen by Emergency Medical Service Providers. Int. J. Environ. Res. Public Health 2017, 14, 163.

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