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Int. J. Environ. Res. Public Health 2018, 15(5), 982; https://doi.org/10.3390/ijerph15050982

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

1
Department of Nursing, Gyeongnam National University of Science and Technology, #33 Dongjinro, Jinju, Gyeongnam 52725, Korea
2
School of Nursing, Hanyang University, #222 Wangsimliro, Sungdong-gu, Seoul 04763, Korea
*
Author to whom correspondence should be addressed.
Received: 13 March 2018 / Revised: 9 May 2018 / Accepted: 10 May 2018 / Published: 14 May 2018
(This article belongs to the Section Environmental Health)
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Abstract

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. View Full-Text
Keywords: fear of falling; older adults; environmental factors; ecological model fear of falling; older adults; environmental factors; ecological model
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Lee, S.; Oh, E.; Hong, G.-R.S. Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History. Int. J. Environ. Res. Public Health 2018, 15, 982.

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