Evaluation of race as a predictor of fear of falling in Black older adults

被引:3
作者
Washington, Selena E. [1 ]
Snyder, Makenna [2 ]
Hu, Yi-Ling [3 ]
Stark, Susan L. [2 ]
机构
[1] St Louis Univ, Dept Occupat Sci & Occupat Therapy, Hlth Sci Ctr, St Louis, MO USA
[2] Washington Univ, Program Occupat Therapy, Sch Med, St Louis, MO 63110 USA
[3] Wayne State Univ, Inst Gerontol, Eugene Applebaum Coll Pharm & Hlth Sci, Detroit, MI USA
关键词
Fear of falling; race; older adults; fall risk;
D O I
10.1080/07317115.2020.1854409
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods: We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results: Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08). Conclusions: Older adults (aged >= 65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning. Clinical Implications: Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.
引用
收藏
页码:47 / 52
页数:6
相关论文
共 37 条
[1]   Cross-sectional and longitudinal risk factors for falls, fear of falling, and falls efficacy in a cohort of middle-aged African Americans [J].
Andresen, EM ;
Wolinsky, FD ;
Miller, JP ;
Wilson, MMG ;
Malmstrom, TK ;
Miller, DK .
GERONTOLOGIST, 2006, 46 (02) :249-257
[2]   Falls and fear of falling: burden, beliefs and behaviours [J].
Boyd, Rebecca ;
Stevens, Judy A. .
AGE AND AGEING, 2009, 38 (04) :423-428
[3]   The direct costs of fatal and non-fatal falls among older adults - United States [J].
Burns, Elizabeth R. ;
Stevens, Judy A. ;
Lee, Robin .
JOURNAL OF SAFETY RESEARCH, 2016, 58 :99-103
[4]   Fear of Falling Assessment and Interventions in Community-Dwelling Older Adults: A Mixed Methods Case-Series [J].
Cappleman, Amanda S. ;
Thiamwong, Ladda .
CLINICAL GERONTOLOGIST, 2020, 43 (04) :471-482
[5]  
Centers for Disease Control and Prevention [CDC], 2018, OLD AD FALLS
[6]   Risk Factors for Falls in Community-dwelling Older People A Systematic Review and Meta-analysis [J].
Deandrea, Silvia ;
Lucenteforte, Ersilia ;
Bravi, Francesca ;
Foschi, Roberto ;
La Vecchia, Carlo ;
Negri, Eva .
EPIDEMIOLOGY, 2010, 21 (05) :658-668
[7]   Factors Associated with Fear of Falling and Associated Activity Restriction in Community-Dwelling Older Adults: A Systematic Review [J].
Denkinger, Michael D. ;
Lukas, Albert ;
Nikolaus, Thorsten ;
Hauer, Klaus .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2015, 23 (01) :72-86
[8]   Racial and Ethnic Differences in Disability Transitions Among Older Adults in the United States [J].
Dong, Liming ;
Freedman, Vicki A. ;
Sanchez, Brisa N. ;
de Leon, Carlos F. Mendes .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2019, 74 (03) :406-411
[9]  
Fillenbaum G.G., 2013, Multidimensional functional assessment of older adults: The Duke Older Americans Resources and Services procedures
[10]   Restriction in activity associated with fear of falling among community-based seniors using home care services [J].
Fletcher, PC ;
Hirdes, JP .
AGE AND AGEING, 2004, 33 (03) :273-279