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Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong
Leung,Angela1,2; Chi,Iris3; Lou,Vivian W.Q.2,4; Chan,Kin Sun2,5
2019-06-19
Source PublicationHealth and Social Care in the Community
ISSN13652524 09660410
Volume18Issue:3Pages:272-281
AbstractThis study examined the relationship between psychosocial factors and falls among community-dwelling older adults in the Hong Kong Special Administrative Region of China. The study included 1573 adults aged 60 or above who lived at home and who were applying for long-term care services. These participants were part of a large cross-sectional survey carried out between 2003 and 2004 in which they completed the Hong Kong Chinese version of the Resident Assessment Instrument-Home Care (RAI-HC) assessment. Of those persons who were surveyed, 516 (32.8%, 95% CI 30.5% to 35.2%) had fallen in the previous 90 days. Bivariate analyses showed that five psychosocial factors (depressive symptoms, fear of falling, a decline in social activities, the number of hours of informal care support during weekdays and living alone) were significantly associated with falls (. P <. 0.05). Logistic regression analysis showed living alone (odds ratio (OR) = 0.62; 95% CI 0.44 to 0.86) was the only psychosocial factor significantly associated with falls, after adjusting for the known significant factors related to falls. It was also found that more elders who lived with others had environmental hazards than those who lived alone (71.0% vs 29.0%, 2 = 4.80, . P = 0.028). These findings suggested that living with others may not be as safe as we assume. Interventions to increase awareness of home safety and to seek co-operation with family members in falls prevention are recommended. Fall preventive strategies should be educated to family members who are living with frail older adults. On the other hand, Chinese older adults who live alone often receive support from relatives or friends. Social support seems to be crucial to prevent them from falls and this measure is recommended to be continued in the community. © 2010 Blackwell Publishing Ltd.
KeywordChinese Falls Living alone Psychosocial factors
DOI10.1111/j.1365-2524.2009.00900.x
URLView the original
Language英语
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Cited Times [WOS]:23   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionUniversity of Macau
Affiliation1.Department of Nursing StudiesThe University of Hong Kong,China
2.Sau Po Centre on AgingThe University of Hong Kong,China
3.Golden Age Association/Frances Wu Chair for Chinese ElderlySchool of Social WorkUniversity of Southern California,United States
4.Department of Social Work and Social AdministrationSau Po Centre on AgingThe University of Hong Kong,China
5.Department of Government and Public AdministrationUniversity of Macau,Macao
Recommended Citation
GB/T 7714
Leung,Angela,Chi,Iris,Lou,Vivian W.Q.,et al. Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong[J]. Health and Social Care in the Community,2019,18(3):272-281.
APA Leung,Angela,Chi,Iris,Lou,Vivian W.Q.,&Chan,Kin Sun.(2019).Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong.Health and Social Care in the Community,18(3),272-281.
MLA Leung,Angela,et al."Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong".Health and Social Care in the Community 18.3(2019):272-281.
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