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The Nature of Falling Among Community Dwelling Seniors

Published online by Cambridge University Press:  29 November 2010

Elaine M. Gallagher ,
Mike Hunter  and
Victoria J. Scott
Elaine M. Gallagher
Affiliation:
University of Victoria*
Mike Hunter
Affiliation:
University of Victoria*
Victoria J. Scott
Affiliation:
University of Victoria*
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Abstract

This paper analyses data pertaining to falls from a 1995 random survey of 1,285 seniors living in the Capital Regional District of British Columbia. In the preceding six months, 211 (16.5%) people reported falling at least once. The overall rate for women was 18.6 per hundred compared with 13.3 for men. The study also examined relationships between falling and an array of demographic, health, psychological and psychosocial variables. The likelihood of falling increased directly with age and chronic illness, as well as indirectly with age, SES, and gender via chronic illness (i.e. older, poorer women tend to have more chronic illness which then leads to a higher incidence of falling). In turn, falling was directly related to increased dependence, and through it indirectly related to health satisfaction, mental health and a measure of life satisfaction.

Résumé

Ce document analyse des données sur les chutes provenant d'un sondage aléatoire auprès de 1 285 aînés du district régional de la capitale de la Colombie-Britannique. Au cours des six mois précédents, 211 personnes interrogées, soit 16,5 pour cent, avaient chuté au moins une fois. Le taux de chute était de 18,6 pour cent chez les femmes alors qu'il était de 13,3 pour cent chez les hommes. Le sondage examinait également la relation entre les chutes et certaines variables démographiques, psychosociales, psychologiques et des variables de santé. Les possibilités de chute augmentent directement avec l'âge et la maladie chronique et indirectement avec l'âge, le statut socio-économique, le sexe et la maladie chronique. En d'autres termes, les femmes plus pauvres et plus âgées ont tendance à souffrir de maladies chroniques, ce qui entraîne une augmentation de l'incidence des chutes. De plus, les chutes sont directement reliées à une augmentation de la dépendance et de là, indirectement reliées à la satisfaction de l'état de santé, à la santé mentale et à une mesure de la satisfaction de la vie.

Keywords

FallsSeniorsAntecedentsConsequences.Chutesainé(e)santecedentsconséquences.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 18 , Issue 3 , Automne/Fall 1999 , pp. 348 - 362
Copyright
Copyright © Canadian Association on Gerontology 1999

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References

Alexander, B.H., Rivara, F.P., & Wolf, M.E. (1992). The cost and frequency of hospitalization for fall-related injuries in older adults. American Journal of Public Health, 82(7), 1020–1023.Google Scholar
Arfken, C., Lach, H., Birge, S., & Miller, P. (1994). The prevalence and correlates of fear of falling in elderly persons living in the community. American Journal of Public Health, 84(4), 565–570.CrossRefGoogle ScholarPubMed
Asche, C., Gallagher, E., & Coyte, P. (1998) The costs of falls among seniors in Canada. Manuscript under review.Google Scholar
Barusch, A.S. (1994). Older women in poverty: private lives and public policies. New York: Springer.Google Scholar
Campbell, A.J., Borrie, M.J., & Spears, G.F. (1989). Risk factors for falls in a community-based prospective study of people 70 years and older. Journal of Gerontology: Medical Sciences, 44(4), M112–M117.CrossRefGoogle Scholar
Campbell, A.J., Reinken, J., Allan, B.C., & Martinez, G.S. (1981). Falls in old age: A study of frequency and related clinical factors. Age and Aging, 10, 264–270.Google Scholar
Chappell, N.L. (1993). Implications of shifting health care policy for caregiving in Canada. Journal of Aging & Social Policy, 5(1/2), 39–55.CrossRefGoogle ScholarPubMed
Chappell, N.L. (1996). Maintaining and enhancing independence and well-being in old age. In National Forum on Health (Eds.), What determines health? (pp. 54–58). Ottawa: National Forum on Health.Google ScholarPubMed
Commodore, D.I. (1995). Falls in the elderly population: A look at incidence, risks, healthcare costs, and preventive strategies. Rehabilitative Nursing, 20(2), 84–89.Google Scholar
Cumming, R.G., & Klineberg, R.J. (1994). Fall frequency and characteristics and the risk of hip fractures. Journal of the American Geriatrics Society, 42(10), 774–778.CrossRefGoogle ScholarPubMed
Eiston, J.M., Koch, G.G., & Weissert, W.G. (1991). Regression-adjusted small area estimates of functional dependency in the noninstitutionalized American population age 65 and over. American Journal of Public Health, 81(3), 335–343.CrossRefGoogle Scholar
Evans, R G., Barer, M.L., & Marmor, T.R. (1994). Why are some people healthy and others are not?: The determinants of health of populations. New York: Aldine De Gruyter.Google Scholar
Evans, R., & Stoddart, G. (1990). Producing Health, Consuming Care. Canadian Institute for Advanced Research. Program in Population Health. Working Paper No. 6, Toronto.Google Scholar
Fiatarone, M.A., O'Neill, E.F., Ryan, N.D., Clements, K.M., Solares, G.R., Nelson, M.E., Roberts, S.B., Kehayias, J.J., Lipsitz, L.A., & Evans, W.J. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. The New England Journal of Medicine, 330(25), 1769–1775.Google Scholar
Fleming-Moran, M.H.K. (1992). Sex differences in self reported falling among the elderly: Associated health and functional status in a national sample of community elders age seventy and older. Unpublished Report. South Bend, IN, Heartland Center on Aging, Disability and Long Term Care, School of Public and Environmental Affairs, Indiana University and the National Center for Senior Living.Google Scholar
Gallagher, E. (1995). Falls and the elderly. Community Paper Series #3, Centre on Aging, University of Victoria.Google Scholar
Gallagher, E., & Scott, V. (1997). The STEPS project: participatory action research to reduce falls in public places among seniors and persons with disabilities. Canadian Journal of Public Health, March-April, 129–133.CrossRefGoogle ScholarPubMed
Health Canada. (1998). Population Health Fund: Guide for Applications 1998–1999. Ottawa: Health Canada.Google Scholar
Hornbrook, M., Stevens, V., Wingfield, D., Hollis, J., Greenlick, M., & Ory, M. (1994). Preventing falls among community-dwelling older persons: results from a randomized trial. The Gerontologist, 34(1), 16–23.CrossRefGoogle ScholarPubMed
Johnson, R.D & Wolinsky, F.D. (1993). The structure of health status among older adults: Disease, disability, functional limitation and perceived health. Journal of Health and Social Behaviour, 34, 105–121.Google Scholar
Kozma, A., Stones, M., & McNeil, J. (1991). Psychological well-being in later life. Toronto: Butterworths.Google Scholar
Langlois, J.A., Smith, G.S., Nelson, D.E., Sattin, R.W., Stevens, J.A., & DeVito, C.A. (1995). Dependence in activities of daily living as a risk factor for fall injury events among older people living in the community. Journal of the American Geriatric Society, 43(3), 275–278.CrossRefGoogle ScholarPubMed
Lawrence, R.H. & Jette, A.M. (1996). Disentangling the disablement process. Journal of Gerontology, 51B(4), S173–S182.Google Scholar
Lipsitz, L.A., Nakajima, I., Gagnon, M., Hirayama, T., Connelly, C.M., Izumo, H., & Hirayama, T. (1994). Muscle strength and fall rates among residents of Japanese and American nursing homes: An international cross-cultural study. Journal of the American Geriatrics Society, 42(9), 953–959.CrossRefGoogle ScholarPubMed
Lynch, J.W., Kaplan, G.A., & Shema, S.J. (1997). Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. New England Journal of Medicine, 337(26), 1889–1895.Google Scholar
Nagi, S.Z. (1976). An epidemiology of disability among adults in the United States. Milbank Mem Fund Q Health Soc, 54(4), 439–467.CrossRefGoogle ScholarPubMed
O'loughlin, J.L., Robitaille, Y., Boivin, J-F, & Suissa, S. (1993). Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. American Journal of Epidemiology, 137, 342–354.CrossRefGoogle ScholarPubMed
Prudham, D., & Evans, J.G. (1981). Factors associated with falls in the elderly: A community study. Age and Aging, 10, 141–146.Google Scholar
Raina, P., Dukeshire, S., Chambers, L., & Lindsay, J. (1997). Sensory impairments among Canadian 55 years and older: An analysis of 1986 and 1991 Health Activities Limitation Survey (IESOP Research Report No. 18). Hamilton: McMaster University.Google Scholar
Rosenberg, M. (1965). Society and the Adolescent self image. Princeton, N.J.: Princeton University Press.Google Scholar
Sattin, R.W. (1992). Falls among older persons: A public health perspective. Annual Review of Public Health, 13,: 489–508.Google Scholar
Saunders, P. (1998). Poverty and health: Exploring the links between financial stress and emotional stress in AustraUa. Aust N Z J Public Health, 22(1), 11–16.CrossRefGoogle Scholar
Speechley, M., & Tinetti, M. (1991). Falls and injuries in frail and vigorous community elderly persons. Journal of the American Geriatrics Society, 39(1), 46–52.Google Scholar
Strategies for Population Health: Investing in Health of Canadians Probe. (1996). 30(3), 106–108.Google Scholar
Verbrugge, L.M., & Jette, A.M. (1994). The disablement process. Soc Sci Med, 38(1), 1–14.Google Scholar
Waller, P.F. (1985). Preventing injury to the elderly. Aging and Public Health. Phillips, H. T. Editor, Gaylord S.A., Springer. 1, 103–141.Google Scholar