title: Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults.
abstract: The objectives were to examine falls risk factors to determine how the magnitude of risk may differ between homebound and non-homebound older adults, and to describe falls prevention behaviors and participation in falls prevention education. A cross-sectional survey was conducted with convenience samples of community-dwelling older adults recruited through Meals on Wheels programs (homebound, n = 80) and senior centers (non-homebound, n = 84) in North Carolina. Data were collected during home visits and included an interview and medication inventory. Multivariate negative binomial regression with robust variance estimation modeled risk factors for falls. Risk factors for falls observed in both the homebound and non-homebound populations are consistent with what is known in the literature. However, the magnitude of the risk was higher in the homebound than in the non-homebound population with respect to vision impairments, number of high-risk and over-the-counter medications, and use of walking aids .Few participants reported participating in a falls prevention program.
authors.affiliation: 1 University of Iowa, Iowa City, USA.
authors.forename: Carri
authors.initials: C
authors.lastname: Casteel
authors.affiliation: 2 University of North Carolina at Chapel Hill, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Jones
authors.affiliation: 2 University of North Carolina at Chapel Hill, USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Gildner
authors.affiliation: 2 University of North Carolina at Chapel Hill, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Bowling
authors.affiliation: 2 University of North Carolina at Chapel Hill, USA.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Blalock
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D002183:Canes / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006266:Health Education; D018577:Homebound Persons / Q000193:education / Q000706:statistics & numerical data*; D006801:Humans; D057187:Independent Living; D008297:Male; D055553:Prescription Drugs / Q000627:therapeutic use; D012307:Risk Factors; D014786:Vision Disorders / Q000453:epidemiology; D014853:Walkers / Q000706:statistics & numerical data
chemical_list: D055553:Prescription Drugs
keywords: cross-sectional survey; falls prevention; homebound; non-homebound; older adults