Publications

Detailed Information

Living Alone, Environmental Hazards, and Falls Among US Older Adults

Cited 4 time in Web of Science Cited 0 time in Scopus
Authors

Lee, Haena; Lim, Justin H.

Issue Date
2023-07
Publisher
OXFORD UNIV PRESS
Citation
Innovation in Aging, Vol.7 No.6, pp.1-9
Abstract
Background and Objectives Physical conditions of living environments can affect the incidence of falls; however, prior work has focused typically on 1 domain at a time-either neighborhood or home, capturing limited environmental boundaries of older adults. We examined how neighborhood together with the home environment affect the incidence of falls over time and whether living arrangement modifies the influence of the environmental risks on falls. Research Design and Methods Using the 2012-2020 waves of the Health and Retirement Study (HRS; N = 1,893), we fitted logistic regression to estimate the incidence of falls over an 8-year study period. We used the neighborhood and housing data that are collected systematically by trained observers in the HRS to assess environmental hazards. Sidewalk quality, neighborhood disorder, and the presence of green space were measured to capture outdoor environmental hazards. Indoor environmental hazards included the presence of housing decay and poorly maintained stairways. All models were stratified by living arrangement. Results Neighborhood and housing environment were independently associated with the odds of falls net of demographic characteristics and preexisting health conditions, and effects were significant for people living alone only. The presence of green space and poorly maintained stairways were associated with greater odds of falling, net of covariates during 8 years of follow-up (odds ratios = 2.10 and 2.65, p < .05, respectively). None of the environmental risk factors were significant for those living with others. Discussion and Implications Falls in old age may be determined in part by a combination of outdoor and indoor risk factors. More research is needed to understand pathways that lead to greater vulnerability among older adults living alone to environmental hazards.
ISSN
2399-5300
URI
https://hdl.handle.net/10371/202178
DOI
https://doi.org/10.1093/geroni/igad055
Files in This Item:
There are no files associated with this item.
Appears in Collections:

Related Researcher

  • Graduate School of Environmental Studies
  • Dept. of Environmental Design
Research Area Historic District Revival, Planning, Urban Design, 도시계획, 도시연구, 도시재생

Altmetrics

Item View & Download Count

  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Share