Risk factors for falls among older Aboriginal and Torres Strait Islander people in urban and regional communities

Australas J Ageing. 2018 Jun;37(2):113-119. doi: 10.1111/ajag.12481. Epub 2017 Nov 15.

Abstract

Objective: To examine associations between fall risk factors identified previously in other populations and falls among Aboriginal people aged 60 years and older, living in New South Wales, Australia.

Methods: Interviews were conducted with older Aboriginal people in five urban and regional communities. Associations between past falls and 22 fall predictor variables were examined using linear and multiple regression analyses.

Results: Of the 336 participants, 80 people (24%) reported at least one fall in the past year, and 34 (10%) reported two or more falls. Participants had an increased fall risk if they were female; used three or more medications; had arthritis, macular degeneration, depression, history of stroke; were unable to do their own housework; or were unable to do their own shopping.

Conclusion: Falls were experienced by one-quarter of study participants. Fall risk factors identified for older Aboriginal people appear to be similar to those identified in the general population. Understanding of fall risk factors may assist with the development of appropriate and effective community-led fall prevention programs.

Keywords: Aboriginal and Torres Strait Islander; Indigenous; ageing; falls; injury.

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Comorbidity
  • Female
  • Humans
  • Interviews as Topic
  • Linear Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data*
  • New South Wales / epidemiology
  • Polypharmacy
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Time Factors
  • Urban Health / ethnology*