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Centre for Policy on Ageing | |
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| The temporal relationship between falls and fear-of-falling among Chinese older primary-care patients in Hong Kong | | Author(s) | Kee-Lee Chou, Iris Chi |
| Journal title | Ageing and Society, vol 27, part 2, March 2007 |
| Pages | pp 181-194 |
| Source | http://www.journals.cambridge.org/jid_ASO |
| Keywords | Falls ; At risk ; Anxiety ; Patients ; General practice ; Longitudinal surveys ; Hong Kong. |
| Annotation | Although the association between falls and fear of falling has been established by previous studies, the temporal ordering of the two is uncertain. Moreover, the common and unique risk factors that contribute to falls and fear of falling have not been investigated in either primary health care settings or Asian societies. This study aimed to examine the temporal sequencing of fear of falling and a fall, and to identify the risk factors associated with the two. A prospective cohort study with three six-month measurement waves was conducted in primary care settings in Hong Kong, the sample being derived from the waiting list control group of a randomised clinical trial. The 321 respondents were evaluated with the Minimum Data Set for Home Care (MDS-HC). It was found that falls and fear of falling at baseline were not independent predictors of respectively developing a fear of falling and becoming a faller, but that age was a common independent predictor for falls and the onset of fear of falling. Individuals with a fear of falling were at risk of both falling and a fear of doing so within 12 months. The good news is that no vicious circle of falls and the fear was found; and that modifiable risk factors, including IADL (instrumental activity of daily living) limitations, environmental hazards and fear of falling were identified, so that effective prevention programmes for falls and fear of falling can be designed. (KJ/RH). |
| Accession Number | CPA-070305201 A |
| Classmark | OLF: CA3: ENP: LF: L5: 3J: 7DR |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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