Biopsychosocial Predictors of Fall Events Among Older African Americans.

TitleBiopsychosocial Predictors of Fall Events Among Older African Americans.
Publication TypeJournal Article
Year of Publication2017
AuthorsNicklett, EJ, Taylor, RJoseph, Rostant, O, Johnson, KE, Evans, L
JournalResearch on Aging
Volume39
Issue4
Pagination501-525
Date Published04/2017
ISSN Number1552-7573
KeywordsFalls, Health Shocks, Older Adults, Racial/ethnic differences, Women and Minorities
Abstract

This study identifies risk and protective factors for falls among older, community-dwelling African Americans. Drawing upon the biopsychosocial perspective, we conducted a series of sex- and age-adjusted multinomial logistic regression analyses to identify the correlates of fall events among older African Americans. Our sample consisted of 1,442 community-dwelling African Americans aged 65 and older, participating in the 2010-2012 rounds of the Health and Retirement Study. Biophysical characteristics associated with greater relative risk of experiencing single and/or multiple falls included greater functional limitations, poorer self-rated health, poorer self-rated vision, chronic illnesses (high blood pressure, diabetes, cancer, lung disease, heart problems, stroke, and arthritis), greater chronic illness comorbidity, older age, and female sex. Physical activity was negatively associated with recurrent falls. Among the examined psychosocial characteristics, greater depressive symptoms were associated with greater relative risk of experiencing single and multiple fall events. Implications for clinicians and future studies are discussed.

DOI10.1177/0164027516651974
Alternate JournalRes Aging
Citation Key8962
PubMed ID28285579
PubMed Central IDPMC5351773
Grant ListP30 AG015281 / AG / NIA NIH HHS / United States