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dc.contributor.authorLi, Wenjun
dc.contributor.authorKeegan, Theresa H. M.
dc.contributor.authorSternfeld, Barbara
dc.contributor.authorSidney, Stephen
dc.contributor.authorQuesenberry, Charles P.
dc.contributor.authorKelsey, Jennifer L.
dc.date2022-08-11T08:10:21.000
dc.date.accessioned2022-08-23T17:05:31Z
dc.date.available2022-08-23T17:05:31Z
dc.date.issued2006-07-01
dc.date.submitted2014-06-03
dc.identifier.citationLi W, Keegan TH, Sternfeld B, Sidney S, Quesenberry CP Jr, Kelsey JL. Outdoor falls among middle-aged and older adults: a neglected public health problem. Am J Public Health. 2006 Jul;96(7):1192-200. <a href="http://dx.doi.org/10.2105/AJPH.2005.083055">Link to article on publisher's site</a>
dc.identifier.issn0090-0036 (Linking)
dc.identifier.doi10.2105/AJPH.2005.083055
dc.identifier.pmid16735616
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44874
dc.description.abstractOBJECTIVES: Although risk factors for indoor falls among older individuals have been well studied, little is known about the etiology of outdoor falls. We examined risk factors for outdoor falls among middle-aged and older adults. METHODS: We analyzed data on the most recent fall during the past year among participants aged 45 years and older in the control group (N=2193) of a case-control study of fractures. The study was conducted at 5 Northern California Kaiser Permanente Medical Centers between 1996 and 2001. RESULTS: Falls occurred outdoors more often than indoors among most age groups. Study participants who reported more leisure-time physical activity had a higher risk for outdoor falls, and participants who were in poorer health had a greater risk for indoor falls. Most outdoor falls (73%) were precipitated by environmental factors, such as uneven surfaces and tripping or slipping on objects, and usually occurred on sidewalks, curbs, and streets. Walking (47.3%) was the most common fall-related activity. CONCLUSIONS: Outdoor falls among adults aged 45 years and older were frequently attributable to modifiable environmental factors. With the widespread promotion of active lifestyles among older people, improvements in their outdoor environment are urgently needed.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=16735616&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC1483851/pdf/0961192.pdf
dc.subjectAccidental Falls
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCalifornia
dc.subjectCase-Control Studies
dc.subject*Environment Design
dc.subjectFemale
dc.subjectHealth Maintenance Organizations
dc.subject*Health Status
dc.subjectHumans
dc.subjectInterviews as Topic
dc.subjectLeisure Activities
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectQuestionnaires
dc.subject*Risk Assessment
dc.subjectRisk Factors
dc.subjectWalking
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleOutdoor falls among middle-aged and older adults: a neglected public health problem
dc.typeJournal Article
dc.source.journaltitleAmerican journal of public health
dc.source.volume96
dc.source.issue7
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/296
dc.identifier.contextkey5647124
html.description.abstract<p>OBJECTIVES: Although risk factors for indoor falls among older individuals have been well studied, little is known about the etiology of outdoor falls. We examined risk factors for outdoor falls among middle-aged and older adults.</p> <p>METHODS: We analyzed data on the most recent fall during the past year among participants aged 45 years and older in the control group (N=2193) of a case-control study of fractures. The study was conducted at 5 Northern California Kaiser Permanente Medical Centers between 1996 and 2001.</p> <p>RESULTS: Falls occurred outdoors more often than indoors among most age groups. Study participants who reported more leisure-time physical activity had a higher risk for outdoor falls, and participants who were in poorer health had a greater risk for indoor falls. Most outdoor falls (73%) were precipitated by environmental factors, such as uneven surfaces and tripping or slipping on objects, and usually occurred on sidewalks, curbs, and streets. Walking (47.3%) was the most common fall-related activity.</p> <p>CONCLUSIONS: Outdoor falls among adults aged 45 years and older were frequently attributable to modifiable environmental factors. With the widespread promotion of active lifestyles among older people, improvements in their outdoor environment are urgently needed.</p>
dc.identifier.submissionpathprevbeh_pp/296
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages1192-200


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