The bidirectional relationship between homebound status and falls among older adults: a longitudinal study
Abstract Background Previous research has shown an association between homebound status and falls among older adults. However, this association was primarily drawn from cross-sectional studies. This study aimed to determine the bidirectional relationship between homebound status and falls among olde...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03588-1 |
| _version_ | 1811311038141825024 |
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| author | Minhui Liu Wenting Peng Christina E. Miyawaki Cen Mo Yuqian Luo Ni Gong |
| author_facet | Minhui Liu Wenting Peng Christina E. Miyawaki Cen Mo Yuqian Luo Ni Gong |
| author_sort | Minhui Liu |
| collection | DOAJ |
| description | Abstract Background Previous research has shown an association between homebound status and falls among older adults. However, this association was primarily drawn from cross-sectional studies. This study aimed to determine the bidirectional relationship between homebound status and falls among older adults in the community. Methods We used data of the community-dwelling older adults from 2011 to 2015 of the National Health and Aging Trends Study, a nationally representative survey of Medicare Beneficiaries in the United States (Sample 1 [No falls at baseline]: N = 2,512; Sample 2 [Non-homebound at baseline]: N = 2,916). Homebound status was determined by the frequency, difficulty, and needing help for outdoor mobility. Falls were ascertained by asking participants whether they had a fall in the last year. Generalized estimation equation models were used to examine the bidirectional association between homebound status and falls longitudinally. Results Participants with no falls at baseline (n = 2,512) were on average, 76.8 years old, non-Hispanic whites (70.1%), and female (57.1%). After adjusting for demographics and health-related variables, prior year homebound status significantly contributed to falls in the following year (Odds ratio [OR], 1.28, 95% CI: 1.09–1.51). Participants who were non-homebound at baseline (n = 2,916) were on average, 75.7 years old, non-Hispanic white (74.8%), and female (55.8%). Previous falls significantly predicted later homebound status (OR, 1.26, 95% CI: 1.10–1.45) in the full adjusted model. Conclusion This is the first longitudinal study to determine the bidirectional association between homebound status and falls. Homebound status and falls form a vicious circle and mutually reinforce each other over time. Our findings suggest the importance of developing programs and community activities that reduce falls and improve homebound status among older adults. |
| first_indexed | 2024-04-13T10:10:40Z |
| format | Article |
| id | doaj.art-5febc3c99c8c46daa66a123a1198015b |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-13T10:10:40Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-5febc3c99c8c46daa66a123a1198015b2022-12-22T02:50:55ZengBMCBMC Geriatrics1471-23182022-12-0122111010.1186/s12877-022-03588-1The bidirectional relationship between homebound status and falls among older adults: a longitudinal studyMinhui Liu0Wenting Peng1Christina E. Miyawaki2Cen Mo3Yuqian Luo4Ni Gong5Xiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityGraduate College of Social Work, University of HoustonXiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityThe Third Xiangya Hospital of Central South UniversityAbstract Background Previous research has shown an association between homebound status and falls among older adults. However, this association was primarily drawn from cross-sectional studies. This study aimed to determine the bidirectional relationship between homebound status and falls among older adults in the community. Methods We used data of the community-dwelling older adults from 2011 to 2015 of the National Health and Aging Trends Study, a nationally representative survey of Medicare Beneficiaries in the United States (Sample 1 [No falls at baseline]: N = 2,512; Sample 2 [Non-homebound at baseline]: N = 2,916). Homebound status was determined by the frequency, difficulty, and needing help for outdoor mobility. Falls were ascertained by asking participants whether they had a fall in the last year. Generalized estimation equation models were used to examine the bidirectional association between homebound status and falls longitudinally. Results Participants with no falls at baseline (n = 2,512) were on average, 76.8 years old, non-Hispanic whites (70.1%), and female (57.1%). After adjusting for demographics and health-related variables, prior year homebound status significantly contributed to falls in the following year (Odds ratio [OR], 1.28, 95% CI: 1.09–1.51). Participants who were non-homebound at baseline (n = 2,916) were on average, 75.7 years old, non-Hispanic white (74.8%), and female (55.8%). Previous falls significantly predicted later homebound status (OR, 1.26, 95% CI: 1.10–1.45) in the full adjusted model. Conclusion This is the first longitudinal study to determine the bidirectional association between homebound status and falls. Homebound status and falls form a vicious circle and mutually reinforce each other over time. Our findings suggest the importance of developing programs and community activities that reduce falls and improve homebound status among older adults.https://doi.org/10.1186/s12877-022-03588-1Bidirectional associationCommunity-dwellingFallsHomebound statusOlder adults |
| spellingShingle | Minhui Liu Wenting Peng Christina E. Miyawaki Cen Mo Yuqian Luo Ni Gong The bidirectional relationship between homebound status and falls among older adults: a longitudinal study BMC Geriatrics Bidirectional association Community-dwelling Falls Homebound status Older adults |
| title | The bidirectional relationship between homebound status and falls among older adults: a longitudinal study |
| title_full | The bidirectional relationship between homebound status and falls among older adults: a longitudinal study |
| title_fullStr | The bidirectional relationship between homebound status and falls among older adults: a longitudinal study |
| title_full_unstemmed | The bidirectional relationship between homebound status and falls among older adults: a longitudinal study |
| title_short | The bidirectional relationship between homebound status and falls among older adults: a longitudinal study |
| title_sort | bidirectional relationship between homebound status and falls among older adults a longitudinal study |
| topic | Bidirectional association Community-dwelling Falls Homebound status Older adults |
| url | https://doi.org/10.1186/s12877-022-03588-1 |
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