Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)

Background: Fear of falling (FoF) is a common issue among older people, impacting on psychological health, functional performance and mortality. Many factors associated with fear of falling have been investigated but little is known about the role of home hazards. Home hazards can be due to unsafe e...

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Main Authors: Muhammad Hibatullah Romli, Lynette Mackenzie, Meryl Lovarini, Lindy Clemson, Maw Pin Tan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2020.612599/full
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author Muhammad Hibatullah Romli
Muhammad Hibatullah Romli
Lynette Mackenzie
Meryl Lovarini
Lindy Clemson
Maw Pin Tan
Maw Pin Tan
author_facet Muhammad Hibatullah Romli
Muhammad Hibatullah Romli
Lynette Mackenzie
Meryl Lovarini
Lindy Clemson
Maw Pin Tan
Maw Pin Tan
author_sort Muhammad Hibatullah Romli
collection DOAJ
description Background: Fear of falling (FoF) is a common issue among older people, impacting on psychological health, functional performance and mortality. Many factors associated with fear of falling have been investigated but little is known about the role of home hazards. Home hazards can be due to unsafe environmental and functional features. This study is aims to evaluate the association between home hazards with fear of falling among community-dwelling individuals aged 55 years and over.Methods: Baseline data with 1,489 older individuals from the Malaysian Elders Longitudinal Research (MELoR) study were analyzed. Home visits for interview and observations in the home were conducted with the participants. FoF was established with a single-item question and home hazards with the Home Falls and Accidents Screening Tool (HOME FAST).Results: The majority (76.4%) of older participants experienced FoF. The history of falls was not associated with FoF (p = 0.868), but FoF was associated with participants limiting their daily activities (p < 0.001). Home hazards were less likely (p = 0.023) and functional issues were more likely (p < 0.001) to be associated with a high degree of FoF. However, both home hazards domains were not associated with activity restriction due to FoF.Conclusions: Education about home hazards from the perspective of person-environment interaction may encourage home hazards management and reduce FoF which should be evaluated in future studies.
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spelling doaj.art-9d11b25a5acf46149eb00211137075022022-12-21T22:26:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-01-01810.3389/fpubh.2020.612599612599Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)Muhammad Hibatullah Romli0Muhammad Hibatullah Romli1Lynette Mackenzie2Meryl Lovarini3Lindy Clemson4Maw Pin Tan5Maw Pin Tan6Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MalaysiaMalaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang, MalaysiaDiscipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, AustraliaDiscipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, AustraliaDiscipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, AustraliaDepartment of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Medical Sciences, Faculty of Healthcare and Medical Sciences, Sunway University, Petaling Jaya, MalaysiaBackground: Fear of falling (FoF) is a common issue among older people, impacting on psychological health, functional performance and mortality. Many factors associated with fear of falling have been investigated but little is known about the role of home hazards. Home hazards can be due to unsafe environmental and functional features. This study is aims to evaluate the association between home hazards with fear of falling among community-dwelling individuals aged 55 years and over.Methods: Baseline data with 1,489 older individuals from the Malaysian Elders Longitudinal Research (MELoR) study were analyzed. Home visits for interview and observations in the home were conducted with the participants. FoF was established with a single-item question and home hazards with the Home Falls and Accidents Screening Tool (HOME FAST).Results: The majority (76.4%) of older participants experienced FoF. The history of falls was not associated with FoF (p = 0.868), but FoF was associated with participants limiting their daily activities (p < 0.001). Home hazards were less likely (p = 0.023) and functional issues were more likely (p < 0.001) to be associated with a high degree of FoF. However, both home hazards domains were not associated with activity restriction due to FoF.Conclusions: Education about home hazards from the perspective of person-environment interaction may encourage home hazards management and reduce FoF which should be evaluated in future studies.https://www.frontiersin.org/articles/10.3389/fpubh.2020.612599/fullaccidental fallagedfear of falling (FOF)home safetyfall-related psychological concern
spellingShingle Muhammad Hibatullah Romli
Muhammad Hibatullah Romli
Lynette Mackenzie
Meryl Lovarini
Lindy Clemson
Maw Pin Tan
Maw Pin Tan
Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
Frontiers in Public Health
accidental fall
aged
fear of falling (FOF)
home safety
fall-related psychological concern
title Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
title_full Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
title_fullStr Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
title_full_unstemmed Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
title_short Home Hazards With Fear of Falling: Findings From the Baseline Study of the Malaysian Elders Longitudinal Research (MELoR)
title_sort home hazards with fear of falling findings from the baseline study of the malaysian elders longitudinal research melor
topic accidental fall
aged
fear of falling (FOF)
home safety
fall-related psychological concern
url https://www.frontiersin.org/articles/10.3389/fpubh.2020.612599/full
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