Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria
Abstract Background Restriction in physical activity (PA) and social participation restriction (PR) can be heightened in the presence of fear of fall (FOF), fall experience, and perceived unsafe neighborhood, particularly among older adults. Despite the enormous benefits of social participation and...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04059-x |
| _version_ | 1797806540348981248 |
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| author | Christopher Olusanjo Akosile Nnaemeka Pascal Ngwu Uchenna Prosper Okonkwo Ifeoma Uchenna Onwuakagba Emmanuel Chiebuka Okoye |
| author_facet | Christopher Olusanjo Akosile Nnaemeka Pascal Ngwu Uchenna Prosper Okonkwo Ifeoma Uchenna Onwuakagba Emmanuel Chiebuka Okoye |
| author_sort | Christopher Olusanjo Akosile |
| collection | DOAJ |
| description | Abstract Background Restriction in physical activity (PA) and social participation restriction (PR) can be heightened in the presence of fear of fall (FOF), fall experience, and perceived unsafe neighborhood, particularly among older adults. Despite the enormous benefits of social participation and physical activity, many older adults remain vulnerable to participation restriction and this probably accounts for a significant proportion of health challenges for older adults. Objective This study investigated the relationship between neighborhood safety (NS), fall indices, physical activity, and social participation restriction among older adults from selected communities in Nsukka, Enugu state, Nigeria. Methods This was a cross-sectional survey of 170 recruited via consecutive non-probability sampling techniques. Socio-demographic variables, co-morbidities, and fall prevalence were obtained using a self-administered questionnaire. The study instruments include the PA neighborhood environment scale – Nigeria (PANES-N), PA scale for elderly (PASE), Participation scale (PS), Modified fall efficacy scale (MFES), and Fall risk assessment tool (FRAT) and fall indices. Statistical analysis Descriptive statistics of mean and standard deviations, frequency counts, and percentages were used to analyze the socio-demographic variables, and Inferential statistics of Spearman rank order correlation were used to determine the relationship among the neighborhood safety, fall indices, physical activity level, and participation restrictions. Results PR has a negative relationship with NS (r = -0.19, p- 0.01), and fall efficacy (r = -0.52, p- 0.001). However, PR has a positive relationship with fall risk (r = 0.36, p = 0.001). Conclusion Participation restriction is negatively correlated with neighborhood safety, fall efficacy, and PA. The PR has a positive relationship with fall risk (FR). |
| first_indexed | 2024-03-13T06:08:48Z |
| format | Article |
| id | doaj.art-cc292fc3180746ebbe2df99e0b314111 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-13T06:08:48Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-cc292fc3180746ebbe2df99e0b3141112023-06-11T11:24:52ZengBMCBMC Geriatrics1471-23182023-06-012311910.1186/s12877-023-04059-xNeighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, NigeriaChristopher Olusanjo Akosile0Nnaemeka Pascal Ngwu1Uchenna Prosper Okonkwo2Ifeoma Uchenna Onwuakagba3Emmanuel Chiebuka Okoye4Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Nnamdi Azikiwe UniversityDepartment of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Nnamdi Azikiwe UniversityDepartment of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Nnamdi Azikiwe UniversityDepartment of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Nnamdi Azikiwe UniversityDepartment of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Nnamdi Azikiwe UniversityAbstract Background Restriction in physical activity (PA) and social participation restriction (PR) can be heightened in the presence of fear of fall (FOF), fall experience, and perceived unsafe neighborhood, particularly among older adults. Despite the enormous benefits of social participation and physical activity, many older adults remain vulnerable to participation restriction and this probably accounts for a significant proportion of health challenges for older adults. Objective This study investigated the relationship between neighborhood safety (NS), fall indices, physical activity, and social participation restriction among older adults from selected communities in Nsukka, Enugu state, Nigeria. Methods This was a cross-sectional survey of 170 recruited via consecutive non-probability sampling techniques. Socio-demographic variables, co-morbidities, and fall prevalence were obtained using a self-administered questionnaire. The study instruments include the PA neighborhood environment scale – Nigeria (PANES-N), PA scale for elderly (PASE), Participation scale (PS), Modified fall efficacy scale (MFES), and Fall risk assessment tool (FRAT) and fall indices. Statistical analysis Descriptive statistics of mean and standard deviations, frequency counts, and percentages were used to analyze the socio-demographic variables, and Inferential statistics of Spearman rank order correlation were used to determine the relationship among the neighborhood safety, fall indices, physical activity level, and participation restrictions. Results PR has a negative relationship with NS (r = -0.19, p- 0.01), and fall efficacy (r = -0.52, p- 0.001). However, PR has a positive relationship with fall risk (r = 0.36, p = 0.001). Conclusion Participation restriction is negatively correlated with neighborhood safety, fall efficacy, and PA. The PR has a positive relationship with fall risk (FR).https://doi.org/10.1186/s12877-023-04059-xNeighborhood safetyPhysical activitySocial participation restrictionOlder adultsFall prevalenceFall efficacy |
| spellingShingle | Christopher Olusanjo Akosile Nnaemeka Pascal Ngwu Uchenna Prosper Okonkwo Ifeoma Uchenna Onwuakagba Emmanuel Chiebuka Okoye Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria BMC Geriatrics Neighborhood safety Physical activity Social participation restriction Older adults Fall prevalence Fall efficacy |
| title | Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria |
| title_full | Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria |
| title_fullStr | Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria |
| title_full_unstemmed | Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria |
| title_short | Neighborhood safety, fall indices, physical activity level and social participation restrictions from a population of community-dwelling older adults in Nsukka, Enugu State, Nigeria |
| title_sort | neighborhood safety fall indices physical activity level and social participation restrictions from a population of community dwelling older adults in nsukka enugu state nigeria |
| topic | Neighborhood safety Physical activity Social participation restriction Older adults Fall prevalence Fall efficacy |
| url | https://doi.org/10.1186/s12877-023-04059-x |
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