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Falling hearts imvironment1/30/2024 ![]() ![]() Men tend to underreport their challenges related to falling and report higher self-efficacy related to falls, compared to women. In addition, perceptions about falling may be different by gender. Other gender differences in risk factors for falling include sleep deprivation, diabetes, and vitamin D deficiency. For example, women reported poor self-rated health conditions, vision impairment, and deterioration in muscle and bone mass, which makes females more vulnerable to risks of falling. These gender disparities in fall are known to be associated with differences in a wide range of health, behavioral, and psychosocial factors. The majority of studies reported higher rates of falling in women than men. In terms of individual risk factors for falls, gender is frequently reported as a risk factor of falling. These individual and environmental factors are known to be independently associated with the occurrence of falls. Environmental factors refer to all attributes that are external to the human host, which include slippery or uneven surface, obstacles, stairs, abrupt vertical transitions, and weather condition. For example, older adults who have functional limitations, muscle weakness, comorbidities, anxiety, and lack of physical activity tend to be exposed to the risk of falling. Individual factors for risk of falling include sociodemographic, health, and behavioral characteristics. įalls among older adults are a result of complex factors, involving individual and environmental circumstances. Injuries from falls were shown to result in various individual health and behavior outcomes, including functional decline, loss of independence, fear of falling, and social isolation. Among those who fall, one-third suffer serious injury, including hip fractures and traumatic brain injury that may require hospitalization. Approximately one-fourth of community-dwelling adults aged 65 years or older in the United States experience falls each year. Our findings suggest that gender-tailored prevention programs to increase awareness of the environmental hazards and gender-specific environmental interventions are needed to help prevent falls.įalls among older adults have received considerable attention as a major public health concern in the United States. Significant gender differences exist in the association of falls with indoor and outdoor environmental hazards among older men and women. ![]() The interaction plot indicated that the presence of outdoor environmental hazards increased the risks of falling in men but not in women. We also found a significant interaction term between outdoor environmental hazards and gender (OR = 0.65, 95% CI = 0.47–0.90). Gender-specific analyses showed that women with the presence of indoor environmental hazards (OR = 1.37, 95% CI = 1.04.-1.79) had higher odds of falls, whereas for men, the presence of outdoor environmental hazards (OR = 1.34, 95% CI = 1.02–1.75) was associated with falls. In the model adjusted for sociodemographic, health, and behavioral conditions, there were gender differences in the association of falls with the presence of indoor and outdoor environmental hazards. ResultsĬompared to men, women had a higher prevalence of falls. We also tested for significant interactions with gender. A series of logistic regressions was used to identify the indoor and outdoor environmental hazards associated with falls stratified by gender after adjusting for sociodemographic, health, and behaviors. We used the 2011 National Health and Aging Trends Study (NHATS) for a cross-sectional analysis of 6680 community-dwelling adults aged ≥65 years in the United States. older adults using nationally representative data. This study examined the indoor and outdoor environmental risk factors for falls and compared the data for men and women among U.S. However, the gender differences in the associations of falls with indoor and outdoor environmental hazards are scarce. Hazardous environmental exposures are recognized risk factors for falls among older adults.
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