The moderating role of social factors in the relationship between an incident of fall and depressive symptoms: a study with a national sample of older adults in South Korea

Rhee, Min‐Kyoung; Jang, Yuri; Kim, Soo Young; chang, sujie

doi:10.1080/13607863.2020.1758911

Cited by 7 publications

(4 citation statements)

References 41 publications

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“…More concerning is that the incidence of falls in adults over the age of 80 years is as high as 50% [ 2 ]. Falls can result in physical consequences, such as traumatic brain injuries, hip fractures, spine injuries, bruises, and so on [ 3 , 4 ], and might further develop into depressive symptoms [ 5 ]. Those consequences may not only affect people’s functional status and quality of life but also bring high financial and medical expenses to families and a heavy burden on the societal public health system [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis

Jiang,

Yuan,

Tee

et al. 2024

International Journal of Nursing Sciences

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Section: Introductionmentioning

confidence: 99%

Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis

Jiang,

Yuan,

Tee

et al. 2024

International Journal of Nursing Sciences

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“…In particular, research has linked poor social engagement, lack of social support, and poor neighborhood social context to greater risk of and poorer recovery from falls (Kannus et al, 1999; Lo et al, 2016; Lohman et al, 2019; Nicklett et al, 2017; Petersen et al, 2020; Pohl et al, 2018; Trevisan et al, 2019). These factors may impact falls and fall injury risk in a variety of ways, such as by promoting or discouraging engagement in healthy fall-preventing behaviors like exercise, by determining presence of or ability to alter environmental hazards, by providing support for recovering from falls, or by otherwise interacting with physical and environmental determinants of falls (Rhee et al, 2021; Schott & Tietjens, 2019). These factors may also interact with psychological risk factors, such as when depression and social isolation synergistically increase fear-of-falling, which in turn is a strong predictor of fall risk (Boyd & Stevens, 2009; Gillespie & Friedman, 2007; Vo et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Social Mediators of the Association Between Depression and Falls Among Older Adults

et al. 2023

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Objectives To investigate the role of social factors in the association between depression and falls among older adults. Methods The sample included data from 3443 older adults from three waves of the Health and Retirement Study (2010–2014). A Lifestyle Questionnaire was used to measure social engagement, social network contact, and neighborhood social context. Mediating effects of social factors were estimated through causal mediation analysis. Results: Poorer social engagement and network contact were associated with greater likelihood of falls, while poorer neighborhood context was associated with greater likelihood of fall injuries. Social engagement mediated a significant portion of the effect of depression on falls (OR: 1.03, 95% CI: 1.00, 1.06), and neighborhood context mediated a portion of the effect of depression on fall injuries (OR: 1.03, 95% CI: 1.00, 1.07). Discussion: The direct and indirect impacts of social factors suggest that considering them may help improve existing fall prevention approaches.

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“…3 The mortality rate from falls is the highest among older adults. 4 Falls and fall-related injuries constitute a critical and raising public health problem, as evidenced from the Centers for Disease Control and Prevention national initiative, Stopping Elderly Accidents, Deaths and Injuries (STEADI). 5 Falls are the most common cause of fatal and non-fatal injuries among older adults.…”

Section: Introductionmentioning

confidence: 99%

The mortality trends of falls among the elderly adults in the mainland of China, 2013—2020: A population-based study through the National Disease Surveillance Points system

Zhang

Zuo

et al. 2022

The Lancet Regional Health - Western Pacific

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Background Fall in elderly is a major public health problem. Characterizing trends in fall mortality in different subpopulations could help identifying the needs and developing preventive program for target groups. Here we evaluated the trends of fall-related deaths in Chinese mainland among adults aged ≥60 years specific in sex, age, and provinces, to measure the change in this mortality rate between 2013 and 2020, and to explore the underlying factors influencing this change.Methods Mortality data were retrieved from the National Disease Surveillance Points system(DSPs) of China, a national-level and provincial-level representative data source, to estimate the impact of elderly falls on mortality in the mainland of China and the specific provinces from 2013 to 2020. The joinpoint regression model was used to estimate the temporal trend of mortality in elderly fallen by calculating the annual percentage change (APC).Findings The age-standardized falls mortality was 10¢438 per 100 000 in 2020. The age-standardized mortality of elderly falls in total and female showed a steady increasing trend (APC=1¢96%, p = 0¢023 total; APC=3¢42%, p = 0¢003 female), with it was stable in males (APC=1.26%, p>0¢05). Fall mortality among the elderly was more common in people over 70 years of age and increased sharply. The death rates and APCs were highest among the oldest age groups(aged≥85 years). The higher fall mortality was mainly focused in the southeast and central regions, and lower rates were in the northeast provinces and Tibet.Interpretation Since 2013, the overall fall-related mortality trend among individuals aged ≥60 years has been consistently increasing in China, making it most critical public health challenge. Adherence interventions and increased social support for those at most risk should be considered.

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The moderating role of social factors in the relationship between an incident of fall and depressive symptoms: a study with a national sample of older adults in South Korea

Cited by 7 publications

References 41 publications

Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis

Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis

Social Mediators of the Association Between Depression and Falls Among Older Adults

The mortality trends of falls among the elderly adults in the mainland of China, 2013—2020: A population-based study through the National Disease Surveillance Points system

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