Neighborhood Factors and Fall-Related Injuries among Older Adults Seen by Emergency Medical Service Providers

Sungmin Lee, Chanam Lee and Susan Rodiek
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Sungmin Lee: Department of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX 77843, USA
Chanam Lee: Department of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX 77843, USA
Susan Rodiek: Department of Architecture, College of Architecture, Texas A&M University, College Station, TX 77843, USA

IJERPH, 2017, vol. 14, issue 2, 1-13

Abstract: Falls are serious health problems among older adults, and are the leading cause of fatal and nonfatal injuries treated by emergency medical services (EMS). Although considerable research has examined the risk factors of falls at the individual level, relatively few studies have addressed the risk factors at the neighborhood level. This study examines the characteristics of neighborhood environments associated with fall injuries reported to EMS providers. A total of 13,163 EMS records from 2011 to 2014 involving adults aged 65 and older in the city of San Antonio (TX, USA) were analyzed at the census tract level (n = 264). Negative binomial regression was used to identify significant census tract-based neighborhood environmental variables associated with the count of fall injuries in each census tract. Adjusting for exposure variable and the size of the census tract, neighborhoods with higher residential stability, captured as the percent of those who lived in the same house as the previous year were associated with decreased count of fall injuries. Neighborhoods with higher residential density and having a higher vacancy rate were associated with increased count of fall injuries. The study highlights the importance of stable and safe neighborhoods in reducing fall risks among older adults, which should be considered a prerequisite for promoting age-friendly environments.

Keywords: fall injuries; older adults; aging; elderly; environmental risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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