Fear of falling and its predictors among community-living older adults in Korea

Abstract

Objectives: To explore the prevalence and predicting factors of fear of falling (FOF) among community-living older adults in Korea.

Methods: Secondary data analysis of the 2011 Korean National Elderly Living Conditions and Welfare Desire Survey was used. Logistic regression analysis was conducted to examine the predictors of FOF.

Results: In total, 75.6% of older adults with normal cognition have FOF. Factors associated with an increased risk of FOF in older adults are previous experience with falling (OR = 3.734, 95% CI = 2.996–4.655), limitations in the performance of exercise involving lower extremities (OR = 2.428, 95% CI = 2.063–2.858), being female (OR = 2.335, 95% CI = 2.023–2.694), having more than three chronic diseases (OR = 1.994, 95% CI = 1.625–2.446), limitations in instrumental activities of daily living (IADLs) (OR = 1.745, 95% CI = 1.230–2.477), limitations in the performance of exercise involving upper extremities (OR = 1.646, 95% CI = 1.357–1.997), living without a spouse (OR = 1.626, 95% CI = 1.357–1.948), having poor self-rated health (OR = 1.571, 95% CI = 1.356–1.821), limitations in muscle strength (OR = 1.455, 95% CI = 1.150–1.841), age (≥75 years) (OR = 1.320, 95% CI = 1.150–1.516), lower levels of education (0-6 years) (OR = 1.231, 95% CI = 1.075-1.409), and life satisfaction (OR = 1.104, 95% CI = 1.065–1.114).

Conclusion: A multidimensional construct of general characteristics, physical, and psychosocial variables act as risk factors for FOF. Preventive intervention should be developed to decrease the FOF among Korean older adults.

Keywords:

• fear of falling
• Korea
• older adults
• predictors