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Article: The temporal relationship between falls and fear-of-falling among Chinese older primary-care patients in Hong Kong

TitleThe temporal relationship between falls and fear-of-falling among Chinese older primary-care patients in Hong Kong
Authors
KeywordsChinese
Falls
Fear-Of-Falling
Primary Care
Issue Date2007
PublisherCambridge University Press. The Journal's web site is located at http://titles.cambridge.org/journals/journal_catalogue.asp?historylinks=ALPHA&mnemonic=ASO
Citation
Ageing And Society, 2007, v. 27 n. 2, p. 181-193 How to Cite?
AbstractAlthough the association between falls and fear-of-falling has been established by previous studies, the temporal ordering of the two is uncertain. Moreover, the common and unique risk factors that contribute to falls and to fear-of-falling have not been investigated in either primary health-care settings or Asian societies. The aims of this study were to examine the temporal sequencing of fear-of-falling and a fall, and to identify the risk factors associated with the two. A prospective cohort study with three six-month measurement waves was conducted in primary-care settings in Hong Kong. The sample was derived from the waiting list control group of a randomised clinical trial, and 321 respondents participated in the three waves. They were evaluated with the Minimum Data Set for Home Care. It was found that falls and fear-of-falling at baseline were not independent predictors of respectively developing a fear-of-falling and becoming a faller, but that age was a common independent predictor for falls and the onset of a fear-of-falling. Individuals with a fear-of-falling were at risk of both falling and a fear-of-falling at 12 months. The good news is that no vicious cycle of falls and fear-of-falling was found, and modifiable risk factors, including IADL limitations, environmental hazards, and fear-of-falling were identified, so that effective prevention programmes for falls and for fear-of-falling can be designed. © 2007 Cambridge University Press.
Persistent Identifierhttp://hdl.handle.net/10722/172147
ISSN
2015 Impact Factor: 1.827
2015 SCImago Journal Rankings: 0.870
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChou, KLen_US
dc.contributor.authorChi, Ien_US
dc.date.accessioned2012-10-30T06:20:23Z-
dc.date.available2012-10-30T06:20:23Z-
dc.date.issued2007en_US
dc.identifier.citationAgeing And Society, 2007, v. 27 n. 2, p. 181-193en_US
dc.identifier.issn0144-686Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/172147-
dc.description.abstractAlthough the association between falls and fear-of-falling has been established by previous studies, the temporal ordering of the two is uncertain. Moreover, the common and unique risk factors that contribute to falls and to fear-of-falling have not been investigated in either primary health-care settings or Asian societies. The aims of this study were to examine the temporal sequencing of fear-of-falling and a fall, and to identify the risk factors associated with the two. A prospective cohort study with three six-month measurement waves was conducted in primary-care settings in Hong Kong. The sample was derived from the waiting list control group of a randomised clinical trial, and 321 respondents participated in the three waves. They were evaluated with the Minimum Data Set for Home Care. It was found that falls and fear-of-falling at baseline were not independent predictors of respectively developing a fear-of-falling and becoming a faller, but that age was a common independent predictor for falls and the onset of a fear-of-falling. Individuals with a fear-of-falling were at risk of both falling and a fear-of-falling at 12 months. The good news is that no vicious cycle of falls and fear-of-falling was found, and modifiable risk factors, including IADL limitations, environmental hazards, and fear-of-falling were identified, so that effective prevention programmes for falls and for fear-of-falling can be designed. © 2007 Cambridge University Press.en_US
dc.languageengen_US
dc.publisherCambridge University Press. The Journal's web site is located at http://titles.cambridge.org/journals/journal_catalogue.asp?historylinks=ALPHA&mnemonic=ASOen_US
dc.relation.ispartofAgeing and Societyen_US
dc.subjectChineseen_US
dc.subjectFallsen_US
dc.subjectFear-Of-Fallingen_US
dc.subjectPrimary Careen_US
dc.titleThe temporal relationship between falls and fear-of-falling among Chinese older primary-care patients in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailChou, KL: klchou@hku.hken_US
dc.identifier.authorityChou, KL=rp00583en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1017/S0144686X06005393en_US
dc.identifier.scopuseid_2-s2.0-33847024556en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33847024556&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume27en_US
dc.identifier.issue2en_US
dc.identifier.spage181en_US
dc.identifier.epage193en_US
dc.identifier.isiWOS:000245382900002-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridChou, KL=7201905320en_US
dc.identifier.scopusauthoridChi, I=7005697907en_US

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