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Article

Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis

by 1,†, 1,† and 2,*
1
College of Nursing, Korea University, Anam-dong, Seongbuk-Gu, Seoul 02841, Korea
2
Department of Hematology and Oncology, Gangneung Asan Hospital, University of Ulsan College of Medicine, 38 Bangdong-gil, Sacheon-myeon, Gangneung-si, Gangwon-do 25440, Korea
*
Author to whom correspondence should be addressed.
These authors equally contributed on this work.
Int. J. Environ. Res. Public Health 2020, 17(3), 1098; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031098
Received: 8 December 2019 / Revised: 5 February 2020 / Accepted: 7 February 2020 / Published: 9 February 2020
(This article belongs to the Section Public Health Statistics and Risk Assessment)
As the population ages, falls are becoming one of the leading causes of morbidity and mortality. Joint disease (either osteoarthritis or rheumatoid arthritis) is a well-known predictor of falls, and these medical conditions increase in accordance with the aging population. This study aimed to describe individual, physical, and psychological characteristics between older adults with and without a fall history. Further, we aimed to identify statistically significant physical or psychological factors associated with falls by controlling individual variables. We analyzed data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Adults aged 65 years or over with doctor-diagnosed joint disease were eligible. A total of 2707 women and 784 men (n = 3491) were enrolled. Of these, 1174 patients suffered a fall within a year (average number of falls = 2.4). We adopted individual variable-adjusted models and found that limited activities of daily living (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.04–1.87), fear of falling (OR 7.18, 95% CI 4.26–12.09), and depression (OR 1.28, 95% CI 1.09–1.50) significantly increased fall risks on logistic regression analysis. Our findings suggest that physical and psychological factors, especially the fear of falling, need to be addressed to prevent falls in elderly patients with arthritis. View Full-Text
Keywords: fall; arthritis; older adults; public health fall; arthritis; older adults; public health
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MDPI and ACS Style

Byun, M.; Kim, J.; Kim, M. Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis. Int. J. Environ. Res. Public Health 2020, 17, 1098. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031098

AMA Style

Byun M, Kim J, Kim M. Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis. International Journal of Environmental Research and Public Health. 2020; 17(3):1098. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031098

Chicago/Turabian Style

Byun, Mikyong, Jiyeon Kim, and Moonho Kim. 2020. "Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis" International Journal of Environmental Research and Public Health 17, no. 3: 1098. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031098

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