Factors Affecting Falls in The Elderly in Huiyae Sup-District Nongbuarawae District Chaiyaphum Province

Abstract

Falls are a major problem among older adults. This cross-sectional study aimed to investigate the factors associated with falls in older adults in Huai Yae Sub-district, Nongbua Rahewe District, Chaiyaphum Province. A sample of 274 people was collected using questionnaires and data were analyzed using descriptive statistics and multiple logistic regression.

The results showed a prevalence of falls in older adults of 35.0% (95% CI: 29.4, 41.0). Most (79.2%) falls were first-time falls, and more than half (52.1%) were caused by tripping over oneself. These falls mostly occurred at home (66.7%). Analysis of the relationship between falls and other factors showed that having difficulty walking (OR_(Adjusted)= 2.85; 95% CI: 1.48, 5.47), having cognitive impairment (OR_(Adjusted) = 1.91; 95% CI: 1.001, 3.65), and wearing inappropriate shoes (OR_(Adjusted) = 3.44; 95% CI: 1.21, 9.80) increased the risk of falls in older adults. On the other hand, poor vision (OR_(Adjusted) = 0.54; 95% CI: 0.27, 1.09), the absence of handrails in the bathroom (OR_(Adjusted) = 0.15; 95% CI: 0.03, 0.71), and the use of slippery carpets that are not attached to the floor (OR = 0.16; 95% CI: 0.06, 0.41) or non-slip mats (OR_(Adjusted) = 0.05; 95% CI: 0.004, 0.58) did not increase the risk of falls, but rather increased caution against such risks.

Falls in older adults are still a worrying problem. Understanding the causes and prevention can help reduce the risk. Promoting muscle strength, adapting the environment, and having regular health checks for older adults may be appropriate ways to address this issue.