Research Article
Prevalence and Associated Risk Factors of Falls among Rural Community-Dwelling Older People: A Cross-Sectional Study from Southern Sri Lanka
Table 3
Comparison of risk factors between fallers and nonfallers (n=300).
| Characteristic | Fallers n=103 | Nonfallers n=197 | Significance (p value) |
| Biological factors |
| Age | 65-74 years | 60 (58.3) | 40 (20.3) | < 0.001 | 75 years and above | 43 (41.7) | 157 (79.7) |
| Gender | Male | 32 (31.1) | 93 (47.2) | 0.007 | Female | 71 (68.9) | 104 (52.8) |
| Presence of at least one chronic medical condition | 81 (78.6) | 102 (51.8) | < 0.001 |
| Presence of more than one chronic medical condition | 42 (40.8) | 44 (22.3) | 0.001 |
| Presence of more than two chronic medical conditions | 14 (13.6) | 9 (4.6) | 0.005 |
| Diabetes Mellitus | 31 (30.1) | 26 (13.2) | < 0.001 |
| Cardiac diseases | 20 (19.4) | 14 (7.1) | 0.001 |
| Hypertension | 56 (54.4) | 68 (34.5) | 0.001 |
| Hyperlipidemia | 7 ( 6.8) | 15 (7.6) | 0.79 |
| Vertigo/Dizziness | 7 ( 6.8) | 4 (2.0) | 0.04 |
| Arthritis | 9 ( 8.7) | 15 (7.6) | 0.73 |
| Chronic pulmonary diseases | 7 ( 6.8) | 10 (5.1) | 0.54 |
| Epilepsy | 1 ( 1.0) | 5 (2.5) | 0.35 |
| Vision impairment affecting day-to-day activities | 93 (90.3) | 137 (69.5) | < 0.001 |
| Balance/gait problem or foot abnormality | 68 (66.0) | 41 (20.8) | < 0.001 |
| Problem with sleep such as insomnia | 72 (69.9) | 72 (36.5) | < 0.001 |
| Behavioral factors |
| Usage of at least one long term medication | 64 (62.1) | 75 (38.1) | < 0.001 |
| Usage of more than one long term medication | 32 (31.1) | 30 (15.2) | 0.001 |
| Usage of more than two long term medications | 8 (7.8) | 9 ( 4.6) | 0.25 |
| Antihypertensive drugs | 46 (44.7) | 63 (32.0) | 0.03 |
| Oral hypoglycemic drugs | 28 (27.2) | 21 (10.7) | < 0.001 |
| Cardiac/lipid lowering drugs | 23 (22.3) | 22 (11.2) | 0.01 |
| Steroids | 8 ( 7.8) | 8 ( 4.1) | 0.17 |
| Consumption of alcohol | 18 (17.5) | 53 (26.9) | 0.06 |
| Smoking | 11 (10.7) | 26 (13.2) | 0.52 |
| Time duration of exposure to sunlight per day | ≤ 3 hours | 74 (71.8) | 84 (42.6) | < 0.001 | >3 hours | 29 (28.2) | 113 (57.4) |
| Nutritional status | Satisfactory | 47 (45.6) | 59 (29.9) | 0.007 | Unsatisfactory | 56 (54.4) | 138 (70.1) |
| Usage of walking aids | 25 (24.3) | 6 ( 3.0) | < 0.001 |
| Use of spectacles | 53 (51.5) | 91 (46.2) | 0.38 |
| Environmental factors |
| Floor material | Cement/tile | 92 (89.3) | 195 (99.0) | < 0.001 | Other | 11 (10.7) | 2 (1.0) |
| Light source of the house | Electricity | 95 (92.2) | 195 (99.0) | 0.002 | Other | 8 (7.8) | 2 (1.0) |
| Water source | Inside home | 78 (75.7) | 178 (90.4) | 0.001 | Outside home | 25 (24.3) | 19 (9.6) |
| Socioeconomic factors |
| Level of education | Grade 5 or below | 51 (49.5) | 65 (33.0) | 0.005 | Beyond grade 5 | 52 (50.5) | 132(67.0) |
| Living arrangement | With spouse or children | 90 (87.4) | 178 (90.4) | 0.42 | Alone | 13 (12.6) | 19 (9.6) |
| Monthly income (Sri Lankan Rupees) | < 20000 | 100(97.1) | 181 (91.9) | 0.07 | 20000 or more | 3 (2.9) | 16 (8.1) |
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