Research Article
Prevalence and Associated Risk Factors of Falls among Rural Community-Dwelling Older People: A Cross-Sectional Study from Southern Sri Lanka
Table 4
Comparison of risk factors between recurrent fallers and nonrecurrent fallers (n=300).
| Characteristic | Recurrent fallers n=29 | Nonrecurrent fallers n=271 | Significance (p-value) |
| Biological factors |
| Age | 65-74 years | 22 (75.9) | 78 (28.8) | < 0.001 | 75 years and above | 7 (24.1) | 193 (71.2) |
| Gender | Male | 9 (31.0) | 116 (42.8) | 0.22 | Female | 20 (69.0) | 155 (57.2) |
| Presence of at least one chronic medical condition | 27 (93.1) | 156 (57.6) | < 0.001 |
| Presence of more than one chronic medical condition | 18 (62.1) | 68 (25.1) | < 0.001 |
| Presence of more than two chronic medical conditions | 9 (31.0) | 14 (5.2) | < 0.001 |
| Diabetes Mellitus | 13 (44.8) | 44 (16.2) | < 0.001 |
| Cardiac diseases | 9 (31.0) | 25 (9.2) | < 0.001 |
| Hypertension | 21 (72.4) | 103 (38.0) | < 0.001 |
| Hyperlipidemia | 1 (3.4) | 21 (7.7) | 0.39 |
| Vertigo/Dizziness | 4 (13.8) | 7 (2.6) | 0.002 |
| Arthritis | 2 (6.9) | 22 (8.1) | 0.81 |
| Chronic pulmonary disease | 4 (13.8) | 13 (4.8) | 0.04 |
| Epilepsy | 1 (3.4) | 5 (1.8) | 0.55 |
| Vision impairment affecting day-to-day activities | 27 (93.1) | 203(74.9) | 0.02 |
| Balance/gait problems or foot abnormality | 26 (89.7) | 83 (30.6) | < 0.001 |
| Problem with sleep such as insomnia | 22 (75.9) | 122 (45.0) | 0.002 |
| Behavioral factors |
| Usage of at least one long term medication | 22 (75.9) | 117 (43.2) | 0.001 |
| Usage of more than one long term medication | 14 (48.3) | 48 (17.7) | < 0.001 |
| Usage of more than two long term medication | 6 (20.7) | 11 (4.1) | < 0.001 |
| Antihypertensive drugs | 18(62.1) | 91 (33.6) | 0.002 |
| Oral hypoglycemic drugs | 12 (41.4) | 37 (13.7) | < 0.001 |
| Cardiac/lipid lowering drugs | 10 (34.5) | 35 (12.9) | 0.002 |
| Steroids | 3 (10.3) | 13 (4.8) | 0.20 |
| Consumption of alcohol | 3 (10.3) | 68 (25.1) | 0.07 |
| Smoking | 2 (6.9) | 35 (12.9) | 0.34 |
| Time duration of exposure to sunlight per day | ≤ 3 hours | 27 (93.1) | 131 (48.3) | < 0.001 | >3 hours | 2 (6.9) | 140 (51.7) |
| Nutritional status | Satisfactory | 13 (44.8) | 93 (34.3) | 0.26 | Unsatisfactory | 16 (55.2) | 178 (65.7) |
| Usage of walking aids | 15 (51.7) | 16 (5.9) | < 0.001 |
| Use of spectacles | 15 (51.7) | 129 (47.6) | 0.67 |
| Environmental factors |
| Floor material | Cement/tile | 28 (96.6) | 259 (95.6) | 0.80 | Other | 1 (3.4) | 12 (4.4) |
| Light source of the house | Electricity | 28 (96.6) | 262 (96.7) | 0.97 | Other | 1 (3.4) | 9 (3.3) |
| Water source | Inside home | 22 (75.9) | 234 (86.3) | 0.12 | Outside home | 7 (24.1) | 37 (13.7) |
| Socioeconomic factors |
| Level of education | Grade 5 or below | 17 (58.6) | 99 (36.5) | 0.02 | Beyond grade 5 | 12 (41.4) | 172 (63.5) |
| Living arrangement | With spouse or children | 27 (93.1) | 241 (88.9) | 0.48 | Alone | 2 ( 6.9) | 30 (11.1) |
| Monthly income (Sri Lankan Rupees) | < 20000 | 28 (96.6) | 253 (93.4) | 0.50 | 20000 or more | 1 ( 3.4) | 18 (6.6) |
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