Perceived neighbourhood environment and falls among community-dwelling adults: cross-sectional and prospective findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).

IF 3.7 2区社会学 Q1 GERONTOLOGY

European Journal of Ageing Pub Date : 2022-12-01 DOI:10.1007/s10433-022-00685-3

Giulia Ogliari, Jesper Ryg, Karen Andersen-Ranberg, Lasse Lybecker Scheel-Hincke, Tahir Masud

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Abstract

We investigated the association between perceived neighbourhood characteristics and falls in community-dwelling adults, using data from Wave 5 and 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE). We included 25,467 participants aged 50 to 103 years (mean age 66.2 ± 9.6, 58.5% women), from fourteen European countries (Austria, Belgium, Czech Republic, Denmark, Estonia, France, Germany, Israel, Italy, Luxembourg, Slovenia, Spain, Sweden, Switzerland). At baseline, we recorded individual-level factors (socio-demographic, socio-economic and clinical factors), contextual-level factors (country, urban versus rural area, European region) and perceived neighbourhood characteristics (vandalism or crime, cleanliness, feeling part of neighbourhood, helpful neighbours, accessibility to services) for each participant. We recorded falls in the six months prior to the baseline and 2-year follow-up interviews. The associations between neighbourhood characteristics and falls were analysed by binary logistic regression models; odds ratios (95% confidence intervals) were calculated. Participants reporting-versus not reporting-vandalism or crime had an increased falls risk of 1.16 (1.02-1.31) at follow-up, after full adjustment; lack of cleanliness, feeling part of the neighbourhood, perceiving neighbours as helpful and difficult accessibility to services were not associated with falls. Vandalism or crime was consistently associated with increased falls risks in women, adults without functional impairment and urban areas residents. In conclusion, adverse neighbourhood environments may account for inequality in falls risk among middle-aged and older adults and could be added to fall risk stratification tools.

Supplementary information: The online version contains supplementary material available at 10.1007/s10433-022-00685-3.

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在社区居住的成年人中感知到的邻里环境和跌倒:来自欧洲健康、老龄化和退休调查(SHARE)的横断面和前瞻性发现。

我们使用欧洲健康、老龄化和退休调查(SHARE)第5和第6波的数据，调查了社区居住成年人感知到的邻里特征与跌倒之间的关系。我们纳入了来自14个欧洲国家(奥地利、比利时、捷克共和国、丹麦、爱沙尼亚、法国、德国、以色列、意大利、卢森堡、斯洛文尼亚、西班牙、瑞典、瑞士)的25,467名年龄在50至103岁之间的参与者(平均年龄66.2±9.6,58.5%为女性)。在基线，我们为每个参与者记录了个人层面的因素(社会人口，社会经济和临床因素)，背景层面的因素(国家，城市与农村地区，欧洲地区)和感知的邻里特征(破坏或犯罪，清洁度，邻里的一部分，乐于助人的邻居，服务的可及性)。我们在基线前6个月和2年的随访中记录了下降。采用二元logistic回归模型分析社区特征与跌倒之间的关系;计算比值比(95%置信区间)。在完全调整后的随访中，报告破坏或犯罪行为的参与者与未报告的参与者相比，跌倒风险增加了1.16 (1.02-1.31);缺乏清洁、感觉自己是社区的一部分、认为邻居乐于助人、难以获得服务与跌倒无关。在女性、无功能障碍的成年人和城市居民中，故意破坏或犯罪行为一直与跌倒风险增加有关。总之，不利的邻里环境可能是造成中老年人跌倒风险不平等的原因，可以添加到跌倒风险分层工具中。补充信息:在线版本包含补充资料，可在10.1007/s10433-022-00685-3获得。

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来源期刊

European Journal of Ageing GERONTOLOGY-

CiteScore

6.50

自引率

7.90%

发文量

期刊介绍： The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.