Ethnicity predicts falls among community‐dwelling older adults in Singapore

Chen, Tuo Yu; Tan, Pey June; Chan, Angelique

doi:10.1111/ggi.13143

Cited by 11 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of falls observed in our study was comparable to two recent studies conducted in Singapore (incident of falls: 14%, 18 age standardised rate for falls: 13.8% 30 ). In our pooled analysis, we observed older age, presence of pre-frailty and the presence of depression or feeling depressed/anxious to be associated with incident falls.…”

Section: Discussion/conclusionsupporting

confidence: 89%

“…Risk factors included participants’ sociodemographic characteristics (age, sex, ethnic group), polypharmacy, sensory function, alcohol intake, depression status, self-reported pain, loneliness status and frailty status at baseline. These risk factors were included as they have been reported in literature to increase an individual’s risk of falling 7 18–21…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study

Yip

Heng

et al. 2023

BMJ Open

View full text Add to dashboard Cite

ObjectivesOur study aimed to identify the risk factors of incident falls between men and women.DesignProspective cohort study.SettingThe study recruited participants from the Central region of Singapore. Baseline and follow-up data were collected via a face-to-face survey.ParticipantsCommunity-dwelling adults aged 40 years and above from the Population Health Index Survey.Outcome measureIncident falls were defined as the experience of a fall between the baseline and 1-year follow-up but having no falls 1 year prior to baseline. Multiple logistic regressions were performed to determine the association of sociodemographic factors, medical history and lifestyle with incident falls. Sex subgroup analyses were conducted to examine sex-specific risk factors for incident falls.Results1056 participants were included in the analysis. At 1-year follow-up, 9.6% of the participants experienced an incident fall. Incidence of falls in women was 9.8% compared with 7.4% in men. In the multivariable analysis for the overall sample, older age (OR: 1.88, 95% CI: 1.10 to 2.86), being pre-frail (OR: 2.13, 95% CI: 1.12 to 4.00) and having depression or feeling depressed/anxious (OR: 2.35, 95% CI: 1.10 to 4.99) were associated with higher odds for incident falls. In subgroup analyses, older age was a risk factor for incident falls in men (OR: 2.68, 95% CI: 1.21 to 5.90) and pre-frail was a risk factor for incident falls in women (OR: 2.82, 95% CI: 1.28 to 6.20). There was no significant interaction effect between sex and age group (p value=0.341) and sex and frailty status (p value=0.181).ConclusionOlder age, presence of pre-frailty and having depression or feeling depressed/anxious were associated with higher odds of incident falls. In our subgroup analyses, older age was a risk factor for incident falls in men and being pre-frail was a risk factor for incident falls in women. These findings provide useful information for community health services in designing falls prevention programmes for community-dwelling adults in a multi-ethnic Asian population.

show abstract

Section: Discussion/conclusionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study

Yip

Heng

et al. 2023

BMJ Open

View full text Add to dashboard Cite

show abstract

“…One novel finding was that being non-Chinese was associated with lower participation of ILI surveillance. This could be because of ethnic disparities in socioeconomic status and in turn health care-seeking behaviors in Singapore that favor the major Chinese group over the minority groups [30,31].…”

Section: Xsl • Fomentioning

confidence: 99%

Effectiveness of a Mobile-Based Influenza-Like Illness Surveillance System (FluMob) Among Health Care Workers: Longitudinal Study

Lwin¹,

Lu²,

Sheldenkar³

et al. 2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Existing studies have suggested that internet-based participatory surveillance systems are a valid sentinel for influenza-like illness (ILI) surveillance. However, there is limited scientific knowledge on the effectiveness of mobile-based ILI surveillance systems. Previous studies also adopted a passive surveillance approach and have not fully investigated the effectiveness of the systems and their determinants. Objective The aim of this study was to assess the efficiency of a mobile-based surveillance system of ILI, termed FluMob, among health care workers using a targeted surveillance approach. Specifically, this study evaluated the effectiveness of the system for ILI surveillance pertaining to its participation engagement and surveillance power. In addition, we aimed to identify the factors that can moderate the effectiveness of the system. Methods The FluMob system was launched in two large hospitals in Singapore from April 2016 to March 2018. A total of 690 clinical and nonclinical hospital staff participated in the study for 18 months and were prompted via app notifications to submit a survey listing 18 acute respiratory symptoms (eg, fever, cough, sore throat) on a weekly basis. There was a period of study disruption due to maintenance of the system and the end of the participation incentive between May and July of 2017. Results On average, the individual submission rate was 41.4% (SD 24.3%), with a rate of 51.8% (SD 26.4%) before the study disruption and of 21.5% (SD 30.6%) after the disruption. Multivariable regression analysis showed that the adjusted individual submission rates were higher for participants who were older (<30 years, 31.4% vs 31-40 years, 40.2% [P<.001]; 41-50 years, 46.0% [P<.001]; >50 years, 39.9% [P=.01]), ethnic Chinese (Chinese, 44.4% vs non-Chinese, 34.7%; P<.001), and vaccinated against flu in the past year (vaccinated, 44.6% vs nonvaccinated, 34.4%; P<.001). In addition, the weekly ILI incidence was 1.07% on average. The Pearson correlation coefficient between ILI incidence estimated by FluMob and that reported by Singapore Ministry of Health was 0.04 (P=.75) with all data and was 0.38 (P=.006) including only data collected before the study disruption. Health care workers with higher risks of ILI and influenza such as women, non-Chinese, allied health staff, those who had children in their households, not vaccinated against influenza, and reported allergy demonstrated higher surveillance correlations. Conclusions Mobile-based ILI surveillance systems among health care workers can be effective. However, proper operation of the mobile system without major disruptions is vital for the engagement of participants and the persistence of surveillance power. Moreover, the effectiveness of the mobile surveillance system can be moderated by participants’ characteristics, which highlights the importance of targeted disease surveillance that can reduce the cost of recruitment and engagement.

show abstract

“…Although there are many studies of falls risk factors and falls prevention interventions, the majority of these have been undertaken in Western countries (1,12). There have been a small number of studies that have reported falls incidence in Asian nations such as Taiwan (8,13), Japan (14,15), Korea (16)(17)(18), Hong Kong (13), Singapore (19,20), and Thailand (21). These small number of studies have reported varying rates of falls, between 10 and 33%, for the proportion of older people falling in Asian countries in a 12 month period (7).…”

Section: Introductionmentioning

confidence: 99%

Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age

Ashari

Hamid

Hussain

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

Objective: Study aimed to identify the prevalence of falls and associated contributory factors among older Malaysians.Methods: A cross sectional study among community dwelling older adults aged 50 years and above. Self-administered questionnaires on history of falls in the previous 12 months, physical assessment and computerized and clinical measures of balance were assessed on a single occasion.Results: Forty nine (31.0%) participants fell, with 4.4% reported having multiple falls within the previous 12 months. Slips were the most prevalent cause of falls, accounting for 49% of falls. More than half (54.5%) of falls occurred in the afternoon while participants walked inside the home (32.7%), outside home (30.6%), and 36.7% were in community areas. More than half of respondents were identified as having turning instability. Step Test, turn sway, depression, physical activity level and edge contrast sensitivity were significantly worse for fallers (p < 0.05). Multiple logistic regression analysis showed that turning performance, visual acuity and back pain were significantly associated with falls risk, accounting for 72% of the variance of risk factors for falls among studied population.Conclusion: Falls are common among community dwelling older Malaysians. The findings provide information of falls and falls risk factors among community dwelling older adults in Malaysia. Future intervention studies should target locally identified falls risk factors. This study has highlighted the importance of instability during turning as an important fall risk factor.

show abstract

Ethnicity predicts falls among community‐dwelling older adults in Singapore

Cited by 11 publications

References 26 publications

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study

Effectiveness of a Mobile-Based Influenza-Like Illness Surveillance System (FluMob) Among Health Care Workers: Longitudinal Study

Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age

Contact Info

Product

Resources

About