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Risk Factors for Falls Among Older Adults with Diabetes in the Community: A Zero-Inflated Negative Binomial
1Department of Nursing, Division of Health Science, Dongseo University, 47, Jurye-ro, Sasang-gu, Busan, Republic of Korea.
Purpose:
Older adults with diabetes are more likely to fall than the general older adult population. Some falls can even cause fatal damage. It is necessary to consider this when analyzing fall risk. This study aimed to identify risk factors affecting the frequency of falls among older adults with diabetes in Korea.
Design:
Cross-sectional study.
Methods:
This secondary data analysis included 8,376 people from the 2023 Korea Community Health Survey. The criteria for participant selection were individuals aged 65 years and above, diagnosis of diabetes, and no missing values. The risk factors for falls were analyzed using a zero-inflated negative binomial (ZINB) regression model.
Findings:
Nearly 22.8% participants reported experiencing falls. The risk factors identified were aged 80 years and above, insufficient stretching, major depressive disorder, and stress. Based on the logit model, significant fall risk predictors in the potential risk group were female sex, major depressive disorder, stress, and insulin use.
Conclusions:
This study provides a broad understanding of predictive factors affecting falls in older adults with diabetes in both fall occurrence and potential risk groups.
Clinical Evidence:
Community nurses should focus on developing nursing interventions to prevent falls in older adults with diabetes. The results of this study are useful in planning nursing interventions.
