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Incident and recurrent falls among non-Hispanic Black and Hispanic men with chronic conditions
Temitope Olokunlade1, Ledric D Sherman2, Mark E Benden1
1Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX, USA.
Introduction:
While much is known about the complexities of fall-related risks among older adults, less is known about the risk for falls among men, and especially older non-Hispanic Black and Hispanic men with chronic conditions. To address this crucial gap in safety research, this study examined factors associated with incident falls (1 fall) and recurrent falling (2+ falls) among non-Hispanic Black and Hispanic men ages ≥60 years with ≥1 chronic condition.
Method:
Collected with a cross-sectional, web-delivered questionnaire, data were analyzed from a national sample of 779 non-Hispanic Black (58.8%) and Hispanic (41.2%) men. To assess incident and recurrent falls, the number of self-reported falls in the past year was trichotomized (0 falls vs. 1 fall vs. 2+ falls) and used as the dependent variable. A multinomial logistic regression was fitted to assess factors associated with incident and recurrent falls. The model adjusted for sociodemographics, disease characteristics, health status, and social support.
Results:
On average, participants were aged 66.8 (±5.4) years and reported 3.8 (±2.7) chronic conditions. Seventy-three percent of men reported 0 falls, 12.6% reported 1 fall, and 14.4% reported 2+ falls in the past year. Relative to men reporting 0 falls, Hispanic men (P < 0.05), men with worse general health status (P < 0.05), and those with clinical depression (P < 0.05) were more likely to report incident and recurrent falls, respectively. Men with more comorbidities (P < 0.05) and those with less help/support to manage health problems (P < 0.05) were more likely to report recurrent falls.
Conclusions:
Findings highlight the importance of multi-component interventions to prevent falls by strengthening disease self-management, addressing mental health, and introducing social support.
Practical Applications:
This study contributes to the understanding of fall-related risks among older non-Hispanic Black and Hispanic men with chronic conditions and highlights the need for interdisciplinary collaboration in fall prevention efforts.
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