Negative perceptions of ageing are associated with fall-related concerns in community-dwelling older adults

Concerns about falling (CaF) are associated with poorer quality of life. Emerging evidence suggests perceptions of ageing may shape such concerns by influencing perceptions of control, vulnerability, and physical decline. This study examined whether negative perceptions of ageing are associated with greater CaF and heightened perceptions of fall-related consequences.

A cross-sectional study included 622 older adults (73.9 ± 6.96 years; 73.5% female). CaF were assessed using the Short Falls Efficacy Scale-International, and perceived consequences of falling using the Consequences of Falling Questionnaire. Perceptions of ageing were assessed through attitudes, self-perceptions, and optimism about ageing. Hierarchical linear regression analyses assessed associations while controlling for demographic, health, and psychological covariates.

More positive perceptions of ageing were significantly associated with lower CaF (b = -0.129 to -0.486; p < .003) and fewer perceived negative consequences of falling (b = -0.989 to 0.226; p < .017). These associations remained significant after controlling for established predictors of CaF, including age, health status, and falls history.

Older adults with more positive perceptions of ageing reported lower CaF and fewer perceived negative consequences of falls. As perceptions of ageing are modifiable, interventions that promote more positive perceptions may help address these concerns.