Neighbourhood walk score and falls among older Taiwanese adults
ISPAH ePoster Library. Liao Y. Oct 15, 2018; 225088; 89
Yung Liao
Yung Liao
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Abstract
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Abstract Although falls plays an important role on active aging, fewer studies have focused on the relationships between neighbourhood walkability and falls among older adults. This study aimed to examine the cross-sectional associations between Walk Score and fall risks among older Taiwanese adults. A telephone-based interview survey targeting older Taiwanese adults aged over 65 years was conducted in Sep-Oct 2017. The outcome variable was self-reported fall in past one year (yes/no). The exposure variable was four category of Walk Score (Walker's Paradise, Very Walkable, Somewhat Walkable, Car-Dependent) determined manually for each participant's residential village using Walk Score® website (https://www.walkscore.com/). Binary logistic regression analyses were utilized. Among a total of 1,056 respondents (73.0 ± 6.1 years), 23.4% of them reported having the experience of falls in the past one year. After adjusting for demographic and health-related covariates, there were significant negative associations between one category of neighbourhood Walk Score and risks of falls in older adults. Older adults living in Very Walkable neighbourhood is associated with lower odds of experiencing a single fall (odds ratio (OR): 0.65, 95% confidence interval (CI): 0.42-1.00) compared with Car-Dependent neighbourhood. This study was the first to find that neighbourhood Walk Score was related to falls among older adults in a non-Western context. Further longitudinal research to confirm these results using other objective measures of the environment, such as a geographic information system, are still needed. External funding details This research was supported by a grant (MOST 106-2410-H-003 -124) from the Ministry of Science and Technology of Taiwan.
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