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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Individual and contextual characteristics of indoor and outdoor falls in older residents of Sao Paulo, Brazil

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do Nascimento, Carla Ferreira ; Oliveira Duarte, Yeda Aparecida ; Lebrao, Maria Lucia ; Porto Chiavegatto Filho, Alexandre Dias
Total Authors: 4
Document type: Journal article
Web of Science Citations: 3

Purpose of the study: To analyze a representative sample of older individuals of Sao Paulo, Brazil, according to outdoor fallers, indoor fallers and non-fallers, and to identify biological and socioeconomic (individual and contextual) factors associated with the occurrence and place of falls. Materials and methods: A cross-sectional study was conducted using data (n = 1345) from the 2010 wave of the Health, Wellbeing and Aging (SABE) Study, a representative sample of older residents (60 years and older) of Sao Paulo, Brazil. Multinomial logistic analysis was performed to identify individual factors associated with the occurrence and place of falls, and multilevel multinomial analysis to identify contextual effects (green areas, violence, presence of slums and income inequality). Results: 29% had a fall in the last 12 months, with 59% occurring in indoor spaces. Individuals who had outdoor falls were overall not statistically different from non-fallers; on the other hand, those who had the last fall indoor had worse health status. Moderate homicide rate was a factor associated with increased presence of indoor falls, compared with non-fallers. Implications: Our results describe the importance of falls, a common problem in active and community-dwelling older adults of Sao Paulo, Brazil. Transforming outdoor spaces into walk-friendly areas is essential to allow socialization and autonomy with safety. Creating strategies that take into account the most vulnerable populations, as those who live in violent areas and the oldest older adults, will be a growing challenge among developing countries. (C) 2016 Elsevier Ireland Ltd. All rights reserved. (AU)

FAPESP's process: 14/06721-4 - Social determinants of functional mobility and falls on elderly residents from the municipality of São Paulo: a multilevel analysis
Grantee:Carla Ferreira Do Nascimento
Support type: Scholarships in Brazil - Master