Racial/Ethnic predictors of falls among older adults: the health and retirement study

J Aging Health. 2014 Sep;26(6):1060-75. doi: 10.1177/0898264314541698. Epub 2014 Jul 7.

Abstract

Objective: The objective of this study was to examine racial/ethnic differences in the probability and frequency of falls among adults aged 65 and older.

Method: Using data from the Health and Retirement Study (HRS) from 2000 to 2010, the authors conducted random-intercept logistic and Poisson regression analyses to examine whether race/ethnicity predicted the likelihood of a fall event and the frequency of falls.

Results: The analytic sample included 10,484 older adults. Baseline analyses showed no significant racial/ethnic differences in the probability or number of falls. However, in the longitudinal random-intercept models, African Americans had significantly lower odds (0.65) of experiencing at least one fall compared with non-Hispanic Whites. Among fallers, African Americans had significantly fewer falls (24%) than non-Hispanic Whites, controlling for health and sociodemographic covariates (all ps < .05). Latinos did not differ from non-Hispanic Whites in the likelihood or number of falls.

Discussion: African Americans are less likely to experience initial or recurrent falls than non-Hispanic Whites.

Keywords: ethnicity; fall rates; fall risk; falls; older adults.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Aged
  • Black or African American / statistics & numerical data*
  • Female
  • Health Surveys
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Poisson Distribution
  • Risk Factors
  • White People / statistics & numerical data*