Affiliation:
1. Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, SC, USA
Abstract
Objectives To investigate the role of social factors in the association between depression and falls among older adults. Methods The sample included data from 3443 older adults from three waves of the Health and Retirement Study (2010–2014). A Lifestyle Questionnaire was used to measure social engagement, social network contact, and neighborhood social context. Mediating effects of social factors were estimated through causal mediation analysis. Results: Poorer social engagement and network contact were associated with greater likelihood of falls, while poorer neighborhood context was associated with greater likelihood of fall injuries. Social engagement mediated a significant portion of the effect of depression on falls (OR: 1.03, 95% CI: 1.00, 1.06), and neighborhood context mediated a portion of the effect of depression on fall injuries (OR: 1.03, 95% CI: 1.00, 1.07). Discussion: The direct and indirect impacts of social factors suggest that considering them may help improve existing fall prevention approaches.
Funder
National Institute on Aging
Subject
Geriatrics and Gerontology,Community and Home Care,Gerontology
Cited by
3 articles.
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