Association between Fear of Falling and Social Isolation: A Nationwide Cross-Sectional Study in South Korea
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The purpose of this study is to determine the impact of fear of falling on social isolation among Korean adults aged 19 or older. In this study, 224,341 people were analyzed using the 2019 Community Health Survey, excluding missing values, Chi-square test and logistic regression analysis were performed to determine the relationship between fear of falling and social isolation. As a result of analysis across all age groups, compared to the group without fear of falling, the social isolation rate of the group with a slight fear of falling was 1.21 times (Adjusted Odds Ratio [AOR]: 1.21, 95% Confidence Interval [CI]: 1.15-1.27 ), compared to the group without fear of falling, the group with high fear of falling was 2.12 times (AOR: 2.12, 95% CI: 1.98-2.27). Additionally, a stronger association between fear of falling and social isolation was found in the group over 65 years of age compared to the group under 64 years of age. Meanwhile, as a result of a stratified analysis by whether or not there was regular exercise, it was found that fear of falling had a greater impact on social isolation in the group over 65 years old when they did not exercise regularly compared to the group under 64 years old. This study conducted a statistical analysis of the relationship between fear of falling and social isolation to suggest policy and institutional measures to reduce social isolation among the old age group. Since the proportion of the old age group with a fear of falling has been shown to be relatively high in Korean society, it is expected that social isolation can be prevented if policy and institutional measures are devel oped to provide regular exercise for the old age group.
Abstract
The purpose of this study is to determine the impact of fear of falling on social isolation among Korean adults aged 19 or older. In this study, 224,341 people were analyzed using the 2019 Community Health Survey, excluding missing values, Chi-square test and logistic regression analysis were performed to determine the relationship between fear of falling and social isolation. As a result of analysis across all age groups, compared to the group without fear of falling, the social isolation rate of the group with a slight fear of falling was 1.21 times (Adjusted Odds Ratio [AOR]: 1.21, 95% Confidence Interval [CI]: 1.15-1.27 ), compared to the group without fear of falling, the group with high fear of falling was 2.12 times (AOR: 2.12, 95% CI: 1.98-2.27). Additionally, a stronger association between fear of falling and social isolation was found in the group over 65 years of age compared to the group under 64 years of age. Meanwhile, as a result of a stratified analysis by whether or not there was regular exercise, it was found that fear of falling had a greater impact on social isolation in the group over 65 years old when they did not exercise regularly compared to the group under 64 years old. This study conducted a statistical analysis of the relationship between fear of falling and social isolation to suggest policy and institutional measures to reduce social isolation among the old age group. Since the proportion of the old age group with a fear of falling has been shown to be relatively high in Korean society, it is expected that social isolation can be prevented if policy and institutional measures are devel oped to provide regular exercise for the old age group.
참고문헌 (32)
- Auais, M., "Fear of falling as a risk factor of mobility disability in older people at five diverse sites of the IMIAS study", Archives of Gerontology and Geriatrics, 66, pp.147~153 (2016)
- Chittrakul, J., "Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults : A randomized controlled trial", International Journal of Environmental Research and Public Health, 17(9), pp.3102~ (2020)
- Clegg, M. E., "Optimizing nutrition in older people", Maturitas, 112, pp.34~38 (2018)
- Deshpande, N., "Interpreting fear of falling in the elderly : What do we need to consider", Journal of Geriatric Physical Therapy, 32(3), pp.91~96 (2009)
- Fuller, G. F., "Falls in the elderly", Age and Ageing, 26(3), pp.189~193 (1997)
- Fuller, G. F., "Falls in the elderly", American Family Physician, 61(7), pp.2159~2168 (2000)
- Gschwind, Y. J., "A best practice fall prevention exercise program to improve balance, strength", power, and psychosocial health in older adults : Study protocol for a randomized controlled trial, 2013, pp.13, 105~
- Gusi, N., "Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalized older people : A randomized trial", Journal of Physiotherapy, 58(2), pp.97~104 (2012)
- Hajek, A., "The association of falls with loneliness and social exclusion : Evidence from the DEAS German Ageing Survey", BMC Geriatrics, 17(1), pp.204~ (2017)
- Hwang, J., "Loneliness and social isolation among older adults in a community exercise program : A qualitative study", Aging and Mental Health, 23(6), pp.736~742 (2019)
- Kim, S., "Prevalence and correlates of fear of falling in Korean community-dwelling elderly subjects", Experimental Gerontology, 48, pp.1323~1328 (2013)
- Lach, H. W., "Incidence and risk factors for developing fear of falling in older adults", Public Health Nursing, 22, pp.45~52 (2005)
- Ari Lee, "Fear of Falling and Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of Aging", Korean Journal of Family Medicine, 41(4), pp.243~249 (2020), 대한가정의학회[DOI]
- 이창숙, "지역 노인자살률 궤적 관련 요인", 노인복지연구, 75(2), pp.91~119 (2020), 한국노인복지학회[DOI]
- Lee, S., "Fear of falling and its predictors among community-living older adults in Korea", Aging and Mental Health, 21(4), pp.369~378 (2017)
- Leigh-Hunt, N., "An overview of systematic reviews on the public health consequences of social isolation and loneliness", Public Health, 152, pp.157~171 (2017)
- Liu-Ambrose, T., "Effect of a home-based exercise program on subsequent falls among community-dwelling high-risk older adults after a fall : A randomized clinical trial", JAMA, 321(21), pp.2092~2100 (2019)
- Odden, J. L., "Assessing functional disability in glaucoma : The relative importance of central versus far peripheral visual fields", Investigative Ophthalmology & Visual Science, 61(13), pp.23~ (2020)
- Oh, E., "Fear of falling and its predictors among community-living older adults in Korea", Aging and Mental Health, 21(4), pp.369~378 (2017)
- Parry, S. W., "Cognitive-behavioral therapy-based intervention to reduce fear of falling in older people : Therapy development and randomized controlled trial-the strategies for increasing independence, confidence and energy(STRIDE)study", Health Technology Assessment, 20, pp.1~206 (2016)
- Quach, L. T., "Perceived social isolation, social disconnectedness and falls : The mediating role of depression", Aging and Mental Health, 25(6), pp.1029~1034 (2021)
- Saidani, S., "Fear of falling and risk factors in older adults", Procedia Computer Science, 203, pp.247~253 (2022)
- Scheffer, A. C., "Fear of falling : Measurement strategy, prevalence, risk factors and consequences among older persons", Age and Ageing, 37(1), pp.19~24 (2008)
- Schrempft, S., "Associations between social isolation, loneliness, and objective physical activity in older men and women", BMC Public Health, 19 (2019)
- "2022 Statistics on the Aged" (2022)[URL]
- Valtorta, N. K., "Loneliness, social isolation and risk of cardiovascular disease in the English longitudinal study of ageing", European Journal of Preventive Cardiology, 25(13), pp.1387~1396 (2018)
- Wayne, S. J., "Fear of falling and restriction of mobility in elderly fallers", Age and Ageing, 26(3), pp.189~193 (1997)
- Wetherell, J. L., "Integrated exposure therapy and exercise reduces fear of falling and avoidance in older adults : A randomized pilot study", American Journal of Geriatric Psychiatry, 26(8), pp.849~859 (2018)
- "10 facts on ageing and health" (2017)[URL]
- "Mental health of older adults" (2017)[URL]
- "Falls" (2021)[URL]
- Yardley, L., "A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people", The Gerontologist, 42, pp.17~23 (2002)