Individual housing-based socioeconomic status predicts risk of accidental falls among adults

Euijung Ryu, Young J Juhn, Philip H. Wheeler, Matthew A. Hathcock, Chung Il Wi, Janet E Olson, James R Cerhan, Paul Y Takahashi

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Purpose: Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. Methods: Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments. HOUSES (HOUsing-based Index of SocioEconomic Status), a socioeconomic status measure based on individual housing features, was also calculated. Cox regression models were utilized to assess the association of the HOUSES (in quartiles) with accidental fall risk. Results: Seven hundred eleven (5.8%) participants had at least one emergency room visit due to an accidental fall during the study period. Subjects with higher HOUSES were less likely to experience falls in a dose-response manner (hazard ratio: 0.58; 95% confidence interval: 0.44-0.76 for comparing the highest to the lowest quartile). In addition, the HOUSES was positively associated with better health behaviors, social support, and functional status. Conclusions: The HOUSES is inversely associated with accidental fall risk requiring emergency care in a dose-response manner. The HOUSES may capture falls-related risk factors through housing features and socioeconomic status-related psychosocial factors.

Original languageEnglish (US)
JournalAnnals of Epidemiology
DOIs
StateAccepted/In press - Sep 21 2016

Keywords

  • Accidental falls
  • Epidemiology
  • HOUSES
  • Housing
  • Mayo clinic biobank
  • Risk
  • Socioeconomic status

ASJC Scopus subject areas

  • Epidemiology

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