Predictors of Fear of Falling among Community Dwelling Older Adults in Mansoura City, Egypt

Abstract

Fear of falling (FOF) is a common health problem facing older adults. Investigating its predictors can help in prevention of fall and fear of falling. Objective: To determine the predictors of fear of falling among community dwelling older adults in Mansoura city. Design: Descriptive cross-sectional design was used. Settings:  The study was conducted in urban and rural areas affiliated to Mansoura city.Subjects: 528 older adults' residents in selected urban and rural areas using systemic random sample were included in the study. Tools: Four tools were used: Socio demographic and Clinical Data Structured Interview Schedule, Katz and Akpom Scale, the Modified Falls Efficacy Scale (MFES), and Berge Balance scale. Results: FOF is prevailing among 64.4% of community dwelling older adults. FOF is higher among older adults with advanced age, females, chronic diseases, suffering from visual & hearing impairments, use of assistive devices and have moderate to high fall risk. Conclusion: Fear of falling was prevalent among community dwelling older adults. Recommendation: Assessment of fear of falling frequently and screening for those at higher risk of developing fear of falling and fall. Education programs should be implemented for elders in different sectors in Mansura.