Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study
Objectives: This study was performed to investigate the prevalence of falls, mental health issues, and health behaviors among older adults, as well as to analyze the association between multiple falls and mental health status in this population. Methods: We utilized data from the 2017, 2019, and 202...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Preventive Medicine
2025-05-01
|
| Series: | Journal of Preventive Medicine and Public Health |
| Subjects: | |
| Online Access: | http://jpmph.org/upload/pdf/jpmph-24-482.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850210170697678848 |
|---|---|
| author | Chaelyn Lim Hyun-Jin Son Byung-Gwon Kim Byeng-Chul Yu Jiwon Kim Young-Seoub Hong |
| author_facet | Chaelyn Lim Hyun-Jin Son Byung-Gwon Kim Byeng-Chul Yu Jiwon Kim Young-Seoub Hong |
| author_sort | Chaelyn Lim |
| collection | DOAJ |
| description | Objectives: This study was performed to investigate the prevalence of falls, mental health issues, and health behaviors among older adults, as well as to analyze the association between multiple falls and mental health status in this population. Methods: We utilized data from the 2017, 2019, and 2021 Korean Community Health Survey, a nationwide survey organized by region and conducted by the Korea Disease Control and Prevention Agency. Participants were categorized into no-fall, single-fall, and multiple fall groups based on responses to an index question regarding fall experiences and the number of such incidents reported in the survey. The chi-square test was applied to understand the characteristics of the elderly population in the community. Subsequently, multinomial logistic regression analysis was conducted to clarify the association between falls and mental health. Results: Integrated data analysis revealed that 11.3% of participants experienced a single fall, while 5.7% reported multiple falls. Participants from low-education and low-income backgrounds exhibited relatively high rates of falls. Additionally, non-drinkers and non-smokers reported falls more frequently than their counterparts who consumed alcohol and smoked. Multinomial logistic regression revealed significant associations between multiple falls and mental health factors. In particular, the severity of depression was directly proportional to the likelihood of experiencing multiple falls, with an odds ratio of 2.95 (95% confidence interval, 2.49 to 3.50). Conclusions: We identified associations between various mental health-related factors—including sleep duration, subjective stress, the presence of depression, and Patient Health Questionnaire-9 score—and the occurrence of multiple falls. |
| format | Article |
| id | doaj-art-3b6afa65d5e243bcb722d2ece61397a8 |
| institution | OA Journals |
| issn | 1975-8375 2233-4521 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj-art-3b6afa65d5e243bcb722d2ece61397a82025-08-20T02:09:51ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212025-05-0158326927710.3961/jpmph.24.4822421Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional StudyChaelyn Lim0Hyun-Jin Son1Byung-Gwon Kim2Byeng-Chul Yu3Jiwon Kim4Young-Seoub Hong5 Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea Department of Preventive Medicine, Kosin University College of Medicine, Busan, Korea Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea Department of Preventive Medicine, Dong-A University College of Medicine, Busan, KoreaObjectives: This study was performed to investigate the prevalence of falls, mental health issues, and health behaviors among older adults, as well as to analyze the association between multiple falls and mental health status in this population. Methods: We utilized data from the 2017, 2019, and 2021 Korean Community Health Survey, a nationwide survey organized by region and conducted by the Korea Disease Control and Prevention Agency. Participants were categorized into no-fall, single-fall, and multiple fall groups based on responses to an index question regarding fall experiences and the number of such incidents reported in the survey. The chi-square test was applied to understand the characteristics of the elderly population in the community. Subsequently, multinomial logistic regression analysis was conducted to clarify the association between falls and mental health. Results: Integrated data analysis revealed that 11.3% of participants experienced a single fall, while 5.7% reported multiple falls. Participants from low-education and low-income backgrounds exhibited relatively high rates of falls. Additionally, non-drinkers and non-smokers reported falls more frequently than their counterparts who consumed alcohol and smoked. Multinomial logistic regression revealed significant associations between multiple falls and mental health factors. In particular, the severity of depression was directly proportional to the likelihood of experiencing multiple falls, with an odds ratio of 2.95 (95% confidence interval, 2.49 to 3.50). Conclusions: We identified associations between various mental health-related factors—including sleep duration, subjective stress, the presence of depression, and Patient Health Questionnaire-9 score—and the occurrence of multiple falls.http://jpmph.org/upload/pdf/jpmph-24-482.pdffallsmental healthelderly |
| spellingShingle | Chaelyn Lim Hyun-Jin Son Byung-Gwon Kim Byeng-Chul Yu Jiwon Kim Young-Seoub Hong Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study Journal of Preventive Medicine and Public Health falls mental health elderly |
| title | Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study |
| title_full | Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study |
| title_fullStr | Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study |
| title_full_unstemmed | Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study |
| title_short | Associations Between Multiple Falls and Mental Health Indices in Korean Older Adults: A Cross-sectional Study |
| title_sort | associations between multiple falls and mental health indices in korean older adults a cross sectional study |
| topic | falls mental health elderly |
| url | http://jpmph.org/upload/pdf/jpmph-24-482.pdf |
| work_keys_str_mv | AT chaelynlim associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy AT hyunjinson associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy AT byunggwonkim associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy AT byengchulyu associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy AT jiwonkim associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy AT youngseoubhong associationsbetweenmultiplefallsandmentalhealthindicesinkoreanolderadultsacrosssectionalstudy |