Observational studyJournal of the American Geriatrics Society2016
Neighborhood Disadvantage and Life-Space Mobility Are Associated with Incident Falls in Community-Dwelling Older Adults.
Observational study in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Outdoor Environmental Risk Factors for Falls and Fear of Falling: A Systematic Review.The Gerontologist · 2025Pooled it
- Community-based group physical activity and/or nutrition interventions to promote mobility in older adults: an umbrella review.BMC geriatrics · 2022Pooled it
- A systematic review of geographic indices of disadvantage with implications for older adults.JCI insight · 2021Pooled it
- Global Positioning System Indicators of Community Mobility and Future Health Outcomes Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Trial
- Trajectories and associated factors of life-space in older patients following percutaneous coronary intervention: a mixed-methods study.Journal of health, population, and nutrition · 2026Article
- Life-Space Mobility Trajectories After Elective Surgery in Older Adults.JAMA network open · 2026Article
- Life-Space Mobility in Heart Failure With Preserved Ejection Fraction.Journal of cardiac failure - intersections · 2026Article
- Integrating GPS and Accelerometry to Capture Life-Space Mobility in Parkinson's Disease.Sensors (Basel, Switzerland) · 2026Article
- Where Do Older Pedestrians Experience a Risk of Being Killed in a Motor Vehicle Crash?Journal of the American Geriatrics Society · 2026Article
- Tree canopy cover and injurious pedestrian falls: a location-based case-control study.American journal of epidemiology · 2025Article
- Incidence of Frailty, Dementia, and Disability Among Community-Living Older Americans According to County-Level Disadvantage.Journal of the American Geriatrics Society · 2025Article
- Life space assessment and falls in older adults with multiple sclerosis.Multiple sclerosis and related disorders · 2024Article
- A National Study on the Comparative Burden of Pedestrian Injuries from Falls Relative to Pedestrian Injuries from Motor Vehicle Collisions.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Predictors of life-space mobility in patients with fracture 3 months after discharge from convalescent rehabilitation ward: a prospective longitudinal study.Journal of physical therapy science · 2023Article
- Perceived neighbourhood environment and falls among community-dwelling adults: cross-sectional and prospective findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).European journal of ageing · 2022Article
- Predicting restriction of life-space mobility: a machine learning analysis of the IMIAS study.Aging clinical and experimental research · 2022Article
- Facilitators and barriers to real-life mobility in community-dwelling older adults: a narrative review of accelerometry- and global positioning system-based studies.Aging clinical and experimental research · 2022Review
- Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022Article
- Successful wayfinding in age: A scoping review on spatial navigation training in healthy older adults.Frontiers in psychology · 2022Article
- Comparisons Between GPS-based and Self-reported Life-space Mobility in Older Adults.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo determine the relationship between neighborhood-level socioeconomic characteristics, life-space mobility, and incident falls in community-dwelling older adults.
designProspective, observational cohort study with a baseline in-home assessment and 6-month telephone follow-up.
settingCentral Alabama.
participantsCommunity-dwelling adults aged 65 and older recruited from a random sample of Medicare beneficiaries (N = 1,000). MEASUREMENTS: Neighborhood disadvantage was measured using a composite index derived from baseline neighborhood-level residential census tract socioeconomic variables. Data on individual-level socioeconomic characteristics, clinical variables, and life-space collected at baseline were included as covariates in a multivariate model using generalized estimating equations to assess the association with incident falls in the 6 months after baseline.
resultsOf the 940 participants who completed baseline and follow-up assessments, 126 (13%) reported one or more new falls in the 6 months after baseline. There was an independent nonlinear association between neighborhood disadvantage (according to increasing quartiles of disadvantage) and incident falls after adjusting for confounders: The lowest quartile served as reference; 2nd quartile odds ratio (OR) = 2.4, 95% confidence interval (CI) = 1.2-4.6; 3rd quartile OR = 1.9, 95% CI = 1.0-3.7; 4th quartile OR = 3.2, 95% CI = 1.7-6.0. Each 10-point decrement in life-space (OR = 1.2, 95% CI = 1.0-1.3) was associated with a higher risk of falls.
conclusionGreater neighborhood disadvantage was associated with greater risk of falls. Life-space also contributes separately to fall risk. Community-dwelling older adults in disadvantaged neighborhoods, particularly those with limited mobility, may benefit from a more-rigorous assessment of their fall risk by healthcare providers. Neighborhood level socioeconomic characteristics should also be an important consideration when identifying vulnerable populations that may benefit the most from fall prevention programs.
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What OpenQuestion holds
Registered trials
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