ArticleSSM - population health2016
Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding.
Article in SSM - population health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- A Segmented Regression Analysis of Household Income and Recurrent Falls Among Adults in a National Cohort Study.American journal of epidemiology · 2024Article
- Decline in older adults' daily mobility during the COVID-19 pandemic: the role of individual and built environment factors.BMC public health · 2022Article
- Factors related to the accumulation of healthy behavior among older adults attending primary Health Care.Journal of population ageing · 2022Article
- Assessing differential impacts of COVID-19 on black communities.Annals of epidemiology · 2020Article
- Epidemiology of fall and its socioeconomic risk factors in community-dwelling Korean elderly.PloS one · 2020Article
- Cohort Profile: The International Mobility In Aging Study (IMIAS).International journal of epidemiology · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Older persons are vulnerable to the ill effects of their social and built environment due to age-related limitations in mobility and bio-psychological vulnerability. Falls are common in older adults and result from complex interactions between individual, social, and contextual determinants. We addressed two methodological issues of neighbourhood-health and social epidemiological studies in this analysis: (1) validity of measures of neighbourhood contexts, and (2) structural confounding resulting from social sorting mechanisms. Baseline data from International Mobility in Aging Study were used. Samples included community-dwelling Canadians older than 65 living in Kingston (Ontario) and St-Hyacinthe (Quebec). We performed factor analysis and ecometric analysis to assess the validity of measures of neighbourhood social capital, socioeconomic status, and the built environment and stratified tabular analyses to explore structural confounding. The scales all demonstrated good psychometric and ecometric properties. There was an evidence of the existence of structural confounding in this sample of Canadian older adults as some combinations of strata for the three neighbourhood measures had no population. This limits causal inference in studying relationships between neighbourhood factors and falls and should be taken into account in aetiological aging research.
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