ArticleJAMA ophthalmology2026
The Role of Home Hazards in the Association Between Visual Function and Falls in Older Adults.
Article in JAMA ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Optometrists' practice of falls prevention care for community dwelling older adults: A mixed methods systematic review.BMC geriatrics · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Importance: Older adults with poor vision are more likely to fall. However, there has been little research to understand whether this association is concentrated among individuals with specific exposures, such as home environmental hazards. Objective: To assess the association between differences in visual function, home environmental hazards, and falls. Design, Setting, and Participants: This population-based cross-sectional study used data from the National Health and Aging Trends Study, which gathers nationally representative data on Medicare beneficiaries aged 65 years and older in the US. A total of 4648 community-dwelling older adults who completed visual function tests and the home environment instrument in 2022 were included. Data were analyzed from September 2024 to March 2025. Exposure: Objective measured visual function was assessed using binocular presenting distance visual acuity (DVA; logMAR) and contrast sensitivity (CS: logCS). Home hazards included absence of grab bars in the bathroom, tripping hazards, and broken flooring, as well as an ordinal variable representing cumulative hazards (0, 1, ≥2). Main Outcomes and Measures: Falls were defined as any self-reported fall in the past month. Survey-weighted multivariable logistic regression assessed the associations of visual function, home hazards, and falls. Results: The survey-weighted prevalence of home hazards among 4648 participants (53.6% female) was 47.0% (no grab bars), 9.5% (tripping hazards), 4.5% (broken flooring), and 7.3% (≥2 hazards). Mean (SD) DVA was 0.10 (0.18) logMAR and mean (SD) CS was 1.72 (0.23) logCS. Worse DVA and CS were associated with falling in homes with hazards, including no grab bars (DVA: OR, 1.14; 95% CI, 1.02-1.27; CS: OR, 0.91; 95% CI, 0.84-1.00), tripping hazards (DVA: OR, 1.29; 95% CI, 1.11-1.49; CS: OR, 0.87; 95% CI, 0.78-0.98), and broken flooring (DVA: OR, 1.47; 95% CI, 1.26-1.70; CS: OR, 0.79; 95% CI, 0.68-0.93). The presence of multiple hazards further strengthened this association (DVA: OR, 1.31; 95% CI, 1.12-1.53; CS: OR, 0.93; 95% CI, 0.86-1.00). Conclusions and Relevance: The association between differences in visual function and falls among older adults in this study was shaped by the home environment. These findings underscore the potential importance of considering both intrinsic and extrinsic risk factors in fall prevention and highlight the potential for targeted strategies that include home safety interventions for individuals with poor visual function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.