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ArticleEuropean geriatric medicine2026

Home hazards and household clustering of falls among older adults in Türkiye: a multilevel analysis.

Dursun Yasemin Yayla Keskin, Salih Keskin, Ali Ceylan

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Dursun Yasemin Yayla KeskinFaculty of Medicine, Department of Public Health, Balikesir University, Balikesir, Türkiye. yasemin.yayla@balikesir.edu.tr.ORCID http://orcid.org/0009-0009-1577-8070
Salih KeskinMinistry of Health, Karesi Provincial Directorate of Health, Balikesir, Türkiye.ORCID http://orcid.org/0000-0003-4032-319X
Ali CeylanFaculty of Medicine, Department of Public Health, Balikesir University, Balikesir, Türkiye.ORCID http://orcid.org/0000-0002-3446-7640

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFalls have a multifactorial etiology reflecting interactions between intrinsic vulnerabilities and environmental hazards, yet the shared residential built environment remains understudied. This study estimated fall prevalence, quantified within-household clustering, and examined associations of personal factors and dwelling hazards with any fall in the past 12 months among older adults in Türkiye.

methodsThis cross-sectional secondary analysis utilized the nationally representative 2023 Türkiye Older Persons Profile Survey. The sample comprised 11,657 community-dwelling adults aged ≥ 65 years nested within 8754 households. The outcome was self-reported any fall in the past 12 months. We employed a dual-estimand framework, utilizing design-based survey-weighted logistic regression for population-averaged (design-based) estimates and mixed-effects logistic regression with a household-level random intercept for household-conditional (random-intercept) associations.

resultsThe survey-weighted 12-month fall prevalence was 24.0% (confidence interval [95% CI] 23.2-24.9). In the fully adjusted household-conditional (random-intercept) model, intrinsic vulnerabilities, including regular medication use (odds ratio [OR] 1.50, 95% CI 1.25-1.81), short sleep duration (OR 1.30, 95% CI 1.17-1.44), and functional difficulties, were independently associated with higher fall odds. Independent of these individual factors, indoor structural hazards, inadequate staircase (OR 1.32, 95% CI 1.15-1.52), and inadequate indoor lighting (OR 1.36, 95% CI 1.18-1.56), remained significantly associated with falls. Substantial within-household clustering of fall odds was identified (intraclass correlation coefficient = 0.19; median odds ratio = 2.3).

conclusionsIndoor architectural hazards are modifiable correlates of falls embedded within clustered household risk environments. Findings support integrating structured home-hazard screening and structural modifications into routine primary care as part of multifactorial fall-prevention pathways.

Indexed as

Accidental FallsAgedAged, 80 and overAging in PlaceCluster AnalysisCross-Sectional StudiesFamily CharacteristicsFemaleHumansIndependent LivingMaleMultilevel AnalysisPrevalenceRisk FactorsFallsMultilevel analysisOlder adultsTürkiye

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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.