@article{ref1,
title="Individual housing-based socioeconomic status predicts risk of accidental falls among adults",
journal="Annals of epidemiology",
year="2017",
author="Ryu, Euijung and Juhn, Young J. and Wheeler, Philip H. and Hathcock, Matthew A. and Wi, Chung-Il and Olson, Janet E. and Cerhan, James R. and Takahashi, Paul Y.",
volume="27",
number="7",
pages="415-420.e2",
abstract="PURPOSE: Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. <br><br>METHODS: Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments. HOUSES (HOUsing-based Index of SocioEconomic Status), a socioeconomic status measure based on individual housing features, was also calculated. Cox regression models were utilized to assess the association of the HOUSES (in quartiles) with accidental fall risk. <br><br>RESULTS: Seven hundred eleven (5.8%) participants had at least one emergency room visit due to an accidental fall during the study period. Subjects with higher HOUSES were less likely to experience falls in a dose-response manner (hazard ratio: 0.58; 95% confidence interval: 0.44-0.76 for comparing the highest to the lowest quartile). In addition, the HOUSES was positively associated with better health behaviors, social support, and functional status. <br><br>CONCLUSIONS: The HOUSES is inversely associated with accidental fall risk requiring emergency care in a dose-response manner. The HOUSES may capture falls-related risk factors through housing features and socioeconomic status-related psychosocial factors.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1047-2797",
doi="10.1016/j.annepidem.2017.05.019",
url="http://dx.doi.org/10.1016/j.annepidem.2017.05.019"
}