Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample

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State: Public
Version: Final published version
Serval ID
serval:BIB_E70A73FA453F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample
Journal
SSM - Population Health
Author(s)
Pin S., Spini D.
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
2
Pages
382-389
Language
english
Notes
2445
Abstract
Whereas falls are frequent and traumatic events for the elderly, their long-term consequences in terms of the social lives of older fallers are understudied. This study aimed to identify the impact of falling on the trajectories of social participation and social support of older people in Europe. Our sample consisted of 16,583 people aged 50 to 95 years from 11 European countries who responded to the first three waves of the Survey of Health Ageing and Retirement in Europe. The impact of falling on the trajectories of social participation and social support was examined using generalized estimating equation (GEE) models. The effect of the interactions between falling and frailty and between falling and social support on social participation was assessed. Falls were negatively associated with social participation (OR = 0.73, p < 0.001) and positively associated with social support (OR = 2.20, p < 0.001). For social participation, this effect was moderated by frailty; the interaction term between frailty and fall highlighted the finding that frailty better explained the global trajectory of social participation compared with falling. Social support did not buffer the negative impact of falling on social participation. Falls can be considered stressful events that have implications beyond the health context. Frail people who have fallen should be targeted in prevention and rehabilitation programs; specific attention should also be paid to the relatives of fallers, who appeared to be more intensively solicited after a fall.
Keywords
accidental fall, social participation, social support, cohort survey
Open Access
Yes
Create date
18/08/2016 13:06
Last modification date
20/08/2019 16:10
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