{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:47:46Z","timestamp":1786121266100,"version":"build-2736575974"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2024YFC3607305"],"award-info":[{"award-number":["2024YFC3607305"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2024YFC3607603"],"award-info":[{"award-number":["2024YFC3607603"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","painmanagementnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Pain Management Nursing"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.pmn.2026.07.003","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:20:58Z","timestamp":1785237658000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pain Phenotypes and Falls in Older Adults: Cross-Sectional Associations by Social Engagement"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7752-074X","authenticated-orcid":false,"given":"Rui","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0641-7080","authenticated-orcid":false,"given":"Qiang","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1099-7492","authenticated-orcid":false,"given":"Peimin","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-7748","authenticated-orcid":false,"given":"Wenlong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2187-9440","authenticated-orcid":false,"given":"Yaodong","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pmn.2026.07.003_bib0001","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.2147\/JMDH.S449531","article-title":"Multisite pain and intensity were associated with history fall among older adults: A cross-sectional study","volume":"17","author":"Alrawaili","year":"2024","journal-title":"Journal of Multidisciplinary Healthcare"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0002","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.maturitas.2013.02.009","article-title":"Risk factors for falls among older adults: A review of the literature","volume":"75","author":"Ambrose","year":"2013","journal-title":"Maturitas"},{"issue":"17","key":"10.1016\/j.pmn.2026.07.003_bib0004","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.3390\/healthcare12171765","article-title":"Overcoming barriers: A comprehensive review of chronic pain management and accessibility challenges in rural America","volume":"12","author":"Baker","year":"2024","journal-title":"Healthcare"},{"issue":"2","key":"10.1016\/j.pmn.2026.07.003_bib0005","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1056\/NEJMoa2002183","article-title":"A randomized trial of a multifactorial strategy to prevent serious fall injuries","volume":"383","author":"Bhasin","year":"2020","journal-title":"New England Journal of Medicine"},{"issue":"3","key":"10.1016\/j.pmn.2026.07.003_bib0006","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/phn.12852","article-title":"Home and environmental hazards modification for fall prevention among the elderly","volume":"38","author":"Campani","year":"2021","journal-title":"Public Health Nursing"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0007","article-title":"Comparing interpretable machine learning models for fall risk in middle-aged and older adults with and without pain","volume":"15","author":"Chen","year":"2025","journal-title":"Scientific Reports"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0008","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1038\/s41514-025-00275-4","article-title":"Global, regional, and national burden of falls among older adults: Findings from the global burden of disease study 2021 and projections to 2040","volume":"11","author":"Chen","year":"2025","journal-title":"NPJ Aging"},{"key":"10.1016\/j.pmn.2026.07.003_bib0009","unstructured":"Chinese Society of Pain, Chinese Medical Association. (2022). 2022 China Analgesia Week: Release of the first survey report on awareness of prevention and treatment of common pain in middle-aged and older adults. Life Times. https:\/\/www.lifetimes.cn\/article\/4AA3fJvPtti."},{"issue":"11","key":"10.1016\/j.pmn.2026.07.003_bib0010","doi-asserted-by":"crossref","first-page":"2924","DOI":"10.3390\/biomedicines10112924","article-title":"Association of pain phenotypes with risk of falls and incident fractures","volume":"10","author":"Devine","year":"2022","journal-title":"Biomedicines"},{"key":"10.1016\/j.pmn.2026.07.003_bib0011","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jot.2024.10.013","article-title":"Risk-stratified lifetime risk and incidence of hip fracture and falls in middle-aged and elderly Chinese population: The China health and retirement longitudinal study","volume":"50","author":"Du","year":"2025","journal-title":"Journal of Orthopaedic Translation"},{"issue":"5","key":"10.1016\/j.pmn.2026.07.003_bib0013","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.jamda.2020.02.011","article-title":"Pain is associated with poor balance in community-dwelling older adults: A systematic review and meta-analysis","volume":"21","author":"Hirase","year":"2020","journal-title":"Journal of the American Medical Directors Association"},{"key":"10.1016\/j.pmn.2026.07.003_bib0014","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.maturitas.2020.10.021","article-title":"Risk factors for recurrent falls in older adults: A systematic review with meta-analysis","volume":"144","author":"Jehu","year":"2021","journal-title":"Maturitas"},{"issue":"Suppl_1","key":"10.1016\/j.pmn.2026.07.003_bib0015","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1093\/geroni\/igae098.2757","article-title":"Effects of exercise with music in frail older adults: A systematic review and meta-analysis","volume":"8","author":"Kim","year":"2024","journal-title":"Innovation in Aging"},{"issue":"6","key":"10.1016\/j.pmn.2026.07.003_bib0016","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1111\/ggi.12799","article-title":"Association of low back and knee pain with falls in Japanese community-dwelling older adults: A 3-year prospective cohort study","volume":"17","author":"Kitayuguchi","year":"2017","journal-title":"Geriatrics & Gerontology International"},{"issue":"5","key":"10.1016\/j.pmn.2026.07.003_bib0017","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1093\/ije\/dym157","article-title":"Estimating interaction on an additive scale between continuous determinants in a logistic regression model","volume":"36","author":"Knol","year":"2007","journal-title":"International Journal of Epidemiology"},{"issue":"6","key":"10.1016\/j.pmn.2026.07.003_bib0018","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s10654-011-9554-9","article-title":"Estimating measures of interaction on an additive scale for preventive exposures","volume":"26","author":"Knol","year":"2011","journal-title":"European Journal of Epidemiology"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0019","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1038\/s41591-023-02749-y","article-title":"The science of falls and how to prevent them","volume":"30","author":"Lamb","year":"2024","journal-title":"Nature Medicine"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0020","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1186\/s12889-022-13757-x","article-title":"Urban-rural disparities in the healthy ageing trajectory in China: A population-based study","volume":"22","author":"Li","year":"2022","journal-title":"BMC Public Health"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0021","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1186\/s12889-025-21964-5","article-title":"The impact of digital literacy on the health behavior of rural older adults: Evidence from China","volume":"25","author":"Li","year":"2025","journal-title":"BMC Public Health"},{"issue":"3","key":"10.1016\/j.pmn.2026.07.003_bib0022","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.pmn.2020.10.004","article-title":"The association between pain and fall among middle-aged and older Chinese","volume":"22","author":"Li","year":"2021","journal-title":"Pain Management Nursing"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0023","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s11357-024-01318-6","article-title":"Gait speed reserve in the general population-based \u2018Good Aging in Sk\u00e5ne\u2019 cohort study\u2014Distribution and associated factors","volume":"47","author":"Lindholm","year":"2024","journal-title":"GeroScience"},{"issue":"4","key":"10.1016\/j.pmn.2026.07.003_bib0024","doi-asserted-by":"crossref","first-page":"e189","DOI":"10.17269\/cjph.106.4776","article-title":"Engaging community organizations in falls prevention for older adults: Moving from research to action","volume":"106","author":"Markle-Reid","year":"2015","journal-title":"Canadian Journal of Public Health"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0025","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.gaitpost.2012.06.013","article-title":"Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review","volume":"37","author":"Mazaheri","year":"2013","journal-title":"Gait & Posture"},{"issue":"3","key":"10.1016\/j.pmn.2026.07.003_bib0026","doi-asserted-by":"crossref","first-page":"342","DOI":"10.4235\/agmr.24.0059","article-title":"Relationship between social participation, children\u2019s support, and social frailty with falls among older adults in Colombia","volume":"28","author":"Moncayo-Hern\u00e1ndez","year":"2024","journal-title":"Annals of Geriatric Medicine and Research"},{"issue":"12","key":"10.1016\/j.pmn.2026.07.003_bib0027","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.38911","article-title":"Evaluation of clinical practice guidelines on fall prevention and management for older adults: A systematic review","volume":"4","author":"Montero-Odasso","year":"2021","journal-title":"JAMA Network Open"},{"issue":"9","key":"10.1016\/j.pmn.2026.07.003_bib0028","doi-asserted-by":"crossref","first-page":"afac205","DOI":"10.1093\/ageing\/afac205","article-title":"World guidelines for falls prevention and management for older adults: A global initiative","volume":"51","author":"Montero-Odasso","year":"2022","journal-title":"Age and Ageing"},{"issue":"6","key":"10.1016\/j.pmn.2026.07.003_bib0029","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1093\/ageing\/afv125","article-title":"Pain and falls and fractures in community-dwelling older men","volume":"44","author":"Munch","year":"2015","journal-title":"Age and Ageing"},{"issue":"3","key":"10.1016\/j.pmn.2026.07.003_bib0030","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.apmr.2019.09.010","article-title":"Chronic pain characteristics and gait in older adults: The MOBILIZE Boston Study II","volume":"101","author":"Ogawa","year":"2020","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"issue":"4","key":"10.1016\/j.pmn.2026.07.003_bib0031","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.cnc.2017.08.002","article-title":"The role of pain classification systems in pain management","volume":"29","author":"Orr","year":"2017","journal-title":"Critical Care Nursing Clinics of North America"},{"issue":"10","key":"10.1016\/j.pmn.2026.07.003_bib0032","doi-asserted-by":"crossref","first-page":"1844","DOI":"10.1111\/jgs.13072","article-title":"High prevalence of falls, fear of falling, and impaired balance in older adults with pain in the United States: Findings from the 2011 National Health and Aging Trends Study","volume":"62","author":"Patel","year":"2014","journal-title":"Journal of the American Geriatrics Society"},{"key":"10.1016\/j.pmn.2026.07.003_bib49","series-title":"R: A language and environment for statistical computing","year":"2025"},{"issue":"2","key":"10.1016\/j.pmn.2026.07.003_bib0033","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-066554","article-title":"Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: A cross-sectional study","volume":"13","author":"Saito","year":"2023","journal-title":"BMJ Open"},{"key":"10.1016\/j.pmn.2026.07.003_bib0034","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.jsr.2017.08.003","article-title":"STEADI: CDC\u2019s approach to make older adult fall prevention part of every primary care practice","volume":"63","author":"Sarmiento","year":"2017","journal-title":"Journal of Safety Research"},{"issue":"15","key":"10.1016\/j.pmn.2026.07.003_bib0035","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1136\/bjsports-2019-101512","article-title":"Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review","volume":"54","author":"Sherrington","year":"2020","journal-title":"British Journal of Sports Medicine"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0036","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.apmr.2013.08.241","article-title":"Pain and the risk for falls in community-dwelling older adults: Systematic review and meta-analysis","volume":"95","author":"Stubbs","year":"2014","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"issue":"9","key":"10.1016\/j.pmn.2026.07.003_bib0037","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1002\/ejp.2013","article-title":"Severe low back or lower limb pain is associated with recurrent falls among older Australians","volume":"26","author":"Tse","year":"2022","journal-title":"European Journal of Pain"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0038","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s13075-019-1847-5","article-title":"Multisite pain and self-reported falls in older people: Systematic review and meta-analysis","volume":"21","author":"Welsh","year":"2019","journal-title":"Arthritis Research & Therapy"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0039","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1515\/sjpain-2019-0054","article-title":"Revised chronic widespread pain criteria: Development from and integration with fibromyalgia criteria","volume":"20","author":"Wolfe","year":"2019","journal-title":"Scandinavian Journal of Pain"},{"issue":"12","key":"10.1016\/j.pmn.2026.07.003_bib0042","doi-asserted-by":"crossref","first-page":"e907","DOI":"10.1016\/S2468-2667(21)00231-0","article-title":"Burden of falls among people aged 60 years and older in mainland China, 1990\u20132019: Findings from the global burden of disease study 2019","volume":"6","author":"Ye","year":"2021","journal-title":"The Lancet Public Health"},{"issue":"2","key":"10.1016\/j.pmn.2026.07.003_bib0044","doi-asserted-by":"crossref","first-page":"273","DOI":"10.26855\/ijcemr.2023.04.033","article-title":"The evidence for pain in hip osteoarthritis and symptom production during the stance phase of gait","volume":"7","author":"Zhan","year":"2023","journal-title":"International Journal of Clinical and Experimental Medicine Research"},{"issue":"2","key":"10.1016\/j.pmn.2026.07.003_bib0045","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1111\/jan.16344","article-title":"Social participation classification and activities in association with health outcomes among older adults: Results from a scoping review","volume":"81","author":"Zhang","year":"2025","journal-title":"Journal of Advanced Nursing"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0046","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1186\/s12877-019-1391-9","article-title":"Falls and risk factors of falls for urban and rural community-dwelling older adults in China","volume":"19","author":"Zhang","year":"2019","journal-title":"BMC Geriatrics"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0047","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1093\/ije\/dys203","article-title":"Cohort profile: The China health and retirement longitudinal study (CHARLS)","volume":"43","author":"Zhao","year":"2014","journal-title":"International Journal of Epidemiology"},{"issue":"1","key":"10.1016\/j.pmn.2026.07.003_bib0048","doi-asserted-by":"crossref","first-page":"9703","DOI":"10.1038\/s41598-024-60430-x","article-title":"Analysis of factors influencing fall risk among elderly people in rural of China","volume":"14","author":"Zhao","year":"2024","journal-title":"Scientific Reports"}],"container-title":["Pain Management Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904226002377?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904226002377?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T04:08:48Z","timestamp":1786075728000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1524904226002377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":44,"alternative-id":["S1524904226002377"],"URL":"https:\/\/doi.org\/10.1016\/j.pmn.2026.07.003","relation":{},"ISSN":["1524-9042"],"issn-type":[{"value":"1524-9042","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pain Phenotypes and Falls in Older Adults: Cross-Sectional Associations by Social Engagement","name":"articletitle","label":"Article Title"},{"value":"Pain Management Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pmn.2026.07.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}