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Hartford Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000965","name":"American Federation for Aging Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000965","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the relationship between neighborhood\u2010level socioeconomic characteristics, life\u2010space mobility, and incident falls in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, observational cohort study with a baseline in\u2010home assessment and 6\u2010month telephone follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Central Alabama.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010dwelling adults aged 65 and older recruited from a random sample of Medicare beneficiaries (N = 1,000).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Neighborhood disadvantage was measured using a composite index derived from baseline neighborhood\u2010level residential census tract socioeconomic variables. Data on individual\u2010level socioeconomic characteristics, clinical variables, and life\u2010space collected at baseline were included as covariates in a multivariate model using generalized estimating equations to assess the association with incident falls in the 6 months after baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 940 participants who completed baseline and follow\u2010up assessments, 126 (13%) reported one or more new falls in the 6 months after baseline. There was an independent nonlinear association between neighborhood disadvantage (according to increasing quartiles of disadvantage) and incident falls after adjusting for confounders: The lowest quartile served as reference; 2nd quartile odds ratio (OR) = 2.4, 95% confidence interval (CI) = 1.2\u20134.6; 3rd quartile OR = 1.9, 95% CI = 1.0\u20133.7; 4th quartile OR = 3.2, 95% CI = 1.7\u20136.0. Each 10\u2010point decrement in life\u2010space (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.2, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.0\u20131.3) was associated with a higher risk of falls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Greater neighborhood disadvantage was associated with greater risk of falls. Life\u2010space also contributes separately to fall risk. Community\u2010dwelling older adults in disadvantaged neighborhoods, particularly those with limited mobility, may benefit from a more\u2010rigorous assessment of their fall risk by healthcare providers. Neighborhood level socioeconomic characteristics should also be an important consideration when identifying vulnerable populations that may benefit the most from fall prevention programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14353","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T20:28:06Z","timestamp":1479328086000},"page":"2218-2225","source":"Crossref","is-referenced-by-count":59,"title":["Neighborhood Disadvantage and Life\u2010Space Mobility Are Associated with Incident Falls in Community\u2010Dwelling Older Adults"],"prefix":"10.1111","volume":"64","author":[{"given":"Alexander X.","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of Alabama at Birmingham Birmingham Alabama"},{"name":"Comprehensive Center for Healthy Aging University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew 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