{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:42:34Z","timestamp":1790916154931,"version":"4.1.0"},"reference-count":166,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian National Health and Medical Research Council","award":["Investigator Grant"],"award-info":[{"award-number":["Investigator Grant"]}]},{"name":"Australian Research Council Centre of Excellence in Population Ageing Research","award":["CE170100005"],"award-info":[{"award-number":["CE170100005"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2026,7,27]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Falls among middle-aged and older-aged adults are a significant public health concern. However, a holistic understanding of how different indicators of socioeconomic position (SEP) are associated with falls is lacking, particularly for SEP across the life course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We systematically searched for observational studies analysing the association between at least one indicator of SEP and one fall outcome. Due to heterogeneity between included studies, results were narratively synthesised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After de-duplication, 5880 search results were screened and 125 studies were included. Only 14 included studies explicitly aimed to study the relationship between SEP and falls, which generally found that higher SEP was associated with lower risks\/rates of falls. An additional nine studies also had relevant adjusted models that largely showed a negative relationship. However, adjusted results were mixed and often lacked statistical significance. The remaining 102 studies only contained unadjusted results of interest, with 50\u2013100% of results for each SEP indicator showing that low SEP groups experience disproportionately high risks\/rates of fall outcomes compared with high SEP groups. Notably, only four studies measured any SEP indicators from a stage of the life course prior to the study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our findings suggest that falls disproportionately impact low SEP groups and that knowledge gaps exist regarding the relationship between different SEP indicators and falls, particularly for SEP exposures across the life course. Future research on this topic should use causal diagrams for appropriate model building and include a wide range of SEP indicators across the life course.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/jech-2025-225014","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:20:19Z","timestamp":1786555219000},"page":"jech-2025-225014","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Socioeconomic position and falls among middle-aged and older-aged adults: a systematic review with a life course approach"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6034-2300","authenticated-orcid":false,"given":"Frerik","family":"Smit","sequence":"first","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia R","family":"Franco","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia"},{"name":"School of Health Sciences, Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Sherrington","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3881-446X","authenticated-orcid":false,"given":"St\u00e9phane","family":"Cullati","sequence":"additional","affiliation":[{"name":"Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland"},{"name":"Quality of Care Service, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Blyth","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"ARC Centre for Excellence in Population Ageing Research, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-5825","authenticated-orcid":false,"given":"Anita","family":"van Zwieten","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, Children\u2019s Hospital at Westmead, Westmead, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8437-1906","authenticated-orcid":false,"given":"Saman","family":"Khalatbari-Soltani","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland"},{"name":"ARC Centre for Excellence in Population Ageing Research, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"2026081810201262000_jech-2025-225014v2.1","unstructured":"World Health Organization . 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