{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:39:07Z","timestamp":1780961947881,"version":"3.54.1"},"reference-count":50,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Africa Wetu Foundation-NPC","award":["2020\/622200\/08"],"award-info":[{"award-number":["2020\/622200\/08"]}]},{"name":"Africa Wetu Foundation-NPC","award":["90071454"],"award-info":[{"award-number":["90071454"]}]}],"content-domain":{"domain":["www.mdpi.com"],"crossmark-restriction":true},"short-container-title":["IJERPH"],"abstract":"<jats:p>Falls are a prevalent health concern with a multi-factorial origin and causing numerous complications for older adults, especially those in low- and middle-income countries, such as South Africa. This study aimed to determine the prevalence of falls among older adults living in different types of long-term care facilities in the City of Cape Town. A total of 258 males and females aged between 60 and 95 years were recruited. Data collection occurred from September 2021 to January 2022. Participants were categorized into low, moderate, or high fall risk using the fall-risk assessment tool. Descriptive statistics summarized participant characteristics and fall prevalence. The chi-squared test determined significant associations between facility type, marital status, and educational level, and their relationship to falling. Spearman\u2019s rank correlation coefficient assessed associations between fall occurrence and various risk factors. Findings indicated that the prevalence of falls was 32.6%. Falls were significantly associated with behaviors such as agitation or confusion, and other unmentioned risk factors. Participants living in facilities run by non-profit organizations, and who had a lower education level or were single or widowed, had a higher fall prevalence. The use of anti-depressant and anti-diabetic medications was significantly linked to increased fall risk. These findings can inform future research and the development of strategies to prevent falls among older adults, particularly in LTC facilities.<\/jats:p>","DOI":"10.3390\/ijerph22030432","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T13:07:51Z","timestamp":1741957671000},"page":"432","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Prevalence of Falls Among Older Adults Living in Long-Term Care Facilities in the City of Cape Town"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5933-5206","authenticated-orcid":false,"given":"Nabilah","family":"Ebrahim","sequence":"first","affiliation":[{"name":"Department of Sport, Recreation and Exercise Science, Faculty of Community and Health Sciences, University of the Western Cape, Robert Sobukwe Rd, Bellville, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaron","family":"Ras","sequence":"additional","affiliation":[{"name":"Department of Sport, Recreation and Exercise Science, Faculty of Community and Health Sciences, University of the Western Cape, Robert Sobukwe Rd, Bellville, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rucia","family":"November","sequence":"additional","affiliation":[{"name":"Department of Sport, Recreation and Exercise Science, Faculty of Community and Health Sciences, University of the Western Cape, Robert Sobukwe Rd, Bellville, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5861-289X","authenticated-orcid":false,"given":"Lloyd","family":"Leach","sequence":"additional","affiliation":[{"name":"Department of Sport, Recreation and Exercise Science, Faculty of Community and Health Sciences, University of the Western Cape, Robert Sobukwe Rd, Bellville, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1159\/000510469","article-title":"Falls and Fall-Related Consequences among Older People Living in Long-Term Care Facilities in a Megacity of China","volume":"66","author":"Jiang","year":"2020","journal-title":"Gerontology"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Dami\u00e1n, J., Roberto Pastor-Barriuso, E.V.-G., Roberto Pastor-Barriuso, E.V.-G., and de Pedro-Cuesta, J. 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