{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:55:16Z","timestamp":1787028916830,"version":"build-2736575974"},"reference-count":44,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Korea government (MSIT)","award":["RS-2023-00239162"],"award-info":[{"award-number":["RS-2023-00239162"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Older adults are a vulnerable population to unintentional injuries due to age-related physiological decline and the presence of various chronic conditions. Unintentional injuries occurring in the home, such as falls, burns, poisoning, cuts, and suffocation, have been reported at higher rates in this age group compared to younger populations. This study examines the prevalence and types of unintentional in-home injuries in older adults and identifies the risk factors associated with falls and cuts\/collisions. Materials and Methods: A cross-sectional study was conducted on 309 older adults (aged \u2265 65 years) recruited from eight senior welfare centers in South Korea. Results: The most frequent cause of injury was falls (28.7%), followed by cuts\/collisions (27.0%), burns\/fire (11.4%), and other injuries (8.1%). In the model adjusted for age and sex, risk factors for falls included a history of outdoor falls or indoor cuts\/collisions, dizziness, and the use of two or more medications. Risk factors for cut\/collision injuries included a history of indoor burns or falls, numbness in hands and feet, and visual impairment. Conclusions: To effectively prevent home injuries among older adults, it is crucial to focus not only on falls but also on frequent minor injuries caused by cuts and collisions.<\/jats:p>","DOI":"10.3390\/medicina61071235","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T07:31:57Z","timestamp":1751959917000},"page":"1235","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and Risk Factors of Unintentional In-Home Injuries in Older Adults"],"prefix":"10.3390","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8882-675X","authenticated-orcid":false,"given":"Ok-Hee","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Nursing and Health, Kongju National University, Gongju 32588, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5504-9288","authenticated-orcid":false,"given":"Hyekyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Nursing, Catholic Kwandong University, Gangneung 25601, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2025, February 08). Preventing Injuries and Violence: An Overview, Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240047136."},{"key":"ref_2","unstructured":"U.S. Centers for Disease Control and Prevention (2025, February 08). Common Injuries as We Age, Available online: https:\/\/www.cdc.gov\/still-going-strong\/about\/common-injuries-as-we-age.html."},{"key":"ref_3","unstructured":"World Health Organization (2025, February 08). World Report on Ageing and Health, Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241565042."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.injury.2007.02.042","article-title":"Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: Frequencies, characteristics, and outcomes","volume":"39","author":"Alptekin","year":"2008","journal-title":"Injury"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Lee, S. (2021). Falls associated with indoor and outdoor environmental hazards among community-dwelling older adults between men and women. BMC Geriatr., 21.","DOI":"10.1186\/s12877-021-02499-x"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Karb, R.A., Subramanian, S.V., and Fleegler, E.W. (2016). County poverty concentration and disparities in unintentional injury deaths: A fourteen-year analysis of 1.6 million U.S. fatalities. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0153516"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"500","DOI":"10.2188\/jea.JE20110021","article-title":"Change in causes of injury-related deaths in South Korea, 1996-2006","volume":"21","author":"Hong","year":"2011","journal-title":"J. Epidemiol."},{"key":"ref_8","unstructured":"Korea Disease Control and Prevention Agency (2023). 13th National Injury Fact Book Korea."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.gerinurse.2012.06.010","article-title":"Knowledge and injury prevention practices in homes of older adults","volume":"34","author":"Shields","year":"2013","journal-title":"Geriatr Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1016\/j.injury.2022.03.050","article-title":"Are home environment injuries more fatal in children and the elderly?","volume":"53","author":"Banerjee","year":"2022","journal-title":"Injury"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"4402","DOI":"10.3390\/ijerph110404402","article-title":"Epidemiological risk analysis of home injuries in Italy (1999\u20132006)","volume":"11","author":"Ferrante","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_12","first-page":"53","article-title":"Survey of domestic accidents in the elderly in the Province of Genoa (northern Italy)","volume":"50","author":"Panatto","year":"2009","journal-title":"J. Prev. Med. Hyg."},{"key":"ref_13","first-page":"332","article-title":"My home is my castle! Or is it? Hospitalizations following home injury in Israel, 1997\u20132001","volume":"6","author":"Sikron","year":"2004","journal-title":"Isr. Med. Assoc. J."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Mauritzson, E., McKee, K.J., Elf, M., and Borg, J. (2023). Older adults\u2019 experiences, worries and preventive measures regarding home hazards: A survey on home safety in sweden. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20021458"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4082\/kjfm.17.0124","article-title":"Unintentional injuries among the elderly in rural areas and their related behaviors","volume":"40","author":"Sayfian","year":"2019","journal-title":"Korean J. Fam. Med."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Zhang, H., Wei, F., Han, M., Chen, J., Peng, S., and Du, Y. (2017). Risk factors for unintentional injuries among the rural elderly: A county-based cross-sectional survey. Sci. Rep., 7.","DOI":"10.1038\/s41598-017-12991-3"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/10903120290938553","article-title":"Injury prevention and emergency medical services: The \u201cAccidents Aren\u2019t\u201d program","volume":"6","author":"Yancey","year":"2002","journal-title":"Prehospital Emerg. Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jss.2011.05.003","article-title":"Epidemiologic trend in elderly domestic injury","volume":"173","author":"Oyetunji","year":"2012","journal-title":"J. Surg. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"727","DOI":"10.4103\/jfmpc.jfmpc_1745_22","article-title":"Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka","volume":"12","author":"Shashikantha","year":"2023","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s40621-024-00517-1","article-title":"Clinical trauma severity of indoor and outdoor injurious falls requiring emergency medical service response","volume":"11","author":"Burford","year":"2024","journal-title":"Inj. Epidemiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1017\/S1041610219000838","article-title":"Depression and activity-imiting fall worry among older adults: Longitudinal reciprocal relationships","volume":"32","author":"Choi","year":"2020","journal-title":"Int. Psychogeriatr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"9292673","DOI":"10.1155\/2022\/9292673","article-title":"Recording of falls in elderly fallers in Northern Greece and evaluation of aging health-related factors and environmental safety associated with falls: A cross-sectional study","volume":"2022","author":"Lytras","year":"2022","journal-title":"Occup. Ther. Int."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Cho, O.H., and Yoon, J. (2024). Epidemiology of accidental injuries at home and related risk factors for mortality among older adults in South Korea: A retrospective cohort study. Medicina, 60.","DOI":"10.3390\/medicina60040593"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1080\/17457300.2012.663761","article-title":"Home injuries in Italy: Patterns of injury and the most exposed people","volume":"20","author":"Ferrante","year":"2013","journal-title":"Int. J. Inj. Control Saf. Promot."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s12603-012-0084-2","article-title":"A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans","volume":"16","author":"Morley","year":"2012","journal-title":"J. Nutr. Health Aging"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1097\/01.MLR.0000093487.78664.3C","article-title":"The patient health questionnaire-2: Validity of a two-item depression screener","volume":"41","author":"Kroenke","year":"2003","journal-title":"Med. Care"},{"key":"ref_27","first-page":"1","article-title":"Summary health statistics for the U.S. population: National Health Interview Survey, 2006","volume":"10","author":"Adams","year":"2008","journal-title":"Vital Health Stat."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1016\/j.mcna.2023.05.011","article-title":"Older adults and unintentional injury","volume":"107","author":"Hill","year":"2023","journal-title":"Med. Clin. N. Am."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/j.aap.2007.10.003","article-title":"Association between the number of home injury hazards and home injury","volume":"40","author":"Keall","year":"2008","journal-title":"Accid. Anal. Prev."},{"key":"ref_30","unstructured":"Korea Disease Control and Prevention Agency (2025, February 08). 2022 Injury Type and Cause Statistics, Available online: https:\/\/www.kdca.go.kr\/injury\/."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"298","DOI":"10.11622\/smedj.2015073","article-title":"Health promotion board-ministry of health clinical practice guidelines: Falls prevention among older adults living in the community","volume":"56","author":"Shyamala","year":"2015","journal-title":"Singap. Med. J."},{"key":"ref_32","unstructured":"Australian and New Zealand Falls Prevention Society (2024, December 16). Info About Falls. Injuries from Falls. Available online: https:\/\/www.anzfallsprevention.org\/info."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"875","DOI":"10.15585\/mmwr.mm6927a5","article-title":"Trends in nonfatal falls and fall-related injuries among adults aged \u226565 years\u2014United States, 2012\u20132018","volume":"69","author":"Moreland","year":"2020","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.archger.2011.06.008","article-title":"Risk factors for falls and fall-related injuries in adults 85 years of age and older","volume":"54","author":"Grundstrom","year":"2012","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"100907","DOI":"10.1016\/j.cegh.2021.100907","article-title":"Community-based case control study on the risk of fall among elderly in Kaniyambadi block, Vellore, Tamil Nadu, India","volume":"12","author":"Joseph","year":"2021","journal-title":"Clin. Epidemiol. Glob. Health"},{"key":"ref_36","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"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Sibley, K.M., Voth, J., Munce, S.E., Straus, S.E., and Jaglal, S.B. (2014). Chronic disease and falls in community-dwelling Canadians over 65 years old: A population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatr., 14.","DOI":"10.1186\/1471-2318-14-22"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"El Sayed, A.E.H.I., Said, M.T., Mohsen, O., Abozied, A.M., and Salama, M. (2023). Falls and associated risk factors in a sample of old age population in Egyptian community. Front. Public Health., 11.","DOI":"10.3389\/fpubh.2023.1068314"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Gade, G.V., J\u00f8rgensen, M.G., Ryg, J., Masud, T., Jakobsen, L.H., and Andersen, S. (2021). Development of a multivariable prognostic PREdiction model for 1-year risk of FALLing in a cohort of community-dwelling older adults aged 75 years and above (PREFALL). BMC Geriatr., 21.","DOI":"10.1186\/s12877-021-02346-z"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1111\/j.1532-5415.2011.03317.x","article-title":"Hypertension, orthostatic hypotension, and the risk of falls in a community-dwelling elderly population: The maintenance of balance, independent living, intellect, and zest in the elderly of Boston study","volume":"59","author":"Gangavati","year":"2011","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.amepre.2018.11.007","article-title":"Fall prevention self-management among older adults: A systematic review","volume":"56","author":"Schnock","year":"2019","journal-title":"Am. J. Prev. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"7967","DOI":"10.1167\/iovs.12-10701","article-title":"Activity limitation due to a fear of falling in older adults with eye disease","volume":"53","author":"Wang","year":"2012","journal-title":"Investig. Opthalmology Vis. Sci."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"afad220","DOI":"10.1093\/ageing\/afad220","article-title":"Older adults\u2019 knowledge and perception of fall risk and prevention: A scoping review","volume":"52","author":"Adibah","year":"2023","journal-title":"Age Ageing"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.gerinurse.2014.12.013","article-title":"Home fire safety beliefs and practices in homes of urban older adults","volume":"36","author":"Coty","year":"2015","journal-title":"Geriatr. Nurs."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/7\/1235\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:06:20Z","timestamp":1760033180000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/7\/1235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,8]]},"references-count":44,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["medicina61071235"],"URL":"https:\/\/doi.org\/10.3390\/medicina61071235","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,8]]}}}