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Fall risk and prevention needs assessment in an older adult Latino population: a model community global health partnership

TitleFall risk and prevention needs assessment in an older adult Latino population: a model community global health partnership
Publication TypeJournal Article
Year of Publication2013
AuthorsHanlin, ER, Delgado-Rendon, A, Lerner, EB, Hargarten, S, Farias, R
JournalProg Community Health PartnershProg Community Health Partnersh
Date PublishedSummer
ISBN Number1557-0541 (Print)<br/>1557-0541 (Linking)
Accession Number23793250
KeywordsAccidental Falls/ prevention & control, Aged, Community Health Services/ organization & administration, Community-Based Participatory Research, Community-Institutional Relations, Comorbidity, Cross-Sectional Studies, Female, Goals, Health Knowledge, Attitudes, Practice, Health Promotion/ organization & administration, Hispanic Americans, Humans, Male, Needs Assessment, Risk Factors, Socioeconomic Factors, Universities/organization & administration
AbstractBACKGROUND: The impact of falls in older adults presents a significant public health burden. Fall risk is not well-described in Latino populations nor have fall prevention programs considered the needs of this population. OBJECTIVES: The objectives of this study were to develop a needs assessment of falls in older adult Latinos at a community center (CC), determine fall prevention barriers and strengths in this population, determine the level of interest in various fall prevention methods, and provide medical students an opportunity for participation in a culturally diverse community project. METHODS: A cross-sectional survey was conducted with a convenience sample of older adult program participants. The survey was developed in collaboration with both partners. CC participants were approached by the interviewer and asked to participate. They were read the survey in their preferred language and their answers were recorded. Data were analyzed using descriptive statistics. RESULTS: We conducted 103 interviews. We found that 54% of participants had fallen in the last year, and of those 21% required medical care, 81% were afraid of falling again, and 66% considered themselves at risk for falling again. Of all respondents, 52% had 5 or more of the 10 surveyed risk factors for falling; 4% had no risk factors. Of all respondents, 75% were afraid of falling. Talking with health care providers and participating in an exercise class were the preferred methods of health information delivery (78% and 65%, respectively). CONCLUSION: Older adult Latinos in this selected population frequently fall and are worried about falling. Risk factors are prevalent. A fall prevention program is warranted and should include exercise classes and a connection with local primary care providers. A partnership between an academic organization and a CC is an ideal collaboration for the future development of prevention program.