Age and Ageing Advance Access originally published online on January 27, 2007
Age and Ageing 2007 36(2):145-151; doi:10.1093/ageing/afl167
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Psychosocial factors associated with fall-related hip fractures
1 University of Queensland, Australasian Centre on Ageing, St Lucia, Queensland, Australia
2 University of Queensland, Centre of National Research on Disability and Rehabilitation Medicine, Herston, Queensland, Australia
3 Griffith University, School of Medicine, Meadowbrook, Queensland, Australia
Address correspondence to: Nancye M. Peel. Email: n.peel{at}uq.edu.au
Background: fall-related injuries in older people are a major public health concern. This study examined the relationship between psychosocial determinants of healthy ageing and risk of fall-related hip fracture in community-dwelling older people. The purpose was to contribute evidence for promotion of healthy ageing strategies in population-based interventions for fall injury prevention.
Methods: a case-control study was conducted with 387 participants, with at least two controls recruited per case. Cases of fall-related hip fracture in community-dwelling people aged 65 and older were recruited from hospital admissions in Brisbane, Australia, in 2003–2004. Community-based controls, matched by age, sex and postcode, were recruited via electoral roll sampling. A questionnaire assessing psychosocial factors, identified as determinants of healthy ageing, was administered at face-to-face interviews.
Results: psychosocial factors having a significant independent protective effect on hip fracture risk included being currently married [OR: 0.44 (0.22 to 0.88)], living in present residence for 5 years or more [OR: 0.43 (0.22 to 0.84)], having private health insurance [OR: 0.49 (0.27 to 0.90)], using proactive coping strategies [OR: 0.52 (0.29 to 0.92)], having a higher level of life satisfaction [OR: 0.47 (0.27 to 0.81)], and engagement in social activities in older age [OR: 0.30 (0.17 to 0.54)].
Conclusion: this study suggests that psychosocial determinants of healthy ageing are protective in fall-related hip fracture injury in older people. Reduction in the public health burden caused by this injury may then be achieved by implementing healthy ageing strategies involving community-based approaches to enhance the psychosocial environments of older people.
Keywords: hip fractures, case-control study, psychosocial factors, aged population, falls prevention, elderly
Received 11 July 2006; accepted in revised form 6 November 2006.
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  N. M. PEEL, H. P. BARTLETT, and R. J. MCCLURE Healthy Aging as an Intervention to Minimize Injury from Falls among Older People Ann. N.Y. Acad. Sci., October 1, 2007; 1114(1): 162 - 169. [Abstract] [Full Text] [PDF]
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