Marcella Kwan|Wai Nam Tsang|Shunfu Lin|Mark Greenaway|Jacqueline C.T. Close|Stephen R. Lord
Increased Concern Is Protective for Falls in Chinese Older People: The Chopstix Fall Risk Study
Neuroscience Research Australia|UNSW Sydney|Hong Kong Polytechnic University|National Cheng Kung University|Neuroscience Research Australia|UNSW Sydney|Neuroscience Research Australia|Neuroscience Research Australia|UNSW Sydney
chinese older people approximately half risk falling white counterparts studies date explained disparity existsa total 692 chinese 764 white communitydwelling older people participated multicohort study conducted taiwan hong kong australia baseline measurements included sociodemographic psychological physical measures concern falling falls efficacy scaleinternational scores physical activity levels falls monitored prospectively 1224 monthsthe standardized annual fall rates 3 chinese cohorts 026 047 taiwan 021 057 hong kong 036 080 australia significantly lower white cohort 070 115 fall rates taiwan hong kong cohorts also significantly lower australian chinese cohort difference fall rates due better physical ability chinese cohorts however chinese cohorts planned activity expressed concern falling negative binomial regression analysis revealed significant cohort falls efficacy scaleinternational score interaction adjusting interaction falls efficacy scaleinternational scores predictors confounders incidence rate ratios comparing cohorts longer statistically significantlow fall rates chinese cohorts appear due increased concern falling manifest high falls efficacy scaleinternational scores findings suggest chinese cohorts likely adapt behaviors lessen fall risk adaptations partially lost chinese people migrated westernized country