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ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1537587
This article is part of the Research Topic Multifactorial balance assessment, falls prevention and rehabilitation View all 9 articles
Associated factors and gender differences of falls in older adults with hypertension: A national cross-sectional survey
Provisionally accepted- 1 Department of Cardiology,Shapingba Hospital affiliated to Chongqing University（Shapingba District People's Hospital of Chongqing）, Chongqing, China
- 2 The Second Clinical College,ChongQing Medical University, Chongqing, China
- 3 The First Clinical College,Chongqing Medical University, Chongqing, China
- 4 The Thirteenth People’s Hospital of Chongqing, Chongqing, China
- 5 Chongqing Geriatrics Hospital, Chongqing, China
- 6 Department of Basic Courses, Chongqing Medical and Pharmaceutical College, Chongqing, China
Background: Falls have become a crucial public health problem among older adults, especially those with hypertension. However, the current understanding of the risk of falls among them is still insufficient. The purpose of this study was to investigate the factors associated with falls and their gender differences among older adults with hypertension in China.: Based on the cross-sectional data of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2018 database, this study defined 24 possible associated factors based on the five dimensions of the Health Ecology Model. Binary Logistic Regression Model was used to analyze the impact of each factor on falls among older adults with hypertension.The prevalence rate of falls in older adults with hypertension in China was 22.60%. Falls are associated with a variety of factors. Specifically, gender, self-rated health, hearing impairment, stroke, instrumental activities of daily living (IADL) disability, basic activities of daily living (BADL) disability, exercise, fresh fruit and taste preference are significant associated factors for falls among older adults with hypertension. Among them, the effects of self-rated health, stroke and exercise on falls are only significant in female with hypertension. The effect of fresh fruit on falls was significant only in men with hypertension.The findings highlight that the current situation of falls among older adults with hypertension requires attention, necessitating comprehensive measures for prevention and control.
Keywords: Hypertension, falls, older adults, CLHLS, health ecology model
Received: 01 Dec 2024; Accepted: 31 Mar 2025.
Copyright: © 2025 Wang, Zhang, Cao, Chen, Xian and Niu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Tengfei Niu, Department of Basic Courses, Chongqing Medical and Pharmaceutical College, Chongqing, China
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