@article{ref1,
title="Relationships between neighborhood social capital and the occurrence of outdoor falls in Canadian older adults: a multilevel analysis",
journal="Journal of aging and health",
year="2018",
author="Vafaei, Afshin and Pickett, William and Zunzunegui, Maria Victoria and Alvarado, Beatriz E.",
volume="30",
number="7",
pages="1108-1135",
abstract="OBJECTIVE: The aim of this study was to examine whether neighborhood-level social capital is a risk factor for falls outside of the home in older adults. <br><br>METHODS: Health questionnaires were completed by community-dwelling Canadians aged +65 years living in Kingston (Ontario) and St-Hyacinthe (Quebec), supplemented by neighborhood-level census data. Multilevel logistic regression models with random intercepts were fit. Variations in the occurrence of falls across neighborhoods were quantified by median odds ratio and 80% interval odds ratio. <br><br>RESULTS: Between-neighborhood differences explained 7% of the variance in the occurrence of falls; this variance decreased to 2% after adjustment for neighborhood-level variables. In the fully adjusted models, higher levels of social capital increased the odds of falls by almost 2 times: (odds ratio [OR] = 2.10, 95% confidence interval [CI] = [1.19, 3.71]). <br><br>DISCUSSION: Living in neighborhoods with higher levels of social capital was associated with higher risk of falling in older adults, possibly through more involvement in social activities.<p /> <p>Language: en</p>",
language="en",
issn="0898-2643",
doi="10.1177/0898264317706236",
url="http://dx.doi.org/10.1177/0898264317706236"
}