@article{ref1,
title="Trends in geospatial drivers of fall-related hospitalizations and asset mapping of fall prevention interventions for vulnerable older adults",
journal="Journal of aging and health",
year="2019",
author="Towne, Samuel D. and Smith, Matthew Lee and Xu, Minjie and Lee, Sungmin and Sharma, Sushma and Smith, Don and Li, Yajuan and Fucci, Yasmin and Ory, Marcia G.",
volume="ePub",
number="ePub",
pages="898264318822381-898264318822381",
abstract="OBJECTIVE: Given that one in four older adults suffer potentially preventable falls annually, we aimed to identify areas with (a) delivery gaps of evidence-based programs (EBPs) targeting fall prevention among older adults, namely A Matter of Balance (AMOB), and (b) high rates of fall-related hospitalizations-hotspots. <br><br>METHOD: Analyses included multiple geospatially linked datasets. <br><br>RESULTS: EBPs were delivered ≥1 time in 84 counties in 2012 and 90 counties in 2014. Factors associated with EPB delivery gaps (absence; p<.05) included high-density older adult areas, non-fall-related hospitalization hotspots, lower population density, nonmetropolitan areas, high-density Hispanic adult areas, and areas with limited access to home health care agencies. Hotspots for fall-related hospitalization numbered 64 in 2012 and 62 in 2014. Factors associated with hotspots included low-density older adult areas, having AMOB delivered ≥1 time annually, high population density, and high-density Hispanic adult areas. <br><br>DISCUSSION: In resource-finite settings (e.g., the aging services sector), identifying high priority areas allows for precise allocation of limited resources.<p /> <p>Language: en</p>",
language="en",
issn="0898-2643",
doi="10.1177/0898264318822381",
url="http://dx.doi.org/10.1177/0898264318822381"
}