TY  - JOUR
PY  - 2019//
TI  - Trends in geospatial drivers of fall-related hospitalizations and asset mapping of fall prevention interventions for vulnerable older adults
JO  - Journal of aging and health
A1  - Towne, Samuel D.
A1  - Smith, Matthew Lee
A1  - Xu, Minjie
A1  - Lee, Sungmin
A1  - Sharma, Sushma
A1  - Smith, Don
A1  - Li, Yajuan
A1  - Fucci, Yasmin
A1  - Ory, Marcia G.
SP  - 898264318822381
EP  - 898264318822381
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0898-2643
UR  - http://dx.doi.org/10.1177/0898264318822381
ID  - ref1
ER  -