A cross sectional study on the prevalence and risk factors of fall among the elderly in an urban area of Chidambaram

B. Sindhubala, I. K. Annie, A. John William Felix


Background: In India, the elderly people constitute 8.6% of the total population. Fall is a major cause of injuries and can increase the risk of early mortality among elderly. The objective of this study was to determine the prevalence of falls among elderly and its associated risk factors.

Methods: A cross sectional study was conducted among elderly population over 60 years and above, in an urban area. About 115 elderly were selected using convenient sampling method. A predesigned semi structured questionnaire was administered to collect information about falls. In statistical analysis, descriptive statistics and chi square test was employed using SPSS version 21.3.

Results: The prevalence of fall in the past 12 months was found to be 27%. Among these, 77.4% of the participants had single fall and 22.6% had two episodes of falls. The majority (84.2%) of falls occurred indoors, 60.5% falls occurred during morning hours. Half of the participants had reported the reasons for falls as slippery floor (55.6%). Age was found to be significantly associated with falls.

Conclusions: Falls are very common among elderly. Identification of factors significantly affecting elderly falls can help in planning public health policies and programs for prevention of falls.


Falls, Elderly, Risk factors, Urban

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Central Statistics Office, Ministry of Statistics and Programme Implementation 2016 66. Situation analysis of elderly persons in India. 2016. 7-9 p. Available from: files/publication_reports/ElderlyinIndia_2016.pdf. Accessed on 20 September 2020.

Petersen W. Population Composition. From Birth to Death. 2018;37-48. Accessed on 20 September 2020.

Centers for Disease Control and Prevention (CDC). Fatalities and injuries from falls among older adults-United States, 1993-2003 and 2001-2005. MMWR Morb Mortal Wkly Rep 2006;55(45):1221-4.

Dsouza SA, Rajashekar B, Dsouza HS, Kumar KB. Falls in Indian older adults: a barrier to active ageing. Asian J Gerontol Geriat. 2020;9(1):33-40.

Chacko TV, Thangaraj P, Muhammad GM. Epidemiology of fall and its risk factors among elders in a rural area of. Int J Comm Med Public Health. 2017;4(10):3864-9.

Patil SS, Suryanarayana SP, Rajaram D, Murthy NS. Circumstances and Consequences of Falls in Community-Living Elderly in North Bangalore Karnataka. J Krishna Institute Med Sci Uni. 2015;4(4):27-35.

Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Int J Epidemiol. 2003;32(6):978-87.

Sirohi A, Kaur R, Goswami AK, Mani K, Nongkynrih B, Gupta SK. A Study of Falls among Elderly Persons in a Rural Area of Haryana. India J Pub Health. 2017;61(2)99-104.

Kumar RS, Ravindran K. A cross sectional study on the prevalence and risk factors of fall among the elderly in an urban slum in Chennai. Int J Comm Med Public Health. 2019;6(3):1102-7.

Pitchai P, Dedhia HB, Bhandari N, Krishnan D, Ria N, Souza JD et al. Prevalence, Risk Factors, Circumstances for Falls and Level of Functional Independence among Geriatric Population-A Descriptive Study. India J Pub Health. 2019;21-6.

Dhargave P, Sendhilkumar R. Prevalence of risk factors for falls among elderly people living in long-term care homes. J Clin Gerontol Geriatr. 2016;7(3):99-103.

Dandona R, Kumar GA, Ivers R, Joshi R, Neal BDL. Charact non-fatal fall Inj Rural India. Inj Prev. 2010;16(3)166-71.

Krishnaswamy BGU. Falls in Older People National/Regional Review. Available from: http// 1-19. Accessed on 20 September 2020.