The onset of falls reduces perceived autonomy among middle aged and older adults. Results from a longitudinal nationally representative sample
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The onset of falls reduces perceived autonomy among middle aged and older adults. Results from a longitudinal nationally representative sample. / Hajek, André; König, Hans-Helmut.
In: ARCH GERONTOL GERIAT, Vol. 90, 04.06.2020, p. 104115.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The onset of falls reduces perceived autonomy among middle aged and older adults. Results from a longitudinal nationally representative sample
AU - Hajek, André
AU - König, Hans-Helmut
N1 - Copyright © 2020 Elsevier B.V. All rights reserved.
PY - 2020/6/4
Y1 - 2020/6/4
N2 - AIM: The purpose of this study was to identify whether the onset of falls is associated with reduced autonomy among individuals in the second half of life.METHODS: Longitudinal data (with 7626 observations) were drawn from the German Ageing Survey, which is a nationally representative sample of individuals residing in private households ≥ 40 years. An established scale developed by Schwarzer was used to assess perceived autonomy. Falls in the preceding 12 months served as the main independent variable. Age, marital status, employment status, income, self-rated health, physical functioning and the number of physical illnesses were adjusted for in the analysis.RESULTS: Adjusting for potential confounders, linear fixed effects regressions showed that the onset of falls was associated with lower perceived autonomy (β=-0.06, p < .01). This link was moderated by neither sex, age nor education. Moreover, a decrease in perceived autonomy was associated with worsening self-rated health (β=-.03, p < .01) and decreases in physical functioning (β = .002, p < .001). Furthermore, changes from employment to retirement were associated with an increase in perceived autonomy (β = .07, p < .05).CONCLUSIONS: The study findings suggest that avoiding falls may assist in maintaining autonomy in the second half of life.
AB - AIM: The purpose of this study was to identify whether the onset of falls is associated with reduced autonomy among individuals in the second half of life.METHODS: Longitudinal data (with 7626 observations) were drawn from the German Ageing Survey, which is a nationally representative sample of individuals residing in private households ≥ 40 years. An established scale developed by Schwarzer was used to assess perceived autonomy. Falls in the preceding 12 months served as the main independent variable. Age, marital status, employment status, income, self-rated health, physical functioning and the number of physical illnesses were adjusted for in the analysis.RESULTS: Adjusting for potential confounders, linear fixed effects regressions showed that the onset of falls was associated with lower perceived autonomy (β=-0.06, p < .01). This link was moderated by neither sex, age nor education. Moreover, a decrease in perceived autonomy was associated with worsening self-rated health (β=-.03, p < .01) and decreases in physical functioning (β = .002, p < .001). Furthermore, changes from employment to retirement were associated with an increase in perceived autonomy (β = .07, p < .05).CONCLUSIONS: The study findings suggest that avoiding falls may assist in maintaining autonomy in the second half of life.
U2 - 10.1016/j.archger.2020.104115
DO - 10.1016/j.archger.2020.104115
M3 - SCORING: Journal article
C2 - 32492603
VL - 90
SP - 104115
JO - ARCH GERONTOL GERIAT
JF - ARCH GERONTOL GERIAT
SN - 0167-4943
ER -
