Analysis of Fall Incidence and Influencing Factors Among Home-Dwelling Elderly in China

Abstract

Objective: To explore the current situation of falls among elderly people at home in Hechi City, Guangxi, China, and its influencing factors, so as to provide a basis for the formulation of targeted fall prevention intervention strategies. Methods: A convenience sampling method was used to conduct a questionnaire survey on 140 home-based elderly aged 60 or above in a community in Hechi City, Guangxi in 2025. Survey tools included a general information questionnaire and the Morse Fall Risk Assessment Scale. The χ² test was used to analyze the fall status and influencing factors among older adults. Results: The fall incidence rate within the past year was 22.9%. The rate of seeking medical attention after a fall was 28.1% (9/32). Chi-square test results indicated that chronic diseases, gait abnormalities, use of assistive devices, and insufficient self-awareness of fall risk were major risk factors for falls among the elderly (all P<0.05). Conclusion: The high incidence of falls among home-dwelling older adults results from multiple interacting factors. Emphasis should be placed on enhancing self-assessment awareness, strengthening health education, improving home environments, and implementing multifactorial interventions to prevent and reduce falls.