Association between Personal Factors, Health Status, and Health Literacy about Falling, with Fall Prevention Behaviors among Older Adults Living in the Community

Main Article Content

Kamonrat Kittipimpanon
Phachongchit Kraithaworn

Abstract

Falls are a major public health issue globally, leading to injury, disability,and death. This study aimed to explore health literacy about falling and fall prevention behaviors and examine the association between personal factors, health status, health literacy about falling, and fall prevention behaviors. The sample consisted of 260 older adults, who were recruited according to inclusion criteria and multistage sampling. Data were collected using demographic data, health literacy about falling, and fall prevention behaviors questionnaires. Data analysis included descriptive statistics, Pearson’s Product Moment Correlation, Point Biserial Correlation, and Spearman’s Rank Correlation.Results revealed that older adults had health literacy about falling and fall prevention behaviors at a high level. Correlation analysis revealed that age, gender, education level,health problem, medication use, and health literacy about falling were significantly
associated with fall prevention behaviors. Therefore, health care personnel should promote health literacy about fall prevention to older adults, especially self-management and media literacy skills. These actions will assist them to have appropriate fall prevention behaviors and prevent falls in the future.
Keywords: Health literacy about falling, Fall prevention behaviors, Older adults, Falls

Article Details

How to Cite
1.
Kittipimpanon K, Kraithaworn P. Association between Personal Factors, Health Status, and Health Literacy about Falling, with Fall Prevention Behaviors among Older Adults Living in the Community. Nurs Res Inno J [Internet]. 2021 Dec. 24 [cited 2024 Nov. 20];27(3):331-42. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/248654
Section
บทความวิจัย

References

James SL, Lucchesi LR, Bisignano C, Castle CD, Dingels ZV, Fox JT, et al. The global burden of falls: global,

regional and national estimates of morbidity and mortality from the global burden of disease study 2017. Inj Prev.2020;26(Supp 1):i3.

Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adults aged ≥ 65 years-United States, 2014.

MMWR Morb Mortal Wkly Rep. 2016;65(37):993-8.

Wichai A. Aging health. In: Wichai A, editor. National health survey by examination 2014. Nonthaburi: Health

Systems Research Institute; 2014. p. 219-76. (in Thai)

Srichang N, Khawee L. Fall prediction among Thai older adults in B.E. 2560-2564 [cited 2020 December 3].

Available from: https://bit.ly/3bBth0v (in Thai)

Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling

older people: a systematic review and meta-analysis.Epidemiology (Cambridge, Mass). 2010;21(5):658-68.

Lokavit K. Health status and health promotion behaviors in the elderly in Pathumthani. Pathumthani University

Academic Journal. 2013;5(1):194-203. (in Thai)

Muangsiri K, Maharachpong N, Rodjarkpai Y. Factors relating the behaviop of fall prevention among elderly in

Chonburi province. Naresuan University Journal: Science and Technology. 2017;25(4):23-33. (in Thai)

Kitreerawutiwong N, Mekrungrongwong S. Factor influencing health behavior among elderly living in the

community. The Public Health Journal of Burapha University. 2016;11(1):63-75. (in Thai)

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and

communication strategies into the 21st century. Health Promot Int. 2000;15(3):259-67.

Fernandez DM, Larson JL, Zikmund-Fisher BJ.Associations between health literacy and preventive health

behaviors among older adults: findings from the health and retirement study. BMC Public Health. 2016;16:596.

Liu YB, Liu L, Li YF, Chen YL. Relationship between health literacy, health-related behaviors and health status:

a survey of elderly chinese. Int J Environ Res Public Health.2015;12(8):9714-25.

Geboers B, Brainard JS, Loke YK, Jansen CJ, Salter C,Reijneveld SA, et al. The association of health literacy

with adherence in older adults, and its role in interventions:a systematic meta-review. BMC Public Health.

;15:903.

Lee S-YD, Arozullah AM, Cho YI. Health literacy, social support, and health: a research agenda. Soc Sci Med.

;58(7):1309-21.

Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, et al.Determinants of health literacy and health behavior

regarding infectious respiratory diseases: a pathway model.BMC Public Health. 2013;13:261.

Ginggeaw S, Prasertsri N. The relationship between health literacy and health behaviors among older adults who have multi-morbidity. Nursing Journal of the Ministry of Public Health. 2015;25(3):43-54. (in Thai)

Kareesun K, Malathum P, Sutti N. Relationship among health literacy, knowledge about hypertension control, and health behavior in older persons with hypertension.Ramathibodi Nursing Journal. 2020;25(3):280-95. (in

Thai)

Cochran WG. Sampling techniques. 2nd edition. New York:John Wiley & Sons; 1963.

National Statistical Office. Number of population from registration by age, sex and province: 2018. [cited 2019

December 3]. Available from: http://statbbi.nso.go.th/staticreport/page/sector/en/01.aspx (in Thai)

Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A.The mini-cog: a cognitive ‘vital signs’ measure for

dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry.2000;15(11):1021-7.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of mini-cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;15 (5):594-600.

Nilnate W, Hengpraprom S, Hanvoravongchai P. Level of health literacy in Thai elders, Bangkok, Thailand. J

Health Res. 2016;30(5):315-21.

Kittipimpanon K, Amnatsatsue K, Kerdmongkol P, Maruo SJ Nityasuddhi D. Development and evaluation of a

community-based fall prevention program for elderly Thais. Pacific Rim Int J Nurs Res. 2012;16(3): 22-35.

Andrade I, Silva C, Martins AC. Application of the health literacy INDEX on the development of a manual for

prevention of falls for older adults. Patient Educ Couns.2017;100(1):154-9.

Trainattawan W, Wirojratana V, Watanakukrilert D.Factors influencing health literacy among older adults.

Journal of Health Science Research. 2019; 13(2): 41-51. (in Thai)

Santwanpas N, Srijaranai S, Radabutr M, Pragodpol P,Chawajaroenpan W, Waisurasing L. The development of

the health literacy on fall prevention for older people in community health region 4. Journal of the Police Nurses.

; 11(1); 95-106. (in Thai)

Department of Medical Service, Ministry of Public Health.Handbook of screening/health assessment in aging.

(cited 2020 December 29). Available from:http://203.157.109.15/nont/file_upload/aging/bookGS.pdf (in Thai)

Boongird C, Ross R. Views and expectations of community-dwelling Thai elderly in reporting falls to their

primary care physicians: a mixed-methods study. J Appl Gerontol. 2015;36(4):480-98.