Neighbourhood Safety, Fall Indices, Physical Activity Level and Social Participation Restrictions from a Population of Community-Dwelling Older Adults in Nsukka, Enugu State, Nigeria.
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Abstract Background: Restriction in physical activity (PA) and social participation restriction (PR) can be heightened in the presence of fear of fall (FOF), fall experience and perceived unsafe neighbourhood particularly among older adults. Despite the enormous benefits of social participation and physical activity, many older adults still remain vulnerable and this probably account for a significant proportion of health challenges for older adults. Objective: This study investigated the correlations and relationships among neighborhood safety (NS), physical activity (PA), participation restriction (PR) and fall indices among older adults from selected communities in Nsukka, Enugu state, Nigeria. Methods: This was a cross-sectional survey of 170 consecutively recruited participants. Socio-demographic variables, co-morbidities and fall prevalence were obtained through interviews. The study instruments include PA neighborhood environment scale – Nigeria (PANES-N), PA scale for elderly (PASE), Participation scale (PS), Modified fall efficacy scale (MFES), and Fall risk assessment tool (FRAT) and fall indices. Statistical Analysis:Descriptive statistics of mean and standard deviations, frequency counts and percentages, and Inferential statistics of Spearman rank order correlation. The p-value was at 0.05 alpha level. Results: PR was significantly correlated with NS (r= -0.19, p- 0.01*), fall efficacy (r= 0.13, p- 0.10) and fall risk (r= 0.01, p= 0.91), also existed between fall efficacy and fall risk (r= 0.35, p= <0.001*). Conclusion: participation restriction has a direct relationship with the neighborhood safety, fall efficacy and fall risk. Also fall efficacy is related to fall risk.
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