Assistive device use and mobility-related factors among adults aged<hsp></hsp> <bold>≥</bold> <hsp></hsp>65<hsp></hsp>years

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Assistive device use and mobility-related factors among adults aged ≥ 65years

West, Bethany A. / Bhat, Geeta / Stevens, Judy / Bergen, Gwen

Abstract Introduction Examining how assistive device (cane, walker) use relates to other mobility factors can provide insight into older adults' future mobility needs. Methods Data come from the Second Injury Control and Risk Survey, Phase 2 (ICARIS2-P2), conducted from March 2007 to May 2008. Prevalence estimates were calculated for older adults (aged ≥65) and multivariable logistic regression was used to explore associations between assistive device use and mobility-related characteristics. Result Compared with non-users, assistive device users were more likely to report a recent fall (AOR 12.0; 95% CI 4.9–29.3), limit walking outside due to concerns about falling (AOR 7.1; 95% CI 2.6–19.1), be unable to walk outside for 10min without resting (AOR 3.3; 95% CI 1.1–9.3), and be no longer driving (AOR 6.7; 95% CI 2.0–22.3). Conclusion Assistive device users have limited mobility and an increased risk for fall injury compared with non-users. Practical Application Effective fall prevention interventions, and innovative transportation options, are needed to protect the mobility of this high-risk group.