Environmental Hazard at Home and Fall Incidence among the Elderly in Malaysia
DOI:
https://doi.org/10.21834/e-bpj.v10i33.7252Keywords:
Home hazards, falls among older people, Home Safety Self-Assessment Tool (HSSAT)Abstract
This study investigated falls among the Malaysian elderly and hazards in their homes. Data from 458 participants showed that falls are common and linked to physical, sensory, cognitive, and psychological issues, as well as environmental hazards. Most home areas showed higher hazard scores among those who had fallen, except in the kitchen. The study highlights that falls result from multiple factors, not just home hazards alone. Findings support the importance of occupational therapy home modifications to reduce fall risks.
References
Boonkhao, W., Anusitviwat, C., & Wisetborisut, A. (2024). Environmental risk factors for falls in older adults: A cross-sectional study in residential homes. Journal of Safety Research, 80, 95–102. https://doi.org/10.1016/j.jsr.2023.10.004
Byun, S., Kim, M., & Kim, S. (2021). Psychological Factors Affecting Fall Risks in Elderly Populations: A Longitudinal Study. Geriatrics & Gerontology International, 21(4), 345–353. https://doi.org/10.1111/ggi.14140
Chen, C. W., Abdullah, N. M., Tan, Y. R., & Rahman, R. A. (2023). Population aging and health care challenges in Malaysia: A demographic analysis. Malaysian Journal of Public Health Medicine, 23(1), 45–55. https://doi.org/10.37268/mjphm/vol.23/no.1/art.005
Ellmers, T. J., Delbaere, K., & Kal, E. C. (2023). The Fear of Falling Cycle: Psychological Contributors to Fall Risk and Frailty. Age and Ageing, 52(1), afac306. https://doi.org/10.1093/ageing/afac306
Hussain, S. N., Romli, M. H., & Lee, M. M. (2023). Home safety hazards and fall prevention strategies among Malaysian elderly: A mixed-methods study. International Journal of Environmental Research and Public Health, 20(12), 3457. https://doi.org/10.3390/ijerph20123457
Keleman, A. M., Jiang, Y., & Johnson, L. A. (2020). Falls and brain connectivity loss in Alzheimer’s disease: A biomarker correlation. Journal of Alzheimer’s Disease, 76(2), 513–522. https://doi.org/10.3233/JAD-200371
Law, M., Cooper, B., Strong, S., Stewart, D., Rigby, P., & Letts, L. (1996). The Person–Environment–Occupation Model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63(1), 9–23.
Lee, M. M. (2021). Environmental modification for fall prevention: A Malaysian home-based study. Malaysian Journal of Public Health Medicine, 21(2), 75–83. https://doi.org/10.37268/mjphm/vol.21.2.2021.
Linggi, R. (2024). Malaysia’s ageing population: Trends and policy implications. Malaysian Journal of Social Science, 30(1), 112–121.
https://doi.org/10.21315/mjss2024.30.1.8
Nikolopoulou, K. (2023). Purposive sampling. In Encyclopedia of Research Methods (pp. 1–5). SAGE Publications. https://doi.org/10.4135/9781529600449
Odasso, M., Montero-Odasso, M., & Speechley, M. (2022). Managing fall risks in older adults: Practical clinical considerations. Canadian Family Physician, 68(10), 741–747. https://doi.org/10.46747/cfp.6810741
Riska, K. M., Dell’Orto, S., & Cushing, S. L. (2022). Hearing and balance: An intertwined relationship in older adults. Otolaryngology–Head and Neck Surgery, 167(3), 461–469. https://doi.org/10.1177/01945998221094834
Romli, M. H., Tan, M. P., Mackenzie, L., & Lovarini, M. (2021). Falls and home hazards among community-dwelling older adults in Malaysia: A longitudinal study. BMC Geriatrics, 21, 377. https://doi.org/10.1186/s12877-021-02326-9
Singh, D. P., & Maurya, R. P. (2022). Impact of vision impairment on balance and fall risk in the elderly. Clinical Ophthalmology, 16, 3759–3767. https://doi.org/10.2147/OPTH.S373579
Teh, J. K., Lim, Z. Y., & Ng, S. Y. (2023). Activity engagement decline among elderly Malaysians: A cross-sectional analysis. Malaysian Family Physician, 18(1), 56–63. https://doi.org/10.51866/mfp2023.18.1.012
Tomita, M. R., Saharan, S., Rajendran, S., Nochajski, S. M., & Schweitzer, J. A. (2014). Psychometrics of the Home Safety Self‑Assessment Tool (HSSAT) to prevent falls in community‑dwelling older adults. American Journal of Occupational Therapy, 68(6), 711–718. https://doi.org/10.5014/ajot.2014.010801
United Nations Development Programme. (2024). Ageing and inclusive development: Malaysia country report. UNDP. https://www.my.undp.org/
World Health Organization. (2021). Falls: Key facts. https://www.who.int/news-room/fact-sheets/detail/falls
Zahari, S. Z., Mohd Yusof, M., & Harith, S. A. (2022). Identifying home hazards contributing to falls among elderly Malaysians: A multicentre survey. Geriatric Nursing, 46, 60–68. https://doi.org/10.1016/j.gerinurse.2022.01.002
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Copyright (c) 2025 Mohamad Ghazali Masuri, Nur Liyana Radhiah Ramly , Jayachandran Vetrayan, Smily Jesu Priya Victor Paulraj, Mohd Shukri Mohd Aris, Oinam Gokulchandra Singh

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