Document Type


Publication Date



Objective: To examine risk factors associated with falls among homebound community-dwelling older adults, a vulnerable population often possessing functional disabilities and chronic conditions.

Design and Sample: The study was a cross-sectional study utilizing round 6 data of the National Health and Aging Trend Study (NHATS). Descriptive statistics and multiple logistic regression analyses were conducted. A total of 1,356 homebound community-dwelling older adults aged 65 and above participated in the NHATS.

Measures: The outcome variable was falls within the last month reported in NHATS. Independent variables were selected based on the NHATS disability conceptual model and literature review, including personal conditions, environmental conditions, and physical functioning limitations.

Results: In the sample population, 21.2% reported falls. Males were more likely to experience a fall than females. Hypertension or depression/anxiety increased risk for falls. Older adults with hearing impairment or balance problems limiting activities were also more likely to fall.

Conclusions: Public health nurses need to conduct thorough fall risk assessment for homebound older adults, especially those with chronic health problems or functioning limitations. Studies are needed to examine the association between home environment and falls in homebound older adults.

Copyright Statement

This is the peer reviewed version of the following article:

Zhao, Y., Alderden, J., Lind, B., & Stibrany, J. (2019). Risk Factors for Falls in Homebound Community- Dwelling Older Adults. PHN: Public Health Nursing, 36(6), 772-778,

which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.

Included in

Nursing Commons