Unmet needs and fall risk among older adults: evidence from Europe using SHARE data.

Falls are a significant cause of disability, hospitalization, and loss of autonomy in older adults. Although unmet care needs are known to worsen health outcomes (e.g. reduced quality of life, disability), their association with fall risk among frail community-dwelling older adults remains unclear....

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Publicado en:European Journal of Public Health Vol. 36; no. 4; pp. 1 - 8
Autores principales: Kingsada, Aimée, McHugh, John P, Rapp, Thomas, Sicsic, Jonathan
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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      pub: Oxford University Press / USA
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        atl: Unmet needs and fall risk among older adults: evidence from Europe using SHARE data.
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          Kingsada, Aimée
          McHugh, John P
          Rapp, Thomas
          Sicsic, Jonathan
        affil: Univ. Lille, CNRS, IESEG School of Management, UMR 9221 - LEM - Lille Économie Management, 59000, Lille, FranceLIRAES (URP 4470) and Chaire AgingUP!, Université Paris Cité, 75006, Paris, France
      sug:
        subj:
          Accidental Falls Risk Factors
          Accidental Falls Risk Factors
          Needs Assessment
          Risk Assessment
          Frail Elderly
          Community Living
          Human
          Europe
          Male
          Female
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Confidence Intervals
          Activities of Daily Living
          Sex Factors
          Loneliness
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Falls are a significant cause of disability, hospitalization, and loss of autonomy in older adults. Although unmet care needs are known to worsen health outcomes (e.g. reduced quality of life, disability), their association with fall risk among frail community-dwelling older adults remains unclear. This study examines this relationship. We used panel data from waves 6–9 (2015–22) of the Survey of Health, Ageing and Retirement in Europe for adults aged 50+. The analytic sample included 872 non-frail individuals (3001 observations) and 1061 frail individuals (3552 observations). We examined the association between unmet needs for assistance with activities of daily living and falls among frail and non-frail individuals. Two-way fixed effects models with lagged exposures were estimated to account for time-invariant individual heterogeneity and reduce reverse causality. Analyses distinguished between unmet formal and informal care needs. Among frail individuals, unmet needs (compared to met needs) for formal care were associated to 18.8 percentage point increase in fall risk (95% CI, 0.1–37.6; P  = .049), while unmet needs for informal care raised the risk by 22 percentage points (95% CI, 0.1–45.1; P  = .049). No significant associations were found among non-frail individuals. Effects were particularly pronounced among women, those living alone, and adults aged 70+. Unmet care needs significantly increase the risk of falls among frail older adults. Targeted public health strategies are essential to prevent falls, preserve autonomy, and limit long-term care burdens in the frail population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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