Table 3.
Fully adjusted logistic models of the association of vision impairment with falls and fall-related outcomesa
| >1 fall in past year | Any fall in past month | FoF | FoF limiting activity | |||||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | P-value | OR (95% CI) | P-value | OR (95% CI) | P-value | OR (95% CI) | P-value | |
| Vision Impairmentb | ||||||||
| No VI | reference | reference | reference | reference | ||||
| VI | 1.71 (1.50–1.96) | <0.001 | 1.47 (1.30–1.65) | <0.001 | 1.69 (1.53–1.88) | <0.001 | 1.47 (1.26–1.71) | <0.001 |
| Age, years | ||||||||
| 65–69 | reference | reference | reference | reference | ||||
| 70–74 | 1.06 (0.94–1.20) | 0.33 | 1.06 (0.88–1.27) | 0.55 | 1.06 (0.96–1.16) | 0.26 | 0.92 (0.74–1.14) | 0.44 |
| 75–79 | 1.01 (0.85–1.19) | 0.93 | 0.96 (0.80–1.14) | 0.61 | 1.34 (1.19–1.51) | <0.001 | 0.92 (0.73–1.16) | 0.46 |
| 80–84 | 1.14 (0.98–1.32) | 0.09 | 1.20 (1.01–1.44) | 0.04 | 1.89 (1.66–2.14) | <0.001 | 1.04 (0.84–1.30) | 0.69 |
| 85–89 | 1.33 (1.11–1.58) | 0.002 | 1.23 (1.01–1.51) | 0.04 | 2.45 (2.14–2.80) | <0.001 | 1.15 (0.90–1.48) | 0.26 |
| 90+ | 1.33 (1.11–1.60) | 0.003 | 1.24 (0.99–1.54) | 0.06 | 2.84 (2.36–2.42) | <0.001 | 1.00 (0.80–1.24) | 0.98 |
| Sex | ||||||||
| Male | reference | reference | reference | reference | ||||
| Female | 0.86 (0.78–0.96) | 0.01 | 0.83 (0.75–0.91) | <0.001 | 1.52 (1.40–1.66) | <0.001 | 0.85 (0.75–0.96) | 0.01 |
| Race/Ethnicity | ||||||||
| White | reference | reference | reference | reference | ||||
| Black | 0.63 (0.56–0.69) | <0.001 | 0.73 (0.66–0.81) | <0.001 | 0.59 (0.52–0.68) | <0.001 | 1.05 (0.86–1.29) | 0.63 |
| Hispanic | 0.73 (0.59–0.90) | 0.003 | 1.05 (0.85–1.30) | 0.63 | 1.22 (1.01–1.47) | 0.04 | 1.17 (0.86–1.59) | 0.31 |
| Other | 0.47 (0.34–0.63) | <0.001 | 0.68 (0.52–0.90) | 0.01 | 0.73 (0.55–0.97) | 0.03 | 0.91 (0.69–1.21) | 0.53 |
| Education | ||||||||
| <High school degree | reference | reference | reference | reference | ||||
| High school degree | 0.86 (0.74–0.99) | 0.04 | 0.82 (0.72–0.95) | 0.01 | 0.96 (0.84–1.10) | 0.59 | 0.83 (0.71–0.96) | 0.02 |
| >High school degree | 0.90 (0.79–1.04) | 0.14 | 0.86 (0.75–0.98) | 0.03 | 0.99 (0.87–1.12) | 0.87 | 0.90 (0.74–1.08) | 0.25 |
| Medicaid Beneficiary | ||||||||
| Yes | reference | reference | reference | reference | ||||
| No | 0.81 (0.71–0.92) | 0.001 | 0.84 (0.72–0.98) | 0.03 | 0.74 (0.65–0.85) | <0.001 | 0.68 (0.59–0.79) | <0.001 |
| Body Mass Index | 1.01 (1.00–1.02) | 0.11 | 1.00 (0.99–1.01) | 0.47 | 1.03 (1.02–1.04) | <0.001 | 1.00 (0.98–1.01) | 0.64 |
| Comorbidities | 1.37 (1.32–1.41) | <0.001 | 1.26 (1.22–1.30) | <0.001 | 1.38 (1.34–1.42) | <0.001 | 1.29 (1.23–1.34) | <0.001 |
| Proxy Respondent | ||||||||
| No proxy | reference | reference | reference | reference | ||||
| Proxy | 2.78 (2.31–3.35) | <0.001 | 2.06 (1.72–2.46) | <0.001 | 1.18 (1.01–1.38) | 0.04 | 2.16 (1.65–2.83) | <0.001 |
CI: confidence interval, VI: vision impairment, OR: odds ratio, FoF: fear of falling
All models were adjusted for NHATS survey round
Participants were classified as having “any VI” if they reported distance and/or near VI in a given year