Abstract
Falls are a major public health issues globally. However, no study with nationally representative samples, previously, had been done to understand falls among older adults in the Philippines and Vietnam. Using a biopsychosocial perspective, this study investigated the prevalence of falls and their associated factors among community-dwelling older adults in these countries. Cross-sectional data were drawn from the Longitudinal Study of Ageing and Health in the Philippines (N = 4,606) and the Longitudinal Study of Ageing and Health in Vietnam (N = 4,378). The outcome variables were any falls in the past year. Independent variables included biophysical factors (vision/chronic conditions/functional impairments/pain locations/insomnia symptoms/sleep medications/grip strength/walking speed/postural control), psychological factors (depressive symptoms), and sociodemographic factors (age/sex/education/living in urban area/living alone/social network size). Descriptive analysis and logistic regression analysis were used to analyze data. The results showed that 17.7% of the Filipino older adults fell in the past year and it was 7.3% among Vietnamese older adults. Significant factors that increased the odds of any falls among Filipino older adults were having a higher level of education, living in urban area, living with others, experiencing more functional impairments, reporting one or more pain locations, and having poor grip strength. In Vietnam, having more chronic conditions, experiencing more functional impairments, and reporting two or more pain locations were found to increase the odds of any falls. Population in the Philippines and Vietnam are aging rapidly. Findings from this study are timely in identifying at-risk individuals and preparing for effective falls prevention strategies.