Evidence map›Paper›PMID 42518557›Full record

ArticleFrontiers in public health2026

Self-awareness of falls and its influencing factors in older patients with cardiometabolic multimorbidity: a latent profile analysis.

Zheyuan Xia, Xiang Wang, Leran Tang, Ting Yao, Qiao Hu, Xiao Wang, Yukuan Miao

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zheyuan Xia *The School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Xiang Wang *The School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Leran Tang *The School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Ting YaoThe School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Qiao HuThe School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Xiao WangThe School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Yukuan MiaoEmergency Intensive Care Unit (EICU), The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Self-awareness of falls is a comprehensive psychological trait encompassing an individual's subjective assessment of their own falls risk, risk identification, and prospective preventive behavioral tendencies. It serves as a key cognitive-behavioral mediating factor influencing the occurrence of falls. Older patients with cardiometabolic multimorbidity face multiple fall-related risks due to advanced age, multimorbidity, and polypharmacy. However, research on self-awareness of falls in this population remains in its early stages, and most existing studies have adopted a variable-centered approach, which fails to capture the potential individual heterogeneity. Methods: Using convenience sampling, a total of 363 older patients with cardiometabolic multimorbidity were recruited from six communities in Anhui Province, China, between September and December 2025. Demographic and disease-related information were collected using a general information questionnaire. Assessments were conducted using the following instruments: the Self-awareness of Falls Scale, the STEADI Stay Independent Brochure Questionnaire, the Barthel Index, the Self-Rating Anxiety Scale (SAS), the Multidimensional Scale of Perceived Social Support, and the Pittsburgh Sleep Quality Index. Latent profile analysis was performed using Mplus 8.7 to identify distinct profiles of self-awareness of falls. Univariate analysis and multivariate logistic regression were conducted using SPSS 27.0 to explore factors associated with latent profile membership. Results: A total of 343 valid questionnaires were collected in this study, yielding an effective response rate of 94.5%. Based on the characteristics of self-awareness of falls in older patients with cardiometabolic multimorbidity, latent profile analysis identified four distinct latent profiles: Low Falls Alertness Profile (Profile 1, Conclusion: The level of self-awareness of falls among older patients with cardiometabolic multimorbidity remains at a moderate level. Latent profile analysis identified four distinct subtypes of self-awareness of falls in this population, exhibiting significant heterogeneity. Based on the characteristics of each profile and the differences in influencing factors, clinical nursing practice should move beyond traditional uniform interventions and implement profile-specific assessment and targeted interventions according to different falls alertness subtypes, thereby enhancing the effectiveness of falls prevention.

Indexed as

Accidental FallsMultimorbidityAgedAged, 80 and overChinaFemaleHumansMaleRisk FactorsSurveys and Questionnairescardiometabolic multimorbiditylatent profile analysisnursing careolder adultsself-awareness of falls

Identifiers

PMID42518557
PMCPMC13384101

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.