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Degenerative changes with age result in decreased activities in daily life and increased fall risk. The mortality rate for fall-related injuries in older people were three times higher than in people of all age groups. Housing design should be useful and safe enabling the elderly to live in their own homes with quality. The purpose of this study was to examine the relationship between the universal design score and the incidence of falls in older people. A total of 213 elderly were selected from Rangsit city municipality, using multi-stage sampling technique. A questionnaire designed by researchers was used to collect data. The results showed that 16.43% of older people reported 1 or more falls in the past year. The average universal design score was 45.28 + 8.48 (total score = 74) whereas the bathroom has the lowest score 7.47 + 2.08 (total score = 16). There was a significant relationship between falls and lavatory height (p <0.05, r = -0.161) falls and toilet lighting (p <0.05, r= -0.144). Therefore, universal design features may allow older people to live in their house safely.
2. Roe B, Howell F, Riniotis K, Beech R, Crome P, Ong BN. Older people and falls: health status, quality of life, lifestyle, care networks, prevention and views on service use following a recent fall. J Clin Nurs. 2009;18(16):2261–72.
3. Deshpande N, Metter EJ, Lauretani F, Bandinelli S, Guralnik J, Ferrucci L. Activity restriction induced by fear of falling and objective and subjective measures of physical function: A prospective cohort study. J Am Geriatr Soc. 2008;56(4):615-20.
4. Chan A. Aging in Southeast and East Asia: issues and policy directions. J Cross Cult Gerontol. 2005;20(4):269-84.
5. Ngarmyarn A, Phaophoo N. Thai senior citizens: financial preparation for retirement and required retirement housing features. Journal of Business Administration. 2012; 35(136):62-87. (in Thai).
6. Story MF. Maximizing usability: The principles of universal design. Assist Technol. 1998; 10(1):4-12.
7. Preiser WFE, Smith KH. Universal design handbook. New York: McGraw-Hill; 2011.
8. Thai Health Promotion Foundation. Universal design home [internet]. 2013 [cited 2014 Aug 23]; Available from: http://www.thaihealth.or.th/data/ecatalog/39/unzip/book.swf. (in Thai).
9. The Center for Universal Design. Universal design in housing [internet]. 2006 [cited 2014 Dec 10]; Available from: http://www. ncsu.edu/ncsu/design/cud/pubs_p/docs/UDinHousing.pdf.
10. Assantachai P, Chatthanawaree W, Thamlikitkul V, Praditsuwan R, Pisalsarakij D. Strategy to prevent falls in the Thai elderly: a controlled study integrated health research program for the elderly. J Med Assoc Thai. 2002;85(2):215-22.
11. Foundation of Thai Gerontology Research and Development Institute. Fall prevention in older people manual. Bangkok: Foundation of Thai Gerontology Research and Development Institute; 2015. (in Thai).
12. Soisang L, Kompayak J, Nateetanasombat KA. Study of fall prevention guideline in older adult living in Mitraphappatana community. JRTAN. 2014;15(1):122-9. (in Thai).
13. Maipimai W. Falling in the elderly: problem that should not overlooked. [internet]. 2017 [cited 2017 Jun 1]; Available from: http://www.elearning.ns.mahidol.ac.th/ns_academic/2017/06/15/. (in Thai).
14. Srichang P, Khawe L. Fall prediction among older people in Thailand, year 2017-2021 [Internet]. 2015 [cited 2018 Dec 23]; Available from http://thaincd.com/document/ file/violence. (in Thai).
15. Department of Older Persons. Manual for improving appropriate and safety environment project for older people. Bangkok: Department of Older Persons, Ministry of Social Development and Human Security; 2016. (in Thai).
16. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med. 2002;18(2):141-58.
17. Horgen G, Eilertsen G, Falkenberg H. Lighting old age how lighting impacts the ability to grow old in own housing, part one. Work. 2012;41 Suppl 1:3385-7.
18. Cwikel J. Falls among elderly people living at home: medical and social factors in a national sample.Isr J Med Sci. 1992; 28(7):446-53.