Factors influencing fear of falling among community-dwelling older women living alone based on the senescent sleep model: A descriptive correlational study

Purpose This study aimed to investigate sleep quality and the fear of falling among community-dwelling older women living alone and to identify the factors influencing the fear of falling. Methods This descriptive correlational study included 178 community-dwelling older women living alone. Data were collected from December 10, 2023, to February 29, 2024. The collected data were analyzed using t-tests, analysis of variance, Pearson’s correlation coefficients, and hierarchical multiple linear regression. Results The results of this study showed that age (β=.29, p<.001), community activity (β=-.23, p<.001), depression (β=.29, p<.001), social participation (β=-.18, p=.004), and sleep quality (β=.37, p<.001) were significantly associated with the fear of falling. Conclusion Identifying the factors influencing the fear of falling, including sleep quality, among community-dwelling older women living alone highlights the need to develop preventive programs tailored to the characteristics of this population.