Older persons' perception of risk of falling : implications for fall-prevention campaigns

Objectives. We examined older people's attitudes about falls and implications for the design of fall-prevention awareness campaigns.

Methods. We assessed data from (1) computer-assisted telephone surveys conducted in 2002 with Australians 60 years and older in Northern Rivers, New South Wales (site of a previous fall-prevention program; n=1601), and Wide Bay, Queensland (comparison community; n=1601), and (2) 8 focus groups (n=73).

Results. Participants from the previous intervention site were less likely than were comparison participants to agree that falls are not preventable (odds ratio [OR]=0.76; 95% confidence interval [Cl]=0.65, 0.90) and more likely to rate the prevention of falls a high priority (OR=1.31; 95% CI=1.09, 1.57). There was no difference between the groups for self-perceived risk of falls; more than 60% rated their risk as low. Those with a low perceived risk were more likely to be men, younger, partnered, and privately insured, and to report better health and no history of falls. Focus group data indicated that older people preferred messages that emphasized health and independence rather than falls.

Conclusions. Although older people accepted traditional fall-prevention messages, most viewed them as not personally relevant. Messages that promote health and independence may be more effective.

Darumbal voyaging: intensifying use of central Queensland's Shoalwater Bay islands over the past 5000 years

Island archipelagos of the tropical coast of central Queensland include the most distant offshore islands used by Aboriginal Australians. Excavations on Collins, Otterbourne and High Peak Islands, located up to 40 km from the mainland, reveal evidence of offshore voyaging and marine specialisation in the Shoalwater Bay region for at least 5200 years. A time lag of up to 3000 years between island formation and systematic island use may reflect delayed development of key marine resources. Expansion of island use commencing around 3000–3500 years ago is linked to population increases sustained by synchronous increases in marine resources. Occupational hiatuses variously between 1000 and 3000 years ago are associated with increased ENSO activity. Intensified island use within the past 1000 years is primarily a social phenomenon associated with continuing demographic pressures and the development of more coastally and marine-focused mainland groups, with settlement patterns increasingly encompassing adjacent islands. The viability of risky offshore canoe voyaging was underwritten by two key high-return subsistence pursuits – hunting green turtles and collecting turtle eggs. In addition to subsistence and quartz quarrying, a key motivation for island visitation may have been socially restricted (e.g. ceremonial) practices.