The Association between Falls and Attitudes toward Aging among Older Adults in China: The Moderating Role of Age-Friendly Community Renovations

Background Positive attitudes toward aging (ATA) constitute a key factor for healthy aging and well-being among older adults. This study aimed to examine the association between falls and ATA among older adults in China and to investigate the moderating effects of age-friendly community renovations on this association. Methods Data were derived from the China Longitudinal Ageing Social Survey (CLASS). The sample included 11,398 participants; 7.6% of the participants experienced falls in the previous year. Multiple linear regression models were applied to analyze the data, and propensity score matching (PSM) was used to address endogeneity. Results Falls were significantly and negatively associated with ATA ( β = -0.581, 95% CI: -0.877, -0.284). Age-friendly community renovations positively moderated the association between falls and ATA ( β  = 0.659, 95% CI: 0.037, 1.202). Conclusion Policymakers should devote more attention to the negative association between falls and ATA. Increasing the implementation of age-friendly community renovations can reduce the probability of falls and enhance ATA among older adults.