Purpose: To evaluate the relevance and accuracy of determining and predicting risk factors for falls in older women using the International Classification of Functioning, Disability and Health (ICF). Methods: We tested the accuracy of the ICF against risk of falls amongst 568 community dwelling participants of the Australian Longitudinal Survey on Women’s Health (ALSWH). We linked health-related variables to the ICF using ten linking rules. The logistic regression analysis evaluated the relationship between the variables and the outcome of falls. Self-report surveys measured daily functioning, health service use, medications, housing and social support. Results: Variables aligned with the ICF components of body function, health conditions, environment, activity and participation (ADL/IADL), and general health were significantly associated with falls. Discussion and conclusion: Mapping ALSWH health-related data to ICF components identified significant risk factors for falls are related to health conditions, functional limitations and home hazards. Biopsycho-social approaches guided by the ICF framework are crucial for fall prevention.
 World Health Organisation (2010) Falls. Fact Sheet 344.
 Jette, A., Haley, S. and Kooyoomjianet, J. (2003) Are the ICF activity and participation dimensions distinct? Journal of Rehabilitation Medicine, 35, 145-149.
 Simeonsson, R., Lollar, D., Hollowell, J. and Adams, M. (2000) Revision of the international classification of impairments, disabilities, and handicaps: Developmental issues. Journal of Clinical Epidemiology, 53, 113-124.
 Bennineto, M., Portneym, L. and Sullivan, P. (2009) Using the International Classification of Functioning, Disability and Health as a framework to examine the association between falls and clinical assessment tools in people with stroke. Physical Therapy, 89, 816-825.
 Cieza, A., Hilfiker, R., Chatterji, S., Kostanjsek, N., üstün, B and Stucki, G. (2009) The International Classification of Functioning, Disability and Health could be used to measure functioning. Journal of Clinical Epidemiology, 62, 899-911.
 Darzins, P., Fone, S and Darzins, S. (2006) The International Classification of Functioning, Disability and Health can help to structure and evaluate therapy. Australian Occupational Therapy Journal, 53,127-131.
 Mackenzie, L., Hassani Mehraban, A., Byles, J. and Gibson, R. (2010) Can the International Classification of Functioning, Disability and Health (ICF) be used as a framework to explain falls in older Australian women?
 Mackenzie, L., Byles, J and Mishra, G. (2004) An occupational focus on falls with serious injury among older women in Australia. Australian Occupational Therapy Journal, 51, 144-154.
 Ware, J and Sherbourne, C. (1992) The MOS 36-item short form health survey (SF-36): Conceptual framework and item selection, Part 1. Medical Care, 30, 473-481.
 Conti-Becker, A. (2009) Between the ideal and the real: Reconsidering the International Classification of Functioning, Disability and Health. Disability and Rehabilitation, 31, 2125-2129.
 Grimby, G and Smedby, B. (2001) ICF approved as the successor of ICIDH (editorial). Journal of Rehabilitation Medicine, 33, 193-194.
 Lee, C., Dobson, A. and Brown, W. (2005) Cohort profile: The australian longitudinal study on women’s health. International Journal of Epidemiology, 34, 987-991.
 Hill, K., Schwarz, J., Kalogeropoulos, A. and Gibson, S. (1996) Fear of falling revisited. Archives of Physical Medicine and Rehabilitation, 77, 1025-1029.
 Howland, J., Peterson, E., Levin, W., Fried, L., Pordon, D. and Bak, S. (1993) Fear of falling among the community-dwelling elderly. Journal of Aging and Health, 5, 229-243. http://dx.doi.org/10.1177/089826439300500205
 Howland, J., Lachman, M., Peterson, E., Cote, J., Kasten, L. and Jette, A. (1998) Covariates of fear of falling and associated activity curtailment. The Gerontologist, 38, 549-555. http://dx.doi.org/10.1093/geront/38.5.549
 Hassani Mehraban, A., Mackenzie, L. and Byles, J. (2011) A self-report home environment screening tool identified older women at risk of falls. Journal of Clinical Epidemiology, 64, 191-199.
 Charlton, J., Patrick, D. and Peach, H. (1983) Use of multivariate measures of disability in health surveys. Journal of Epidemiology & Community Health, 37, 296304. http://dx.doi.org/10.1136/jech.37.4.296
 Mackenzie, L., Byles, J. and D’Este, C. (2006) Validation of self-reported fall events in intervention studies. Clinical Rehabilitation, 20, 331-339.
 Cieza, A., Brockow, T. and Ewert, T. (2002) Linking health-status measurements to the International Classification of Functioning, Disability and Health. Journal of Rehabilitation Medicine, 34, 205-210.
 Cieza, A., Geyh, S. and Chatterji, S. (2005) ICF linking rules: An update based on lessons learned. Journal of Rehabilitation Medicine, 37, 212-218.
 Sigl, T., Cieza, A. and Brockow, T. (2006) Content comparison of low back pain-specific measures based on the International Classification of Functioning, Disability and Health (ICF). The Clinical Journal of Pain, 22, 147-153.
 Stamm, T., Cieza, A. and Stucki, G. (2006) Exploration of the link between conceptual occupational therapy models and the International Classification of Functioning, Disability and Health. Australian Occupational Therapy Journal, 53, 9-17.
 Stucki, A., Stucki, G., Cieza, A., Schuurmans, M., Kostanjsek, N. and Ruof, J. (2007) Content comparison of health-related quality of life instruments for COPD. Respiratory Medicine, 101, 1113-1122.
 Weigl, M., Cieza, A. and Harder, M. (2003) Linking osteoarthritis-specific health status measures to the International Classification of Functioning, Disability and Health (ICF). Osteoarthritis and Cartilage, 11, 519-523.
 Australian Institute Health & Welfare (AIHW) (2003) ICF Australian user guide, V.1.0.
 Drasgow, F. (2004) Polychoric and polyserial correlations. In: Kotz, L. and Johnson, N., Eds., Encyclopedia of Statistical Sciences, Wiley, New York, 68-74.
 Hosmer, D and Lemshow, S. (2000) Applied logistic regression. 2nd Edition, Wiley-Interscience, John Wiley & Sons Inc., Hoboken.
 Akaike, H. (1974) A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19, 716-723.
 Abdelhafiz, A. and Austin, C. (2003) Visual factors should be assessed in older people presenting with falls or hip fracture. Age and Ageing, 32, 26-30.
 Campbell, A., Robertson, M. and La Grow, S. (2005) Randomised controlled trial of prevention of falls in people aged >75 with severe visual impairment: The VIP trial. British Medical Journal, 331, 817-824.
 Lord, S., Ward, J. and Williams, P. (1993) An epidemiological study of falls in older community-dwelling women: The Randwick falls and fractures study. Australian and New Zealand Journal of Public Health, 17, 240-245.
 Harwood, R. (2001) Visual problems and falls. Age and Ageing, 30, 13-18.
 Harwood, R., Foss, A., Osborn, F., Gregson, R., Zaman, A. and Masud, T. (2005) Falls and health status in elderly women following first eye cataract surgery: A randomised controlled trial. British Journal of Ophthalmology, 89, 53-59. http://dx.doi.org/10.1136/bjo.2004.049478
 Foss, A., Harwood, R., Osborn, F., Gregson, R., Zaman, A. and Masud, T. (2006) Falls and health status in elderly women following second eye cataract surgery: A randomised controlled trial. Age and Ageing, 35, 66-71.
 Dharmarajan, T., Auula, S. and Norkus, E. (2006) Anaemia increases risk for fall in hospitalized older adults: An evaluation on falls in 362 hospitalized, ambulatory, long term care, and community patients. Journal of American Medical Directors Association, 7, 287-293.
 Penninx, B., Pluijm, S. and Lips, P. (2005) Late-life anaemia is associated with increased risk of recurrent falls. Journal of the American Geriatrics Society, 53, 2106-2111. http://dx.doi.org/10.1111/j.1532-5415.2005.00491.x
 Hartikainen, S., Lonnroos, E. and Louhivuori, K. (2007) Medication as a risk factor for fall: Critical systematic review. Journals of Gerontology A Biological Sciences Medical Sciences, 62, 1172-1181.
 Schwartz, A., Hillier, T. and Sellmeyer, D. (2002) Older women with diabetes have a higher risk of falls. A prospective study. Diabetes Care, 25, 1749-1754.
 van Daele, P., Stolk, R. and Burger, H. (1995) Bone density in non-insulin-dependent diabetes mellitus: The rotterdam study. Annals of Internal Medicine, 122, 409-414. http://dx.doi.org/10.7326/0003-4819-122-6-199503150-00002
 Clemson, L., Mackenzie, L., Ballinger, C., Close, J. and Cumming, R. (2008) Environmental interventions to prevent falls in community dwelling older people: A metaanalysis of randomized trials. Journal of Aging and Health, 20, 954-71.
 Gillespie, L., Robertson, M. and Gillespie, W. (2012) Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, Article ID: CD007146.
 Judge, J., Schechman, K. and Cress, E. (1996) The relationship between physical performance measures and independence in instrumental activities of daily living. The FICSIT group. Frailty and injury: co-operative studies of intervention trials. Journal of the American Geriatrics Society, 44, 1332-1341.
 Bruyère, S. and Van Looy, S. (2005) The International Classification of Functioning, Disability and Health: Contemporary literature overview. Rehabilitation Psychology, 50, 113-121.
 Nordenfelt, L. (2003) Action theory, disability, and ICF. Disability and Rehabilitation, 25, 1075-1079.
 Chan, B., Marshall, L., Winters, K., Faulkner, K., Schwartz, A. and Orwoll, E. (2007) Incident fall risk and physical activity and physical performance among older men. American Journal of Epidemiology, 165, 696-703.
 Cerniauskaite, M., Quintas, R. and Boldt, C. (2011) Systematic literature review on ICF from 2001 to 2009: Its use, implementation and operationalisation. Disability and Rehabilitation, 33, 281-309.
 National Collaborating Centre for Nursing and Supportive Care (2004) Clinical guideline 21, falls: The assessment and prevention of falls in older people. National Institute for Clinical Excellence, London.
 Geyh, S., Peter, C. and Müller, R. (2011) The personal factors of the International Classification of Functioning, Disability and Health in the literature—A systematic review and content analysis. Disability and Rehabilitation, 33, 1089-1102.