Researchers: Yan Press^1,2, Boris Punchik ^1,3, Ayman Abu Goda², Ahmed Abu Ajadj², Hilali Abdu Al Karim², Avram Mark Clarfield¹

Background: The Bedouin population in the Negev is growing rapidly. Although the proportion of individuals aged ≥65 years is steadily increasing, the prevalence of falls and their risk factors in this population have not yet been studied.

Objectives: To examine the prevalence of falls and associated risk factors among adults aged ≥65 insured by Clalit Health Services in the Southern District.

Method: A cross-sectional study was conducted among adults aged ≥65 from Bedouin communities in the Negev. Data on falls and potential risk factors were collected with questionnaires and physical examination (orthostatic blood pressure and visual acuity). Stability, cognition, and affective status were assessed using the Timed Up and Go Test (TUG), Functional Reach Test (FRT), Montreal Cognitive Assessment-Basic (MoCA-B), and Patient Health Questionnaire-2 (PHQ-2).

Findings: Between 01/2023 and 02/2026, 145 participants were recruited (mean age 71.9±5.5 years; 62.1% women). Overall, 53.8% reported at least one fall in the past year: 35.9% reported one fall, 20.5% two falls, 20.5% three falls, and 23.1% four or more. The mean number of falls was 3.0±2.99 per year. In logistic regression (R²=0.372), independent risk factors for falls included urinary incontinence (OR=4.87), reduced proprioceptive sensation (OR=7.46), instability (FRT <15 cm; OR=4.47), and uneven flooring at home (OR=4.6).

Conclusions: The prevalence of falls among the Bedouin population in the Negev is very high. Several independent risk factors were identified.

Recommendations: These findings may inform the development of targeted fall-prevention interventions for this population.

Research end date: 05/2026