Falling is a serious and common problem among the elderly and may resu
lt in injury and functional deterioration. The characteristics and ris
k factors fbr falling were studied in a cross-sectional study of a coh
ort of 70-year-old community-dwelling Jewish elderly in Jerusalem. The
cohort was found to be representative of the total 70-year-old popula
tion of Jerusalem by virtue of having similar hospitalization and mort
ality rates. Around 28.2% of the cohort reported falling during the pa
st year, Women were more likely than men to have fallen during the pas
t year (39 vs. 19%; P < 0.001). Falls occurred mainly outside of the h
ome, resulting in fractures in 8.4% of persons who fell, all of them w
omen. A female gender, low visual efficiency, poor self-reported gener
al health status, low serum hemoglobin levels, and low lymphocyte coun
ts were associated with a higher incidence of falls. There was no rela
tionship between the pattern of pharmaceutic drug use or utilization o
f health care services and the risk of falling. We conclude that among
the younger elderly, characteristics of falls and risk factors may be
different from those in the older elderly.