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Falls are a significant public health concern among older adults. One-third of older adults fall annually, half of whom are recurrent fallers. There are sex differences in the prevalence and risk factors of falls. More specifically, women are disproportionately affected by falls, experiencing both higher rates of falls and also fall-related injuries requiring medical visits and hospitalization compared to men. Limited research has examined early psychological contributors to well-being as predictors of falls and the role of sex in these associations. Potentially traumatic events such as adverse childhood experiences (ACEs) have significant consequences on short- and long-term cognitive, psychosocial, and physical health, as well as healthy aging among older adults. The goal of this study is to address an important knowledge gap on sex-based differences in risk factors contributing to health outcomes among the growing demographic of aging adults. Understanding the early contributing life risk factors for falls and sex-based differences can help improve fall prediction among vulnerable male and female populations and those in most need of fall prevention interventions.