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| Status and home environment-related risk factors for falls among older adults living in the urban community |
| ZHAO Ming, WANG Hao, LUO Yang-nu, ZHONG Jie-ming, XU Jian, WU Yi-ping
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| GUO Li-hua,FEI Fang-rong,YU MinZhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang,310051,China |
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Abstract Objective To study the status and environment-related risk factors for falls among older adults in the urban community,and to provide evidences for the development of specific interventions. Methods A total of 993 older adults aged ≥60 years old from 2 communities in Cixi City were selected by stratified cluster sampling. Face-to-face interview and field investigation were carried out to collect participants' basic information,the situation and environment-related risk factors for falls occurred to them from November 2012 to October 2013. Results The overall incidence of falls was 14.90%,and it was significantly higher in wowen （17.19%）than in men （12.47%）（P<0.05）. There were 109 participants reported to have fall-related injury with an incidence of 10.98% （109/993）. Moreover,the incidence of fall-related injury for women （13.87%）was significantly higher than that for men（7.69%）（P<0.05）. Among them,35.14% falls occurred in home,the washroom（93.62%）and drawing room（85.02%）had higher proportion of having falling-related environmental risk factors. The multivariate logistic analysis showed that uneven carpet in aisle （OR=3.542,95%CI：1.235-10.161）and having clutters beside the bed （OR=8.611,95%CI：2.051-36.574）were two main environmental risk factors for elder falls in home. Conclusion The incidence of falls of older adult in Cixi was 14.90%. Uneven carpet in aisle and having clutters beside the bed were two main environmental risk factors for falls among the elderly at home.
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Received: 04 November 2016
Revised: 23 December 2016
Published: 12 October 2017
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