|
|
|
| Factors affecting fall incidence among the elderly in Ningbo City |
| WANG Sijia1, BAO Kaifang1, GONG Qinghai1, ZHONG Zhaohao1, WANG Yong1, ZHU Yinchao1, YING Yanyan1, FANG Ting2, CHEN Jieping1
|
1. Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang 315010, China;
2. Ningbo University Health Science Center, Ningbo, Zhejiang 315200, China |
|
|
|
|
Abstract Objective To investigate the incidence and influencing factors of falls among the elderly in Ningbo City, Zhejiang Province, so as to provide the basis for developing effective prevention strategies. Methods The residents aged 60 years and above in Haishu District and Yuyao City of Ningbo City were selected by the multi-stage cluster random sampling method from June to October 2022. Demographic information, fall incidence in the past year, history of disease and self-rated health were collected through questionnaire surveys. Incidence of falls was descriptively analyzed, and factors affecting falls were identified using a multivariable logistic regression model stratified by gender and age. Results A total of 1 275 elderly people were surveyed, including 635 men and 640 women. The median age was 72.00 (interquartile range, 13.00) years. In the past year, 158 residents fell, accounting for 12.39%. Additionally, 14 individuals experienced two or more falls, accounting for 8.86%. The incidence of falls was 14.69% in women, which was higher than the 10.08% in men (P<0.05). The incidence of falls was 14.86% in the elderly over 70 years, which was higher than the 9.39% in those aged 60 to 70 years (P<0.05). Multivariable logistic regression showed that the educational level (primary school and above, OR=0.501, 95%CI: 0.301-0.836), heart disease (present, OR=1.996, 95%CI: 1.076-3.703), and self-rated health status (good, OR=0.529, 95%CI: 0.319-0.875) were factors affecting falls in women; educational level (primary school and above, OR=0.514, 95%CI: 0.285-0.928) and self-rated health status (good, OR=0.456, 95%CI: 0.253-0.824) were factors affecting falls in residents aged 60 to 70 years. Conclusion Fall risk among the elderly is associated with gender, age, heart disease, educational level and self-rated health status, and the influencing factors for falls vary in different genders and ages.
|
|
Received: 08 March 2024
Revised: 28 June 2024
Published: 22 August 2024
|
|
|
|
|
|
[1] 陆治名,汪媛,叶鹏鹏,等.2015—2018年全国伤害监测系统中老年人跌倒/坠落病例分布特征[J].中华流行病学杂志,2021,42(1):137-141.
[2] 赵鸣. 浙江省两地区社区老年人跌倒流行现状与危险因素分析[D].杭州:浙江大学,2017.
[3] 俞梅华,丁晶莹.2010—2020年湖州市老年人伤害死亡趋势分析[J].预防医学,2022,34(3):297-301,306.
[4] 刘胜,曾红霞,付美华,等.常山县60岁及以上伤害监测病例流行特征分析[J].预防医学,2020,32(8):842-845.
[5] 王永,朱银潮,李辉,等.宁波市跌倒死亡率变化趋势分析[J].预防医学,2019,31(10):973-976.
[6] 韦晓淋,黄桥梁,杨成立,等.苏州市城市社区老年人跌倒的流行现状及其危险因素分析[J/CD].伤害医学(电子版),2020,9(1):45-49.
[7] LIN X Z,MENG R L,PENG D D,et al.Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province,China[J].BMJ Open,2022,12(11):1-6.
[8] 刘源,彭莉红,殷黎,等.湖南省2018年4个县区≥40岁人群骨质疏松症流行病学与影响因素[J].中华疾病控制杂志,2024,28(1):20-25.
[9] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2022)[J].中国全科医学,2023,26(14):1671-1691.
[10] DUC M,MITTAZ HAGER A G,ZEMP D,et al.Current practices of physiotherapists in Switzerland regarding fall risk-assessment for community-dwelling older adults:a national cross-sectional survey[J].F1000Res,2022,11:1-41.
[11] CHENG M H,CHANG S F.Frailty as a Risk factor for falls among community dwelling people:evidence from a meta-analysis[J].J Nurs Scholarsh,2017,49(5):529-536.
[12] 张家佳,陈小玉,廖娟,等.重庆市老年慢性病共病患者跌倒调查[J].预防医学,2023,35(12):1062-1066.
[13] CHOI K,JEON G S,CHO S I.Prospective study on the impact of fear of falling on functional decline among community dwelling elderly women[J].Int J Environ Res Public Health,2017,14(5):1-11.
[14] GEBRE A K,SIM M,DALLA VIA J,et al.Cardiovascular disease,muscle function,and long-term falls risk:The Perth Longitudinal Study of Ageing Women[J/OL].Arch Gerontol Geriatr,2023,107[2024-06-28].https://doi.org/10.1016/j.archger.2022.104911.
[15] 丁贤彬,杨弦弦,刘勇言,等.重庆市城乡老年人慢性病与跌倒相关性分析[J].公共卫生与预防医学,2023,34(5):73-77.
[16] 马驰,许可,周南希,等.性别视角下家庭结构与老年人口健康研究[J].中国预防医学杂志,2023,24(11):1166-1171.
[17] 宋楠楠,周静蕾,张利.老年人内在能力与跌倒的关联研究[J].预防医学,2024,36(1):1-4.
[18] 林进龙,魏玥,陈功,等.慢性病对中老年人跌倒伤害影响的队列研究[J].中华流行病学杂志,2022, 43(2):218-226.
[19] AMBROSE A F,PAUL G,HAUSDORFF J M.Risk factors for falls among older adults:a review of the literature[J].Maturitas,2013,75(1):51-61.
[20] 巫舒君,朱思懿,邹祖全,等.老年人跌倒的流行病学研究进展[J].预防医学,2024,36(7):590-594,597. |
| [1] |
LIU Yudan, ZHANG Caiyun, GUO Mingmei, ZHENG Yujuan, JIA Ming, YANG Jiale, HOU Jianing, ZHAO Hua. Influencing factors for medication compliance in patients with comorbidities of chronic diseases: a meta-analysis[J]. Preventive Medicine, 2024, 36(9): 790-795,800. |
|
|
|
|
