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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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