Abstract
石婧,陶永康,周白瑜,段春波,张传芳,覃朝晖,振球,于普林.北京市某社区老年人多次跌倒发生率 及相关因素的随访研究[J].Chinese journal of Epidemiology,2013,34(10):967-969
北京市某社区老年人多次跌倒发生率 及相关因素的随访研究
A prospective study on recurrent falls and related factors in elderly from the urban communities in Beijing
Received:April 17, 2013  
DOI:10.3760/cma.j.issn.0254—6450.2013.10.006
KeyWord: 意外跌倒|危险因素
English Key Word: Accidental fall|  Risk factors
FundProject:
Author NameAffiliationE-mail
SHI Jing Hospital of Health, Beijing100730, China
 
 
TAO Yong-kang China-Japan Fr&ndsh Hospital
 
 
ZHOU Bai-yu Hospital of Health, Beijing100730, China
 
 
DUAN Chun-bo Hospital of Health, Beijing100730, China
 
 
ZHANG Chuan-fang Hunan Research Institute for Tuberculosis Control
 
 
TAN Zhao-hui Department ofPublic Health, Xuzhou Medical Colleg
 
 
SUN Zhen-qiu School ofPublic Health, Central South University  
YU Pu-lin Hospital of Health, Beijing100730, China
 
pulinyu@163.com 
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Abstract:
      目的调查北京市某社区老年人多次跌倒的发生情况,并探讨跌倒相关因素。方法 以北京市某社区为调查现场,2009年抽取472名老年人采用面对面询问方式进行人户调查,通过 单因素及多因素logistic回归分析多次跌倒的影响因素。结果472名老年人中,跌倒>---2次共29 名,多次跌倒发生率为6.1%。多因素logistic回归分析显示,家庭月收入高(OR----1.39,95%CI: 0.67~2.16)、担心跌倒(OR=2.23,95%CI:1.47。3.85)、静态平衡异常(OR=2.48,95%CI:1.84~ 4.05)是老年人多次跌倒的危险因素,楼梯台阶宽度合适(OR=0.49,95%CI:0.21.1.12)、日常用品 易于取放(OR=0.41,95%CI:0.14—1.16)是多次跌倒的保护因素。结论北京市某社区老年人多 次跌倒发生率高,跌倒发生与多种因素有关,应采取综合性措施预防老年人跌倒。
English Abstract:
      Objective To investigate the incidence and risk factors for recurrent falls in community-dwelling elderly in Beijing.Methads A cross.sectional study was conducted in 472 elderly in the Longtan community of Dongcheng district.Beijing in 2009.Data on recurrent falls witllin the past 1 2 months were collected through face.to.face interview.with both single factor analysis and logistic regression analysis used to explore the related factors on recurrent falls in the elderly.Results The incidence of recurrent falls among 472 older adults was 6.1%(29)within tlle past 1 2 months.Results from logistic regression analysis showed that factors as higher family monthly income(OR=1.39,95%CI:0.67-2.16),afraid of being falien(0R=2.23.95%CI:1.47-3.85)and abnormal static balance(OR=2.48,95%C/:1.84-4.05)were risk factors.while bench height in the surrounding environment(OR=0.49,95%CI:0.21-1.12)and easiness of access to daily supplies (OR=0.41 95%CI:0.14-1.16)were protective factors for recurrent falls Conclusion The incidence of recurrent falls among the elderly from the communities in Beijing was high.Since falls could be caused by various factors.intervention should be targeting on risk factors in a multi.dimensional way.
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