中国8个省份50岁及以上人群跌倒伤害及其危险因素横断面研究

郭雁飞; 马文军; 张庆军; 俞敏; 肖义泽; 郭晓雷; 朱颖俐; 刘峰; 阮晔; 孙双圆; 黄哲宙; 郑杨; 吴凡

Abstract

郭雁飞,马文军,张庆军,俞敏,肖义泽,郭晓雷,朱颖俐,刘峰,阮晔,孙双圆,黄哲宙,郑杨,吴凡.中国8个省份50岁及以上人群跌倒伤害及其危险因素横断面研究[J].Chinese journal of Epidemiology,2018,39(3):258-263

中国8个省份50岁及以上人群跌倒伤害及其危险因素横断面研究

Incidence of fall related injury in people aged 50 and above and risk factors in 8 provinces in China: a cross-sectional study

Received:October 12, 2017

DOI：10.3760/cma.j.issn.0254-6450.2018.03.002

KeyWord: 跌倒伤害危险因素老年人

English Key Word: Fall Injury Risk factor Elderly

FundProject:美国国立老化研究所（National Institute on Aging）通过世界卫生组织资助项目（R01-AG034479）；上海市第四轮公共卫生体系建设三年行动计划（GWIV-22）；上海市第四轮公共卫生三年行动计划慢病重点学科项目（15GWZK0801）

Author Name	Affiliation	E-mail
Guo Yanfei	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Ma Wenjun	Guangdong Provincial Institute of Public Health, Guangzhou 511430, China
Zhang Qingjun	Institute of Chronic and Non-communicable Diseases, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
Yu Min	Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Xiao Yize	Institute of Chronic and Non-communicable Diseases, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Guo Xiaolei	Institute of Chronic and Non-communicable Diseases, Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China
Zhu Yingli	Institute of Chronic and Non-communicable Diseases, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Liu Feng	Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
Ruan Ye	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Sun Shuangyuan	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Huang Zhezhou	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Zheng Yang	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Wu Fan	Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China	wufan@scdc.sh.cn

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Abstract:

目的估计中国8个省份≥50岁人群跌倒伤害发生率和人群分布情况，分析跌倒伤害相关的生理、心理和社会危险因素。方法 WHO“全球老龄化与成人健康研究”（SAGE）中国项目第一轮横断面数据，采用两水平（个体层面和社区层面）logistic模型按城乡进行分层分析相关因素与跌倒伤害的关系。结果本研究推算中国8个省份≥50岁老年人群中，跌倒伤害的发生率为3.2%。多元分析发现在城市地区，增龄、罹患≥3种的慢性病（OR=2.55，95% CI：1.41～4.64）可以增大跌倒伤害的发生危险；在农村地区，罹患抑郁（OR=4.33，95% CI：2.52～7.42）和罹患≥3种慢性病（OR=2.46，95% CI：1.37～4.41）也可以增大跌倒伤害的发生危险。结论本研究提供了一个基于中国8个省份≥50岁抽样人群跌倒伤害发生率。此外，本研究还发现增龄和共患多种慢性病会增大跌倒伤害的风险，提示采取措施防止和延缓老年人群慢性病发病可能有助于降低跌倒伤害的发生的概率。

English Abstract:

Objective To estimate the incidence and distribution characteristics of fall related injury in people aged ≥ 50 years in 8 provinces in China and related physiological, psychological and social risk factors. Methods Cross-sectional data were collected from adults aged ≥ 50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural). Results Estimated incidence of fall related injury (road traffic injury was not included) was 3.2%. Ageing and multiple chronic conditions (OR=2.55, 95%CI:1.41-4.64) was significantly associated with the incidence of fall related injury in urban area. In rural area, depression (OR=4.33, 95%CI:2.52-7.42) and multiple chronic conditions (OR=2.46, 95%CI:1.37-4.41) were associated with the incidence of fall related injury. Conclusions This study estimated the incidence of fall related injury in adults aged ≥ 50 years in 8 provinces in China. A significant association between multiple chronic conditions and fall related injury were found in both urban and rural residents. Targeted measures should be taken for the prevention and control of chronic diseases in elderly population.

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