Public Health Foundation of India, PHD House, 4/2 Sirifort Institutional Area, August Kranti Marg, New Delhi 110016, India.
Inj Prev. 2010 Jun;16(3):166-71. doi: 10.1136/ip.2009.023663. Epub 2010 Apr 26.
Little is known about the context, risk factors and severity of non-fatal fall-related injury in India.
To report these data for a rural population in the East and West Godavari districts of the Indian state of Andhra Pradesh.
In a cross-sectional population-based survey, 3686 participants aged >or=30 years (83.6% participation) selected by stratified random sampling were interviewed in 44 villages. Participants recalled injuries in the preceding 12 months that required them to stay away from their usual daily duties for at least 1 day irrespective of whether medical attention was sought for that injury.
The annual incidence of non-fatal fall-related injury based on a 3-month recall period was 3.30% (95% CI 2.54% to 4.05%) and 9.22% (95% CI 7.74% to 10.69%) for men and women, respectively, with the incidence increasing with age. For the most recent non-fatal fall-related injury, the home was the most common place of injury for women, and the farm for men, with the former more likely to fall while climbing up/down (20.9%) compared with the latter (10.3%). Most falls were at the same level (71.7%) and slipping was the most common cause of fall (40%). Limbs (legs, 55%; hand/arm, 33.3%) were the most commonly injured body part. Fifty-six per cent reported seeking treatment outside home for injury, of whom 74.6% were women; and 8.4% reported being admitted to a hospital.
Falls are a significant public health problem facing women in rural India. Fall prevention strategies should be explored and implemented within the Indian context.
在印度，非致命性跌倒相关伤害的背景、风险因素和严重程度知之甚少。
报告印度安得拉邦东高止山脉和西高止山脉地区农村人口的这些数据。
在一项横断面基于人群的调查中，通过分层随机抽样选择了 3686 名年龄>30 岁（83.6%的参与率）的参与者在 44 个村庄进行访谈。参与者回忆了在过去 12 个月中因受伤而需要至少 1 天远离日常活动的情况，无论是否因该伤寻求医疗。
根据 3 个月的回忆期，男性和女性的非致命性跌倒相关伤害年发生率分别为 3.30%（95%CI 2.54%至 4.05%）和 9.22%（95%CI 7.74%至 10.69%），发生率随年龄增长而增加。对于最近的非致命性跌倒相关伤害，女性最常见的受伤地点是家，而男性是农场，前者在上下攀爬时更有可能跌倒（20.9%），而后者（10.3%）则不然。大多数跌倒发生在同一水平（71.7%），滑倒最常见的跌倒原因（40%）。四肢（腿部，55%；手/手臂，33.3%）是最常见的受伤部位。56%的人因伤在家庭以外寻求治疗，其中 74.6%为女性；8.4%的人报告住院。
跌倒在印度农村妇女中是一个严重的公共卫生问题。应在印度背景下探索和实施预防跌倒的策略。
