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[墨西哥贫困老年人的功能依赖与跌倒]

[Functional dependency and falls in elderly living in poverty in Mexico].

作者信息

Manrique-Espinoza Betty, Salinas-Rodríguez Aarón, Moreno-Tamayo Karla, Téllez-Rojo Martha M

机构信息

Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Morelos, México.

出版信息

Salud Publica Mex. 2011 Jan-Feb;53(1):26-33.

Abstract

OBJECTIVE

To determine the prevalence of functional dependency (FD) on Mexican elderly living in extreme poverty conditions and to estimate the association between falls and FD.

MATERIAL AND METHODS

A survey was conducted with three stages for selection, stratified by type of locality (rural or urban) and nationally representative of the 2006 Oportunidades Program. The target population was composed of individuals 70 years of age and older who were beneficiaries of the Oportunidades Program.

RESULTS

A total of 30.9% of the elderly presented FD. The gender stratified logistic regression model resulted in an odds ratio (OR) for women of 1.25 (I.C:1.13-1.39) for the association between the increase in the number of falls and FD and OR=1.12 (I.C:0.97-1.29) for men.

CONCLUSIONS

Given the vulnerable conditions in which these older adults live, specific interventions need to be implemented to prevent falls in order to reduce the risk of functional dependency.

摘要

目的

确定生活在极端贫困条件下的墨西哥老年人功能依赖(FD)的患病率,并估计跌倒与功能依赖之间的关联。

材料与方法

进行了一项分三个阶段进行选择的调查,按地区类型(农村或城市)分层,具有2006年“机会”计划的全国代表性。目标人群由70岁及以上的“机会”计划受益人组成。

结果

共有30.9%的老年人存在功能依赖。按性别分层的逻辑回归模型显示,跌倒次数增加与功能依赖之间的关联,女性的优势比(OR)为1.25(置信区间:1.13 - 1.39),男性的OR = 1.12(置信区间:0.97 - 1.29)。

结论

鉴于这些老年人生活的脆弱条件,需要实施具体干预措施来预防跌倒,以降低功能依赖的风险。

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