National Center for Injury Prevention and Control, CDC, Atlanta, Georgia, USA.
Am J Prev Med. 2012 Jul;43(1):59-62. doi: 10.1016/j.amepre.2012.03.008.
One third of adults aged ≥65 years fall annually, and women are more likely than men to be treated for fall injuries in hospitals and emergency departments.
The aim of this study was to examine how men and women differed in seeking medical care for falls and in the information about falls they received from healthcare providers.
This study, undertaken in 2010, analyzed population-based data from the 2005 Medicare Current Beneficiary Survey (MBCS), the most recent data available in 2010 from this survey. A sample of 12,052 community-dwelling Medicare beneficiaries aged ≥65 years was used to examine male-female differences among 2794 who reported falling in the previous year, sought medical care for falls and/or discussed fall prevention with a healthcare provider. Multivariable logistic regression analyses were conducted to determine the factors associated with falling for men and women. P-values ≤0.05 were considered significant.
Nationally, an estimated seven million Medicare beneficiaries (22%) fell in the previous year. Among those who fell, significantly more women than men talked with a healthcare provider about falls and also discussed fall prevention (31.2% [95% CI=28.8%, 33.6%] vs 24.3% [95% CI=21.6%, 27.0%]). For both genders, falls were most strongly associated with two or more limitations in activities of daily living and often feeling sad or depressed.
Women were significantly more likely than men to report falls, seek medical care, and/or discuss falls and fall prevention with a healthcare provider. Providers should consider asking all older patients about previous falls, especially older male patients who are least likely to seek medical attention or discuss falls with their doctors.
三分之一的 65 岁及以上成年人每年都会跌倒，女性因跌倒受伤而在医院和急诊部门接受治疗的可能性高于男性。
本研究旨在探讨男性和女性在因跌倒寻求医疗护理方面的差异，以及他们从医疗保健提供者那里获得的有关跌倒的信息。
本研究于 2010 年进行，分析了 2005 年 Medicare 现用受益人调查（MBCS）中的基于人群的数据，这是该调查中 2010 年可用的最新数据。使用 12052 名居住在社区的、年龄在 65 岁及以上的 Medicare 受益人样本，来检验 2794 名报告在过去一年中跌倒、因跌倒寻求医疗护理和/或与医疗保健提供者讨论过跌倒预防的人群中的男女差异。采用多变量逻辑回归分析来确定与男性和女性跌倒相关的因素。P 值≤0.05 被认为具有统计学意义。
在全国范围内，估计有 700 万 Medicare 受益人（22%）在过去一年中跌倒。在跌倒的人群中，与男性相比，女性与医疗保健提供者谈论跌倒的情况明显更多，并且也讨论过跌倒预防（31.2% [95%CI=28.8%，33.6%] 与 24.3% [95%CI=21.6%，27.0%]）。对于两种性别，跌倒与两种或更多日常生活活动受限以及经常感到悲伤或沮丧密切相关。
女性报告跌倒、寻求医疗护理和/或与医疗保健提供者讨论跌倒和跌倒预防的可能性明显高于男性。提供者应考虑询问所有老年患者以前是否跌倒过，尤其是不太可能向医生寻求医疗关注或讨论跌倒问题的老年男性患者。
