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治疗更年期症状和拥有健康保险与巴西女性跌倒发生率降低有关。

Treatment for menopausal symptoms and having health insurance were associated with a lower prevalence of falls among Brazilian women.

机构信息

Department of Gynecology, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.

出版信息

Maturitas. 2013 Aug;75(4):367-72. doi: 10.1016/j.maturitas.2013.04.020. Epub 2013 May 23.

Abstract

OBJECTIVES

Brazil has an aging population. This study aims to raise awareness of the prevalence and factors associated with falls among Brazilian women.

STUDY DESIGN

Cross-sectional study with 622 women over 50 years of age was conducted between 05/10/11 and 10/31/11 in the city of Campinas/São Paulo/Brazil in the form of a population survey.

MAIN OUTCOME MEASURES

The dependent variable was the occurrence of falls in the past 12 months. The independent variables were sociodemographic data, health-related habits and problems, self-perception of health and evaluation of functional capacity. Statistical analysis was carried out by Chi-square test and Poisson regression using the backward selection criteria.

RESULTS

The mean age of the women was 64.1 years. The prevalence of falls in the past 12 months was 24.6%. Having trouble keeping balance when walking: PR 1.87 (95% CI 1.33-2.63, P<0.001); alcohol consumption: PR 1.69 (95% CI 1.25-2.28, P<0.002); having been admitted to a hospital in the last 12 months: PR 1.46 (95% CI 1.09-1.96, P=0.012); and having cataract: PR 1.40 (95% CI 1.05-1.87, P=0.021) were associated with a higher prevalence of falls. Having health insurance: PR 0.67 (95% CI 0.50-0.89, P=0.007) and using some form of medication to treat menopausal symptoms: PR 0.42 (95% CI 0.19-0.92, P=0.031) were associated with a lower prevalence of falls.

CONCLUSION

Having health insurance and using some form of medication to treat menopausal symptoms were associated with a lower prevalence of falls among Brazilian women.

摘要

目的

巴西人口老龄化。本研究旨在提高人们对巴西女性跌倒发生率及其相关因素的认识。

研究设计

2011 年 5 月 10 日至 10 月 31 日,在巴西坎皮纳斯/圣保罗市进行了一项横断面研究,共纳入 622 名 50 岁以上的女性。该研究采用人群调查的形式。

主要观察指标

因变量为过去 12 个月内发生跌倒的情况。自变量包括社会人口统计学数据、与健康相关的习惯和问题、自我健康感知以及功能能力评估。采用卡方检验和泊松回归进行统计分析,采用向后选择标准。

结果

女性的平均年龄为 64.1 岁。过去 12 个月内跌倒的发生率为 24.6%。行走时难以保持平衡:PR1.87(95%CI1.33-2.63,P<0.001);饮酒:PR1.69(95%CI1.25-2.28,P<0.002);过去 12 个月内住院:PR1.46(95%CI1.09-1.96,P=0.012);白内障:PR1.40(95%CI1.05-1.87,P=0.021)与跌倒发生率较高相关。有健康保险:PR0.67(95%CI0.50-0.89,P=0.007)和使用某种药物治疗更年期症状:PR0.42(95%CI0.19-0.92,P=0.031)与跌倒发生率较低相关。

结论

有健康保险和使用某种药物治疗更年期症状与巴西女性跌倒发生率较低相关。

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