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印度卡纳塔克邦市区老年人群体中跌倒恐惧的患病率及其相关因素

Prevalence and correlates of fear of falling among elderly population in urban area of Karnataka, India.

作者信息

Mane Abhay B, Sanjana T, Patil Prabhakar R, Sriniwas T

机构信息

Department of Community Medicine, Smt. Kashibai Navale Medical College, Pune, Maharashtra, India.

MBBS Student, Navodaya Medical College, Raichur, Karnataka, India.

出版信息

J Midlife Health. 2014 Jul;5(3):150-5. doi: 10.4103/0976-7800.141224.

Abstract

CONTEXT

Falls are a major public health problem in the elderly population. Fear of falling (FOF) among elderly persons can compromise quality of life by limiting mobility, diminished sense of well-being and reduced social interactions. India is undergoing a demographic transitional phase with urban elderly population of 6.72% in 2001. The major challenge would be on the prevention of falls among them. Hence there is a need to highlight the problems related to fall faced by the elderly in India.

OBJECTIVE

To study the prevalence of FOF and its correlates among the elderly population in urban area.

MATERIALS AND METHODS

250 elderly subjects above 60 years were randomly selected from urban area and interviewed for FOF using Short Fall Efficacy Scale-I (FES-I), history of falls and risk factors.

RESULTS

The prevalence of FOF among the elderly was 33.2%. The significant correlates of FOF were educational status, family type, associated health problems, history of fall in past 6 months, worried of fall again among fallers, fearfulness of fall again among fallers, restriction of daily activities and depression among them. The insignificant correlates were gender and socio-economic status.

CONCLUSION

FOF is a health problem among the elderly living in urban India needs urgent attention. It represents a significant threat to socialization, independence and morbidity or mortality. Knowledge of correlates of FOF may be useful in developing multidimensional strategies to reduce it among elderly.

摘要

背景

跌倒在老年人群体中是一个重大的公共卫生问题。老年人对跌倒的恐惧(FOF)会通过限制行动能力、降低幸福感和减少社交互动来损害生活质量。印度正处于人口转型阶段,2001年城市老年人口占比为6.72%。主要挑战将是预防他们跌倒。因此,有必要突出印度老年人面临的与跌倒相关的问题。

目的

研究城市老年人群体中FOF的患病率及其相关因素。

材料与方法

从城市地区随机选取250名60岁以上的老年人,使用简短跌倒效能量表-I(FES-I)、跌倒史和危险因素对其进行FOF访谈。

结果

老年人中FOF的患病率为33.2%。FOF的显著相关因素包括教育程度、家庭类型、相关健康问题、过去6个月内的跌倒史、跌倒者再次担心跌倒、跌倒者再次害怕跌倒、日常活动受限以及他们中的抑郁情况。不显著的相关因素是性别和社会经济地位。

结论

FOF是印度城市老年人群体中的一个健康问题,需要紧急关注。它对社交、独立以及发病或死亡构成重大威胁。了解FOF的相关因素可能有助于制定多维策略以在老年人中减少FOF。

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