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老年人群中跌倒的患病率及相关危险因素:来自土耳其的社区横断面研究

PREVALENCE OF FALLS AND ASSOCIATED RISK FACTORS AMONG AGED POPULATION: COMMUNITY BASED CROSS-SECTIONAL STUDY FROM TURKEY.

作者信息

Cevizci Sibel, Uluocak Şeref, Aslan Cumhur, Gökulu Gökhan, Bilir Olgun, Bakar Coşkun

出版信息

Cent Eur J Public Health. 2015 Sep;23(3):233-9. doi: 10.21101/cejph.a4053.

DOI:10.21101/cejph.a4053
PMID:26615656
Abstract

AIM

The aim of the study was to examine the prevalence and risk factors of falls among persons aged 65 years and older in Qanakkale, Turkey.

METHODS

A community based cross-sectional study was conducted between May-September 2013. A total of 1,001 elderly living in Çanakkale city centre were included into our study. The research was carried out with face-to-face interviews and survey forms. The survey form consists of seven sections: demographic characteristics, significance of ageing, daily activities, quality of life and social network in old age, use of health services and health problems, bad habits, and the European Health Impact Scale. Data analysis was performed using the SPSS software version 19.0. For data investigation the chi-square and logistic regression analyses were used.

RESULTS

The prevalence of falls at home or outside was 32.1% among elderly in the last six months period. The prevalence of falling for women at home as well as outside was statistically significantly higher than for men (p < 0.05). According to multivariate analysis results the risk of falling at home or outside was increased by 2.7 times in women (95% CI: 1.90-3.75), by. 2.1 times in those who cannot take care of themselves (95% Cl: 1.33-3.29), and by 1.7 times in those who have low quality of life (95% Cl: 1.24-2.43).

CONCLUSIONS

This community based cross-sectional study showed that prevalence of falling was high in aged persons living in centre of Çanakkale located in the western part of Turkey. Moreover, the risk was increased in women, those who cannot take care for themselves, and those with low standard of living.

摘要

目的

本研究旨在调查土耳其恰纳卡莱65岁及以上人群跌倒的患病率及危险因素。

方法

2013年5月至9月进行了一项基于社区的横断面研究。共有1001名居住在恰纳卡莱市中心的老年人纳入我们的研究。研究通过面对面访谈和调查问卷进行。调查问卷包括七个部分:人口统计学特征、衰老的意义、日常活动、老年生活质量和社会网络、医疗服务使用情况和健康问题、不良习惯以及欧洲健康影响量表。使用SPSS 19.0软件进行数据分析。数据调查采用卡方检验和逻辑回归分析。

结果

在过去六个月中,老年人在家中或户外跌倒的患病率为32.1%。女性在家中及户外跌倒的患病率在统计学上显著高于男性(p<0.05)。根据多变量分析结果,女性在家中或户外跌倒的风险增加2.7倍(95%CI:1.90-3.75),生活不能自理者增加2.1倍(95%CI:1.33-3.29),生活质量低者增加1.7倍(95%CI:1.24-2.43)。

结论

这项基于社区的横断面研究表明,居住在土耳其西部恰纳卡莱市中心的老年人跌倒患病率较高。此外,女性、生活不能自理者和生活水平低者跌倒风险增加。

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