Nascimento Carla Ferreira do, Duarte Yeda Aparecida Oliveira, Lebrão Maria Lúcia, Chiavegatto Filho Alexandre Dias Porto
1 University of São Paulo, Brazil.
J Aging Health. 2018 Jan;30(1):118-139. doi: 10.1177/0898264316669229. Epub 2016 Sep 14.
To identify socioeconomic and contextual factors associated with functional mobility and falls in elderly residents of São Paulo, Brazil.
We used data from the Health, Well-Being, and Aging ( Saúde, Bem-estare Envelhecimento [SABE]) Study. The dependent variables were falling in the last year and functional mobility impairment. Individual (marital status, race, education, and perception of income sufficiency) and contextual (green area and violence) factors were analyzed by multilevel logistic models.
Having 8 or more years of schooling was a protective factor for mobility impairment. Neighborhoods with moderate homicide rate were associated with higher odds of falling. Moderate green spaces were associated with higher odds of falling and lower odds to have mobility impairment for individuals 80 years and older.
Our findings support the concern that neighborhood characteristics are associated with falls and mobility impairment. Strategies to prevent these outcomes should consider contextual aspects.
确定与巴西圣保罗老年居民功能活动能力和跌倒相关的社会经济及环境因素。
我们使用了健康、幸福与老龄化（Saúde, Bem-estare Envelhecimento [SABE]）研究的数据。因变量为过去一年中的跌倒情况和功能活动能力受损情况。通过多水平逻辑模型分析个体因素（婚姻状况、种族、教育程度和对收入充足性的认知）和环境因素（绿地面积和暴力情况）。
接受8年或以上教育是功能活动能力受损的保护因素。中度凶杀率的社区与跌倒几率较高相关。中度绿地面积与80岁及以上个体跌倒几率较高以及功能活动能力受损几率较低相关。
我们的研究结果支持了这样一种担忧，即社区特征与跌倒和功能活动能力受损相关。预防这些结果的策略应考虑环境因素。
