Lukaszyk Caroline, Harvey Lara, Sherrington Cathie, Keay Lisa, Tiedemann Anne, Coombes Julieann, Clemson Lindy, Ivers Rebecca
Injury Division, The George Institute for Global Health, New South Wales.
Falls and Injury Prevention Group, Neuroscience Research Australia, New South Wales.
Aust N Z J Public Health. 2016 Dec;40(6):564-568. doi: 10.1111/1753-6405.12585. Epub 2016 Oct 23.
To examine the risk factors, incidence, consequences and existing prevention strategies for falls and fall-related injury in older indigenous people.
Relevant literature was identified through searching 14 electronic databases, a range of institutional websites, online search engines and government databases, using search terms pertaining to indigenous status, injury and ageing.
Thirteen studies from Australia, the United States, Central America and Canada were identified. Few studies reported on fall rates but two reported that around 30% of indigenous people aged 45 years and above experienced at least one fall during the past year. The most common hospitalised fall injuries among older indigenous people were hip fracture and head injury. Risk factors significantly associated with falls within indigenous populations included poor mobility, a history of stroke, epilepsy, head injury, poor hearing and urinary incontinence. No formally evaluated, indigenous-specific fall prevention interventions were identified.
Falls are a significant and growing health issue for older indigenous people worldwide that can lead to severe health consequences and even death. No fully-evaluated, indigenous-specific fall prevention programs were identified. Implications for Public Health: Research into fall patterns and fall-related injury among indigenous people is necessary for the development of appropriate fall prevention interventions.
研究老年原住民跌倒及跌倒相关伤害的危险因素、发生率、后果及现有的预防策略。
通过检索14个电子数据库、一系列机构网站、在线搜索引擎和政府数据库，使用与原住民身份、伤害和老龄化相关的检索词，确定相关文献。
共确定了来自澳大利亚、美国、中美洲和加拿大的13项研究。很少有研究报告跌倒发生率，但有两项研究报告称，在过去一年中，约30%的45岁及以上原住民至少经历过一次跌倒。老年原住民中最常见的因跌倒导致的住院伤害是髋部骨折和头部受伤。与原住民群体跌倒显著相关的危险因素包括行动不便、中风史、癫痫、头部受伤、听力不佳和尿失禁。未发现经过正式评估的、针对原住民的跌倒预防干预措施。
跌倒对全球老年原住民来说是一个重大且日益严重的健康问题，可能导致严重的健康后果甚至死亡。未发现经过全面评估的、针对原住民的跌倒预防项目。对公共卫生的启示：有必要对原住民的跌倒模式和跌倒相关伤害进行研究，以制定适当的跌倒预防干预措施。
