Wadhwaniya Shirin, Alonge Olakunle, Ul Baset Md Kamran, Chowdhury Salim, Bhuiyan Al-Amin, Hyder Adnan A
Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Center for Injury Prevention and Research, Bangladesh (CIPRB), House B162, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh.
Int J Environ Res Public Health. 2017 Aug 10;14(8):900. doi: 10.3390/ijerph14080900.
Globally, falls are the second leading cause of unintentional injury deaths, with 80% occurring in low-and middle-income countries. The overall objective of this study is to describe the burden and risk factors of falls in rural Bangladesh. In 2013, a large household survey covering a population of 1,169,593 was conducted in seven rural sub-districts of Bangladesh to assess the burden of all injuries, including falls. The recall periods for non-fatal and fatal injuries were six and 12 months, respectively. Descriptive, bivariate and multiple logistic regression analyses were conducted. The rates of non-fatal and fatal falls were 36.3 per 1000 and 5 per 100,000 population, respectively. The rates of both fatal and non-fatal falls were highest among the elderly. The risk of non-fatal falls was higher at extremes of age. Lower limb and waist injuries were frequent following a fall. Head injuries were frequent among infants (35%), while lower limb and waist injuries were frequent among the elderly (>65 years old). Injuries to all body parts (except the waist) were most frequent among men. More than half of all non-fatal falls occurred in a home environment. The injury patterns and risk factors of non-fatal falls differ by sociodemographic factors.
在全球范围内，跌倒是非故意伤害死亡的第二大原因，其中80%发生在低收入和中等收入国家。本研究的总体目标是描述孟加拉国农村地区跌倒的负担和风险因素。2013年，在孟加拉国的七个农村乡开展了一项覆盖1,169,593人口的大型家庭调查，以评估包括跌倒在内的所有伤害的负担。非致命伤和致命伤的回顾期分别为6个月和12个月。进行了描述性、双变量和多因素逻辑回归分析。非致命跌倒率和致命跌倒率分别为每1000人36.3例和每10万人5例。致命和非致命跌倒率在老年人中最高。非致命跌倒的风险在年龄两端更高。跌倒后下肢和腰部受伤很常见。婴儿头部受伤很常见（35%），而老年人（>65岁）下肢和腰部受伤很常见。除腰部外，所有身体部位的受伤在男性中最为常见。超过一半的非致命跌倒发生在家庭环境中。非致命跌倒的伤害模式和风险因素因社会人口学因素而异。
