Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science & Technology, HangKong Road 13, Wuhan, 430030, China.
Centers for Disease Prevention & Control of Huangpi District of Wuhan, BaiXiu Street 255#, Huangpi District, Wuhan, 430300, China.
Sci Rep. 2017 Oct 2;7(1):12533. doi: 10.1038/s41598-017-12991-3.
This study aimed to provide evidence for the prevention and reduction of unintentional injuries in the rural elderly by analysing epidemiological data of injuries among rural older adults (65) and identifying the involved risk and protective factors. This study analysed all information, including the social demographic characteristics, chronic disease condition, lifestyle, living environment, mental health, activities of daily living and detailed information about the nature of the injuries. Chi-square tests, rank tests and a multivariate logistic regression were performed. The prevalence of unintentional injuries was 44.4%; according to the multivariate regression analysis, ten variables, including gender, floor tiles, cane use, sleeping duration, roughage intake frequency, mental health status, diabetes, arthritis and cataracts, were involved in the injury patterns. Low roughage intake (OR = 2.34, 95% CI 1.64-3.35), the use of a cane (OR = 1.78, 95% CI 1.31-2.41), a sleeping duration of five hours (OR = 1.75, 95% CI 1.27-2.42) and severe mental disorders (OR = 1.61, 95% CI 1.01-2.57) were the top 4 risk factors. In conclusion, we found that unintentional injuries among the rural elderly were closely related to chronic disease, mental health and residence environment. These findings could be beneficial for the prevention of unintentional injuries and for policy makers and health service managers.
本研究旨在通过分析农村老年人伤害的流行病学数据，为农村老年人意外伤害的预防和减少提供依据，并确定相关的风险和保护因素。本研究分析了所有信息，包括社会人口统计学特征、慢性病状况、生活方式、生活环境、心理健康、日常生活活动以及伤害性质的详细信息。进行了卡方检验、秩检验和多变量逻辑回归分析。意外伤害的患病率为 44.4%；根据多变量回归分析，包括性别、地砖、使用手杖、睡眠时间、膳食纤维摄入量频率、心理健康状况、糖尿病、关节炎和白内障在内的 10 个变量与伤害模式有关。膳食纤维摄入量低（OR=2.34，95%CI 1.64-3.35）、使用手杖（OR=1.78，95%CI 1.31-2.41）、睡眠时间为五小时（OR=1.75，95%CI 1.27-2.42）和严重精神障碍（OR=1.61，95%CI 1.01-2.57）是前 4 个风险因素。总之，我们发现农村老年人意外伤害与慢性病、心理健康和居住环境密切相关。这些发现有助于预防意外伤害，并为政策制定者和卫生服务管理者提供参考。
