Guo Y F, Ma W J, Zhang Q J, Yu M, Xiao Y Z, Guo X L, Zhu Y L, Liu F, Ruan Y, Sun S Y, Huang Z Z, Zheng Y, Wu F
Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China.
Guangdong Provincial Institute of Public Health, Guangzhou 511430, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Mar 10;39(3):258-263. doi: 10.3760/cma.j.issn.0254-6450.2018.03.002.
To estimate the incidence and distribution characteristics of fall related injury in people aged ≥50 years in 8 provinces in China and related physiological, psychological and social risk factors. Cross-sectional data were collected from adults aged ≥50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural). Estimated incidence of fall related injury (road traffic injury was not included) was 3.2 Ageing and multiple chronic conditions (=2.55, 95: 1.41-4.64) was significantly associated with the incidence of fall related injury in urban area. In rural area, depression (=4.33, 95: 2.52-7.42) and multiple chronic conditions (=2.46, 95: 1.37-4.41) were associated with the incidence of fall related injury. This study estimated the incidence of fall related injury in adults aged ≥50 years in 8 provinces in China. A significant association between multiple chronic conditions and fall related injury were found in both urban and rural residents. Targeted measures should be taken for the prevention and control of chronic diseases in elderly population.
为估算中国8个省份50岁及以上人群中与跌倒相关伤害的发生率、分布特征以及相关的生理、心理和社会风险因素。从参与世界卫生组织（WHO）全球老龄化与成人健康研究（SAGE）中国第一轮研究的50岁及以上成年人中收集横断面数据。采用二级分层逻辑模型来确定与跌倒相关伤害的相关因素。所有模型均按居住地区（城市/农村）分层。与跌倒相关伤害（不包括道路交通伤害）的估计发生率为3.2。衰老和多种慢性病（=2.55，95%置信区间：1.41 - 4.64）与城市地区跌倒相关伤害的发生率显著相关。在农村地区，抑郁（=4.33，95%置信区间：2.52 - 7.42）和多种慢性病（=2.46，95%置信区间：1.37 - 4.41）与跌倒相关伤害的发生率相关。本研究估算了中国8个省份50岁及以上成年人中与跌倒相关伤害的发生率。在城市和农村居民中均发现多种慢性病与跌倒相关伤害之间存在显著关联。应针对老年人群采取有针对性的慢性病防控措施。
