Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand.
Department of Research & Innovation, University of Limpopo, Turfloop, South Africa.
Curr Gerontol Geriatr Res. 2018 Jun 3;2018:5964305. doi: 10.1155/2018/5964305. eCollection 2018.
To assess the prevalence and health correlates of fall-related injury in a national population-based community-dwelling sample of older Indonesians.
Participants were 6698 older adults, 50 years and older (median age 58.0 years, IQR=11.0, and age range of 50-101 years), who took part in in the Indonesia Family Life Survey (IFLS-5) in 2014-15. They provided information about sociodemographic, various health variables, including a falling down and received treatment history in the last two years.
Overall, 12.8% had one or more fall-related injuries in the past two years, 14.0% among women and 11.5% among men, 7.6% had a single fall, and 5.2% multiple fall-related injuries in the past two years. In multivariable logistic regression models, having two or more chronic conditions, urinary problems, and functional disability was independently associated with multiple fall-related injuries in the past two years in both sexes. Sex-specific risk factors were former tobacco use, having or having had a cataract, sleep disturbance, and sleep impairment in men and poorer economic background, depression symptoms, and low cognitive functioning in women.
A significant proportion of older adults in Indonesia have fall-related injury. Several homogenous between the sexes and sex-specific risk factors for fall-related injury were identified that can help in designing fall-prevention strategies.
在印度尼西亚全国基于人群的社区居住老年人样本中评估与跌倒相关伤害的患病率及其健康关联因素。
参与者为6698名50岁及以上的老年人（中位年龄58.0岁，四分位间距 = 11.0，年龄范围50 - 101岁），他们参加了2014 - 2015年的印度尼西亚家庭生活调查（IFLS - 5）。他们提供了社会人口统计学、各种健康变量的信息，包括过去两年内是否跌倒及接受治疗的情况。
总体而言，在过去两年中，12.8%的人有一处或多处与跌倒相关的伤害，女性为14.0%，男性为11.5%；7.6%的人有过单次跌倒，5.2%的人在过去两年中有多处与跌倒相关的伤害。在多变量逻辑回归模型中，患有两种或更多种慢性病、泌尿系统问题和功能残疾在两性中均与过去两年内多处与跌倒相关的伤害独立相关。特定性别的风险因素在男性中为既往吸烟、患有或曾患有白内障、睡眠障碍和睡眠损害，在女性中为经济背景较差、抑郁症状和认知功能低下。
印度尼西亚相当一部分老年人存在与跌倒相关的伤害。确定了一些与跌倒相关伤害的性别共性和特定性别的风险因素，这有助于制定跌倒预防策略。
