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[老年人中需要使用卫生服务的跌倒情况:对2013年巴西国家卫生调查的分析]

[Falls requiring use of health services by the older adults: an analysis of the Brazilian National Health Survey, 2013].

作者信息

Pimentel Wendel Rodrigo Teixeira, Pagotto Valéria, Stopa Sheila Rizzato, Hoffmann Maria Cristina Corrêa Lopes, Malta Deborah Carvalho, Menezes Ruth Losada de

机构信息

Faculdade de Ceilândia, Universidade de Brasília, Brasília, Brasil.

Secretaria de Atenção à Saúde, Ministério da Saúde, Brasília, Brasil.

出版信息

Cad Saude Publica. 2018 Aug 20;34(8):e00211417. doi: 10.1590/0102-311X00211417.

Abstract

The aim was to analyze the prevalence of falls requiring visits to health services and associated sociodemographic factors in the elderly in the Brazilian National Health Survey (PNS), 2013. This was a cross-sectional population-based study using data on 23,815 elderly Brazilians from the PNS 2013 survey. The outcome variable was falls requiring use of a health service. Crude and adjusted analyses were performed with robust Poisson regression, with prevalence ratio as the measure of effect and the respective 95% confidence interval (95%CI). The stepwise-forward method was used for inclusion of the variables in the multivariate model. The prevalence of falls with the need to seek health services was 7.8% (95%CI: 7.3-8.4). The administrative region with the lowest occurrence of falls was the Southeast (7.3%), and Rondônia was the state with the lowest prevalence (5.3%). In the multivariate analysis, falls were associated with age 75 years or older, female sex, and divorced or separated marital status. The nationally representative data produced by the PNS survey can enhance measures to prevent falls throughout Brazil.

摘要

本研究旨在分析在2013年巴西全国健康调查(PNS)中,需要就医的老年人跌倒的患病率及其相关的社会人口学因素。这是一项基于人群的横断面研究,使用了2013年PNS调查中23,815名巴西老年人的数据。结果变量是需要使用医疗服务的跌倒情况。采用稳健泊松回归进行粗分析和校正分析,以患病率比作为效应量度,并给出相应的95%置信区间(95%CI)。在多变量模型中采用逐步向前法纳入变量。需要寻求医疗服务的跌倒患病率为7.8%(95%CI:7.3 - 8.4)。跌倒发生率最低的行政区是东南部(7.3%),朗多尼亚州的患病率最低(5.3%)。在多变量分析中,跌倒与75岁及以上年龄、女性性别以及离婚或分居的婚姻状况相关。PNS调查产生的具有全国代表性的数据可以加强巴西各地预防跌倒的措施。

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