The University of Texas at Austin, USA.
Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
J Aging Health. 2020 Jun/Jul;32(5-6):422-431. doi: 10.1177/0898264319825586. Epub 2019 Jan 30.
To examine cross-sectional and longitudinal associations between (a) activity-limiting fall worry (ALW) and (b) self-reported health-related restrictions and social engagement among older adults. : The National Health and Aging Trends Study Waves 5 (T1) and 6 (T2) provided data ( = 6,279). Binary and multinomial logistic regression models were used to examine association of T2 social engagement restrictions with T2 fall worry and association of T1-T2 changes in social engagement restrictions with T1-T2 changes in fall worry. : ALW was significantly associated with both informal and formal social engagement restriction at T2. Onset of ALW and continued ALW between T1 and T2 were also significantly associated with newly reported restrictions in both informal and formal social engagement at T2 even controlling for falls incidents and changes in health status and other covariates. : The findings underscore the importance of reducing fall worry and preventing social disengagement in late life.
研究（a）活动受限性跌倒担忧（ALW）与（b）老年人自我报告的健康相关限制和社会参与之间的横断面和纵向关联。方法：利用国家健康老龄化趋势研究波 5（T1）和波 6（T2）的数据（n=6279）。采用二项逻辑回归和多项逻辑回归模型，检验 T2 跌倒担忧与 T2 社会参与限制之间的关联，以及 T1-T2 社会参与限制变化与 T1-T2 跌倒担忧变化之间的关联。结果：在 T2 时，ALW 与非正式和正式社会参与限制均显著相关。在 T1 至 T2 期间出现 ALW 和持续 ALW，即使在控制跌倒事件以及健康状况和其他协变量的变化后，与 T2 时非正式和正式社会参与新报告的限制也显著相关。结论：研究结果强调了在晚年降低跌倒担忧和预防社会脱节的重要性。
