Udofia E A, Aheto J M, Mensah G, Biritwum R, Yawson A E
Department of Community Health, School of Public Health, College of Health Sciences, University of Ghana, Ghana.
Department of Biostatistics, School of Public Health, College of Health Sciences, University of Ghana, Ghana.
Prev Med Rep. 2019 Jun 28;15:100934. doi: 10.1016/j.pmedr.2019.100934. eCollection 2019 Sep.
Injuries are a significant cause of hospitalization in the older population, leading to a decline in physical activity and greater dependence on others. Compared to traffic related injury, relatively fewer studies have been conducted on non-traffic related injury in the older population in Ghana. This analysis provides a nationwide baseline prevalence and associated factors of non-traffic related injuries among older adults in Ghana. Data from the 2014-2015 nationally representative World Health Organization Study on global AGEing and adult health (SAGE) Ghana Wave 2 was used. A final sample of 3461 older adults living in 2827 households was used in the statistical modelling. Predictors of injury were examined using both single-level and multilevel binary logistic regression models. The prevalence of non-traffic related injury found in this study was 3.74%. The odds of being injured decreased among females (OR = 0.66, 95% CI: 0.46, 0.95) compared to their male counterparts and those who rated their heath state as moderate (OR = 0.59, 95% CI: 0.38, 0.94). Depression was the only risk factor identified in the multivariable model (OR = 2.55, 95%CI: 1.38, 4.71). The study did not observe significant residual household-level variation in injury status. The role of depression as a risk factor suggests that interventions that aim to reduce non-traffic related injury in older adults should consider improving mental health.
受伤是老年人群住院治疗的一个重要原因，会导致身体活动能力下降，并增加对他人的依赖。与交通相关伤害相比，加纳针对老年人群非交通相关伤害的研究相对较少。本分析提供了加纳老年人群非交通相关伤害的全国基线患病率及相关因素。使用了2014 - 2015年具有全国代表性的世界卫生组织全球老龄化与成人健康研究（SAGE）加纳第二轮的数据。统计建模采用了居住在2827户家庭中的3461名老年人的最终样本。使用单水平和多水平二元逻辑回归模型检验伤害的预测因素。本研究发现非交通相关伤害的患病率为3.74%。与男性相比，女性受伤的几率降低（比值比[OR] = 0.66，95%置信区间[CI]：0.46，0.95），健康状况评为中等的人受伤几率也降低（OR = 0.59，95% CI：0.38，0.94）。抑郁是多变量模型中唯一确定的风险因素（OR = 2.55，95% CI：1.38，4.71）。该研究未观察到伤害状况在家庭层面存在显著的残余差异。抑郁作为风险因素的作用表明，旨在减少老年人群非交通相关伤害的干预措施应考虑改善心理健康。
