Gell Nancy M, Brown Harrison, Karlsson Lee, Peters Denise M, Mroz Tracy M
2092University of Vermont, Burlington, VT, USA.
Barton Health, South Lake Tahoe, CA, USA.
J Aging Health. 2020 Dec;32(10):1636-1644. doi: 10.1177/0898264320949773. Epub 2020 Aug 10.
To describe the prevalence of bathroom modifications, clutter, and tripping hazards in the homes of US older adults and to examine changes after an incident fall. We used data from the 2015-2017 National Health and Aging Trends Study ( = 7499). Outcomes were the prevalence of bathroom modifications, clutter, and tripping hazards and changes after incident fall. In 2015, 26.5% of community-dwelling older adults had clutter or tripping hazards in the home, and 69.3% had at least one bathroom modification. Compared to nonfallers, older adults with multiple falls were significantly more likely to modify the bathroom. The magnitude of hazard reduction was similar after multiple falls but was not statistically significant. Bathroom modifications are common and increase after multiple falls. A single incident fall does not appear to lead to home environment changes to reduce fall risk. Targeting home hazards may be an opportunity to reduce fall risk.
描述美国老年人家庭中浴室改造、杂乱及绊倒危险的普遍情况，并研究跌倒事件后的变化。我们使用了2015 - 2017年国家健康与老龄化趋势研究（n = 7499）的数据。结果指标为浴室改造、杂乱及绊倒危险的普遍情况以及跌倒事件后的变化。2015年，26.5%的社区居住老年人家中存在杂乱或绊倒危险，69.3%的老年人至少进行了一项浴室改造。与未跌倒者相比，多次跌倒的老年人更有可能对浴室进行改造。多次跌倒后危险降低的幅度相似，但无统计学意义。浴室改造很常见，且在多次跌倒后会增加。单次跌倒事件似乎不会导致家庭环境改变以降低跌倒风险。针对家庭危险可能是降低跌倒风险的一个契机。
