Hajek André, König Hans-Helmut
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Front Psychiatry. 2021 Mar 30;12:599905. doi: 10.3389/fpsyt.2021.599905. eCollection 2021.
The prevalence of older individuals experiencing a fall is high. Moreover, falls can have deleterious effects on health status. Additionally, falls can affect the subjective well-being of individuals. However, there is a lack of studies examining the link between falls and subjective well-being. Therefore, the objective of this study was to investigate whether the onset of falling is associated with (intraindividual) decreases in subjective well-being in men and women. Longitudinal data (from wave 5 to wave 6) were taken from a population-based sample of individuals residing in private households in Germany [in our analytical sample: 3,906 observations (men), and 3,718 observations (women)]. Positive and negative affect were quantified using the Positive and Negative Affect Schedule (PANAS). Life satisfaction was assessed using the Satisfaction with Life Scale (SWLS). Adjusting for various potential confounders, fixed effects regressions showed that the onset of falls was associated with a decrease in positive affect (β = 0.08, < 0.01), and an increase in negative affect (β = 0.07, < 0.01) among men. While the onset of falls was not associated with changes in positive affect in women, it was associated with a decrease in negative affect in women (β = 0.06, < 0.05). Sex differences were significant. The onset of falls was not associated with decreases in life satisfaction in men, nor in women. The present study particularly highlights the link between the onset of falls and reduced affective well-being among men. Avoiding falls may contribute to maintaining affective well-being among middle-aged and older men.
老年人跌倒的发生率很高。此外，跌倒会对健康状况产生有害影响。此外，跌倒会影响个体的主观幸福感。然而，缺乏研究探讨跌倒与主观幸福感之间的联系。因此，本研究的目的是调查跌倒的发生是否与男性和女性主观幸福感的（个体内）下降有关。纵向数据（从第5波到第6波）取自德国私人家庭居民的基于人群的样本[在我们的分析样本中：3906例观察对象（男性）和3718例观察对象（女性）]。使用积极和消极情绪量表（PANAS）对积极和消极情绪进行量化。使用生活满意度量表（SWLS）评估生活满意度。在对各种潜在混杂因素进行调整后，固定效应回归显示，跌倒的发生与男性积极情绪的下降（β = 0.08，P < 0.01）和消极情绪的增加（β = 0.07，P < 0.01）有关。虽然跌倒的发生与女性积极情绪的变化无关，但与女性消极情绪的下降有关（β = 0.06，P < 0.05）。性别差异显著。跌倒的发生与男性和女性的生活满意度下降均无关。本研究特别强调了跌倒的发生与男性情感幸福感降低之间的联系。避免跌倒可能有助于维持中老年男性的情感幸福感。
