Pathophysiology Department, School of Basic Medicine, Qingdao University, Qingdao, China.
Department of Epidemiology and Health Statistics, Public Health College, Qingdao University, Qingdao, China.
Int J Public Health. 2023 Jan 6;67:1605425. doi: 10.3389/ijph.2022.1605425. eCollection 2022.
This study evaluated the associations of solid fuels with incidence of falls and fall-related injuries. Data were taken from wave 1∼4 of the China Health and Retirement Longitudinal Study, including 15,651 participants aged 45 years and older. Modified Poisson regression was used to examine the associations of solid fuels with falls and fall-related injuries. Modified Poisson regression analysis showed that solid fuels users for cooking had an increasing incidence of falls and fall-related injuries, with RR of 1.211 (95% CI: 1.124, 1.305) and 1.248 (95% CI: 1.107, 1.408); for heating had an incidence, with RR of 1.178 (95% CI: 1.062, 1.306) and 1.134 (95% CI: 0.963, 1.335); combined for cooking and heating, with RR of 1.247 (95% CI: 1.105, 1.408) and 1.185 (95% CI: 0.982, 1.431). Our study suggests that solid fuel use is associated with a higher incidence of falls and fall-related injuries among adults aged 45 years and older in China. It is necessary to restrict solid fuel use to reduce household air pollution and make stronger environmental protection policies to improve household environment.
本研究评估了固体燃料与跌倒和跌倒相关伤害发生率的关联。数据来自中国健康与退休纵向研究的 1∼4 波，包括 15651 名年龄在 45 岁及以上的参与者。使用修正泊松回归来检验固体燃料与跌倒和跌倒相关伤害的关联。修正泊松回归分析显示，用于烹饪的固体燃料使用者跌倒和跌倒相关伤害的发生率增加，RR 为 1.211（95%CI：1.124，1.305）和 1.248（95%CI：1.107，1.408）；用于取暖的固体燃料使用者跌倒和跌倒相关伤害的发生率增加，RR 为 1.178（95%CI：1.062，1.306）和 1.134（95%CI：0.963，1.335）；用于烹饪和取暖的固体燃料联合使用者跌倒和跌倒相关伤害的发生率增加，RR 为 1.247（95%CI：1.105，1.408）和 1.185（95%CI：0.982，1.431）。我们的研究表明，在中国，45 岁及以上成年人使用固体燃料与跌倒和跌倒相关伤害的发生率较高有关。有必要限制固体燃料的使用，以减少室内空气污染，并制定更有力的环保政策，改善家庭环境。
