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自有住房与跌倒相关结果之间的关系:美国国家健康与老龄化趋势研究

The relationship between home ownership and fall-related outcomes: The National Health and Aging Trends Study.

作者信息

Tsai Ching-Yao, Tung Tao-Hsin, Li Yang-Tzu, Chen Wei-Cheng

机构信息

Department of Ophthalmology, Taipei City Hospital, Taipei, Taiwan.

Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.

出版信息

PLOS Glob Public Health. 2021 Dec 22;1(12):e0000019. doi: 10.1371/journal.pgph.0000019. eCollection 2021.

Abstract

Although many studies have tried to explore the association between fall incidents and fear of falling (FOF)/worry about fall-limited activities and various risk factors, few studies have recognized the relationship between house ownership and fall-related outcomes. The aim of this study was to assess whether house ownership will affect an older adult's experience of falling or lead to fear of falling. The National Health and Aging Trends Study (NHATS) collected data that would provide an understanding of basic trends in people aged 65 years and older living in the United States of America. This study conducted round one of the NHATS and did logistic regression to examine the relationship between house ownership and fall-related outcomes among 7,090 persons aged 65 or older. Twenty five percent of the sampled population who lacked house ownership. All fall-related outcomes (fall last month, fall last year, fear of falling, and worry about fall-limited activities) were statistically significant in the bivariate analysis. Multiple logistic regression analysis showed that house ownership (OR = 0.75, 95%CI: 0.65-0.86) was significantly associated with fear of falling after adjusting for other covariates. The findings underscore the association between the lack of house ownership and fall-related outcomes.

摘要

尽管许多研究试图探讨跌倒事件与跌倒恐惧(FOF)/对跌倒限制活动的担忧以及各种风险因素之间的关联,但很少有研究认识到房屋所有权与跌倒相关结果之间的关系。本研究的目的是评估房屋所有权是否会影响老年人的跌倒经历或导致跌倒恐惧。美国国家健康与老龄化趋势研究(NHATS)收集了相关数据,以了解居住在美国的65岁及以上人群的基本趋势。本研究进行了NHATS的第一轮调查,并进行了逻辑回归分析,以检验7090名65岁及以上人群中房屋所有权与跌倒相关结果之间的关系。抽样人群中有25%的人没有房屋所有权。在双变量分析中,所有与跌倒相关的结果(上个月跌倒、去年跌倒、跌倒恐惧以及对跌倒限制活动的担忧)均具有统计学意义。多元逻辑回归分析显示,在调整其他协变量后,房屋所有权(OR = 0.75,95%CI:0.65 - 0.86)与跌倒恐惧显著相关。研究结果强调了无房屋所有权与跌倒相关结果之间的关联。

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