Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX, USA.
Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M University, College Station, TX, USA.
J Appl Gerontol. 2024 Nov;43(11):1704-1715. doi: 10.1177/07334648241251735. Epub 2024 May 13.
We examined factors associated with incident (one) and recurrent (2+) falls among 7207 non-Hispanic White (NHW) (89.7%), non-Hispanic Black (NHB) (5.0%), and Hispanic (5.3%) men ages ≥60 years with ≥1 chronic conditions, enrolled in an evidence-based fall program. Multinomial and binary regression analyses were used to assess factors associated with incident and recurrent falls. Relative to zero falls, NHB and Hispanic men were less likely to report incident (OR = 0.55, < .001 and OR = 0.70, = .015, respectively) and recurrent (OR = 0.41, < .001 and OR = 0.58, < .001, respectively) falls. Men who reported fear of falling and restricting activities were more likely to report incident (OR = 1.16, < .001 and OR = 1.32, < .001, respectively) recurrent and (OR = 1.46, < .001 and OR = 1.71, < .001, respectively) falls. Men with more comorbidities were more likely to report recurrent falls (OR = 1.10, < .001). Compared to those who experienced one fall, men who reported fear of falling (OR = 1.28, < .001) and restricting activities (OR = 1.31, < .001) were more likely to report recurrent falls. Findings highlight the importance of multi-component interventions to prevent falls.
我们研究了 7207 名无西班牙裔白人(NHW)(89.7%)、非西班牙裔黑人(NHB)(5.0%)和西班牙裔(5.3%)、年龄≥60 岁且至少患有 1 种慢性疾病的男性中,与首次(1 次)和复发性(≥2 次)跌倒相关的因素。使用多项和二项回归分析评估与首次和复发性跌倒相关的因素。与零次跌倒相比,NHB 和西班牙裔男性报告首次(OR=0.55,<0.001 和 OR=0.70,=0.015)和复发性(OR=0.41,<0.001 和 OR=0.58,<0.001)跌倒的可能性较低。报告害怕跌倒和限制活动的男性更有可能报告首次(OR=1.16,<0.001 和 OR=1.32,<0.001)和复发性(OR=1.46,<0.001 和 OR=1.71,<0.001)跌倒。合并症较多的男性更有可能报告复发性跌倒(OR=1.10,<0.001)。与仅报告 1 次跌倒的男性相比,报告害怕跌倒(OR=1.28,<0.001)和限制活动(OR=1.31,<0.001)的男性更有可能报告复发性跌倒。这些发现强调了采取多组分干预措施预防跌倒的重要性。