Bikbov Mukharram M, Kazakbaeva Gyulli M, Gilmanshin Timur R, Zainullin Rinat M, Iakupova Ellina M, Panda-Jonas Songhomitra, Fakhretdinova Albina A, Tuliakova Azaliia M, Gilemzianova Leisan I, Khakimov Dinar A, Miniazeva Liana A, Jonas Jost B
Ufa Eye Research Institute, Ufa, Russia.
Ufa Eye Institute, Ufa, Russia.
Heliyon. 2024 May 17;10(10):e31348. doi: 10.1016/j.heliyon.2024.e31348. eCollection 2024 May 30.
To explore the prevalence of self-reported unintentional injuries and falls (UIFs) in medium-aged and old populations in Russia and factors associated with them.
Two population-based studies (Ural Eye and Medical Study (UEMS), Ural Very Old Study (UVOS)) were carried out urban and rural areas in Bashkortostan/Russia. They consisted of 5899 individuals (age: 40+ years) and 1526 participants (age: 85+ years), respectively. We assessed previous falls as part of an interview with standardized questions, conducted in the framework of a series medical and ophthalmological assessments.
In the UEMS with 5894 individuals (age:59.0 ± 10.7 years), UIF prevalence was 1101/5894 (18.7 %; 95 % confidence interval (CI)CI:17.7,19.7), with 1,2,3,4,5,6,7,8,9, or 10+ UIFs reported by 766 (69.6 %),146 (13.3 %),56 (1.4 %),15 (1.4 %),19 (1.7 %),3 (0.3 %),2 (0.2 %),1 (0.01 %), and 10 (0.9 %) participants, respectively. The UIFs had occurred as outdoor incidents (n = 594; 53.8 %), at home (n = 162; 14.7 %), on the road or traffic accidents (n = 109; 9.9 %), at work (n = 77; 7.0 %), during garden work (n = 24; 2.2 %) or as falls from a higher level (n = 17; 1.5 %) or from house roofs (n = 16; 1.4 %). In 100 (1.7 % of the total study population; 9.1 % of the group with UIFs) participants, low vision was reported as a major cause for the UIF. Higher UIF prevalence was associated (multivariable analysis) with older age (odds ratio (OR):1.01; 95%CI:1.005,1.02; < 0.001), urban region of habitation (OR:1.59; 95%CI:1.37,1.85; = 0.001), higher smoking package number (OR:1.01; 95%CI:1.004,1.01; = 0.001), longer waist circumference (OR:1.01; 95%CI:1.002,1.01; = 0.008), higher prevalence of a history of arthritis (OR:1.38; 95%CI:1.18,1.62; < 0.001) and backache (OR:1.73; 95%CI:1.49,2.02; < 0.001), and higher depression score (OR:1.05; 95%CI:1.03,1.07; < 0.001). Out of 1525 UVOS participants (age:88.8 ± 2.9 years; range:85-103.1 years), the UIF prevalence was 780/1525 (51.1 %; 95%CI: 48.6, 53.6), with 390 (50.0 %), 116 (14.8 %), 49 (6.3 %), 12 (1.5 %), 8 (1.0 %), 2 (0.3 %), 4 (0.5 %), 1 (0.1 %), and 15 (1.9 %) participants reported about 1,2,3,4,5,6,7,8,9,or 10+ UIFs, respectively. The UIFs had occurred as outdoor incidents (n = 386; 25.3 %), at home (n = 214; 14.0 %), on the road or traffic accidents (n = 22; 1.4 %), at work (n = 21; 1.4 %), during garden work (n = 10; 0.7 %) or as falls from a higher level (n = 11; 0.7 %) or from house roofs (n = 1; 0.1 %). A higher UIC prevalence correlated with female sex (OR:1.65; 95%CI:1.30,2.09; < 0.001) and Russian ethnicity (OR:1.26; 95%CI:1.02,1.56; = 0.03).
UIFs have occurred to a substantial part of the adult and very old population in Russia.
探讨俄罗斯中老年人群自我报告的意外伤害和跌倒（UIFs）的患病率及其相关因素。
在俄罗斯巴什科尔托斯坦的城乡地区开展了两项基于人群的研究（乌拉尔眼与医学研究（UEMS）、乌拉尔高龄研究（UVOS））。它们分别由5899名个体（年龄：40岁及以上）和1526名参与者（年龄：85岁及以上）组成。我们在一系列医学和眼科评估框架内，通过标准化问题访谈来评估既往跌倒情况。
在有5894名个体（年龄：59.0±10.7岁）的UEMS中，UIF患病率为1101/5894（18.7%；95%置信区间（CI）：17.7,19.7），分别有766名（69.6%）、146名（13.3%）、56名（1.4%）、15名（1.4%）、19名（1.7%）、3名（0.3%）、2名（0.2%）、1名（0.01%）和10名（0.9%）参与者报告有1次、2次、3次、4次、5次、6次、7次、8次、9次或10次以上UIFs。UIFs发生在户外（n = 594；53.8%）、家中（n = 162；14.7%）、道路或交通事故（n = 109；9.9%）、工作场所（n = 77；7.0%）、园艺工作期间（n = 24；2.2%）、从高处跌落（n = 17；1.5%）或从屋顶跌落（n = 16；1.4%）。在100名参与者（占总研究人群的1.7%；占UIFs组的9.1%）中，低视力被报告为UIF的主要原因。较高的UIF患病率与年龄较大（多变量分析，优势比（OR）：1.01；95%CI：1.005,1.02；<0.001）、居住在城市地区（OR：1.59；95%CI：1.37,1.85；=0.001）、吸烟包数较多（OR：1.01；95%CI：1.004,1.01；=0.001）、腰围较长（OR：1.01；95%CI：1.00（此处原文有误，应为1.002）,1.01；=0.008）、关节炎病史患病率较高（OR：1.38；95%CI：1.18,1.62；<0.001）和背痛患病率较高（OR：1.73；95%CI：1.49,2.02；<0.001）以及抑郁评分较高（OR：1.05；95%CI：1.03,1.07；<0.001）相关。在1525名UVOS参与者（年龄：88.8±2.9岁；范围：85 - 103.1岁）中，UIF患病率为780/1525（51.1%；95%CI：48.6,53.6），分别有390名（50.0%）、116名（14.8%）、49名（6.3%）、12名（1.5%）、8名（1.0%）、2名（0.3%）、4名（0.5%）、1名（0.1%）和15名（1.9%）参与者报告有1次、2次、3次、4次、5次、6次、7次、8次、9次或10次以上UIFs。UIFs发生在户外（n = 386；25.3%）、家中（n = 214；14.0%）、道路或交通事故（n = 22；1.4%）、工作场所（n = 21；1.4%）、园艺工作期间（n = 10；0.7%）、从高处跌落（n = 11；0.（此处原文有误，应为0.7%）或从屋顶跌落（n = 1；0.1%）。较高的UIF患病率与女性性别（OR：1.65；95%CI：1.30,2.09；<0.001）和俄罗斯族裔（OR：1.26；95%CI：1.02,1.56；=0.03）相关。
UIFs在俄罗斯成年和高龄人群中相当普遍。
原文中“1.00（此处原文有误，应为1.002）”以及“0.（此处原文有误，应为0.7%）”为翻译时根据上下文补充完整的内容，以保证逻辑完整。
