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托雷斯海峡老年人跌倒的患病率及相关因素

The prevalence of falls and associated factors in older adults of the Torres Strait.

作者信息

Henry Roselani, Sagigi Betty, Miller Gavin, Russell Sarah G, Thompson Fintan, Quigley Rachel, Strivens Edward

机构信息

Queensland Health, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia.

Queensland Health, Torres and Cape Hospital and Health Service, Thursday Island, Queensland, Australia.

出版信息

Australas J Ageing. 2025 Mar;44(1):e13383. doi: 10.1111/ajag.13383. Epub 2024 Oct 27.

DOI:10.1111/ajag.13383
PMID:39462242
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11752826/
Abstract

OBJECTIVE

To assess the prevalence of falls and examine associations between falls and potential risk factors in older adults of the Torres Strait Region of Australia.

METHODS

Two hundred and fifty people aged ≥45 years residing in the Torres Strait, who identified as Torres Strait Islander, Aboriginal or both, were asked whether they had sustained any falls in the past year. Associations between self-reported falls and predictor variables were examined using logistic regression.

RESULTS

21% of participants reported at least one fall; 9% reported ≥2 falls. Participants who reported any falls in the past year were more than twice as likely to have urinary incontinence and poor mobility (p < .01) compared to participants who did not report any falls.

CONCLUSIONS

Around one in five respondents reported one or more falls in the past year, demonstrating that falls are a significant issue for older adults of the Torres Strait. Fall prevention strategies that are effective in other populations are likely to be beneficial to the region but need to be informed by local consultation and implemented in partnership with the people of the Torres Strait.

摘要

目的

评估澳大利亚托雷斯海峡地区老年人跌倒的患病率,并研究跌倒与潜在风险因素之间的关联。

方法

询问了250名年龄≥45岁、居住在托雷斯海峡、自认为是托雷斯海峡岛民、原住民或两者皆是身份的人,他们在过去一年中是否有过跌倒。使用逻辑回归分析自我报告的跌倒与预测变量之间的关联。

结果

21%的参与者报告至少跌倒过一次;9%的参与者报告跌倒过≥2次。与未报告跌倒的参与者相比,过去一年中报告有跌倒的参与者出现尿失禁和行动不便的可能性要高出两倍多(p < 0.01)。

结论

约五分之一的受访者报告在过去一年中跌倒过一次或多次,这表明跌倒对托雷斯海峡的老年人来说是一个重大问题。在其他人群中有效的预防跌倒策略可能对该地区有益,但需要通过当地咨询来提供信息,并与托雷斯海峡的居民合作实施。

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本文引用的文献

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Validation of the Kimberley Cognitive Assessment (KICA-Cog) for Torres Strait Islander Peoples.金伯利认知评估(KICA-Cog)在托雷斯海峡岛民中的验证。
Australas J Ageing. 2024 Sep;43(3):545-552. doi: 10.1111/ajag.13300. Epub 2024 Mar 18.
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Community involvement to maximise research success in Torres Strait Islander populations: more than just ticking the boxes.社区参与最大化托雷斯海峡岛民人群的研究成功:不仅仅是打勾。
Rural Remote Health. 2021 Jul;21(3):5957. doi: 10.22605/RRH5957. Epub 2021 Jul 19.
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The impact of urinary incontinence on falls: A systematic review and meta-analysis.尿失禁对跌倒的影响:系统评价和荟萃分析。
PLoS One. 2021 May 19;16(5):e0251711. doi: 10.1371/journal.pone.0251711. eCollection 2021.
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Prevalence of dementia in the Torres Strait.托雷斯海峡痴呆症的流行情况。
Australas J Ageing. 2021 Jun;40(2):e125-e132. doi: 10.1111/ajag.12878. Epub 2020 Nov 10.
5
Older Aboriginal Australians' Health Concerns and Preferences for Healthy Ageing Programs.老年澳大利亚原住民的健康问题和对健康老龄化项目的偏好。
Int J Environ Res Public Health. 2020 Oct 10;17(20):7390. doi: 10.3390/ijerph17207390.
6
Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool.从原住民视角评估卫生研究质量:原住民和托雷斯海峡岛民质量评估工具。
BMC Med Res Methodol. 2020 Apr 10;20(1):79. doi: 10.1186/s12874-020-00959-3.
7
The Ironbark program: Implementation and impact of a community-based fall prevention pilot program for older Aboriginal and Torres Strait Islander people.铁木树皮项目:一项针对原住民和托雷斯海峡岛民老年人的社区预防跌倒试点项目的实施与影响
Health Promot J Austr. 2018 Aug;29(2):189-198. doi: 10.1002/hpja.25. Epub 2017 Dec 28.
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First Nation Elders' perspectives on healthy ageing in NSW, Australia.澳大利亚新南威尔士州第一民族老年人对健康老龄化的看法。
Aust N Z J Public Health. 2018 Aug;42(4):361-364. doi: 10.1111/1753-6405.12796. Epub 2018 Jun 11.
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