Lim Chaelyn, Son Hyun-Jin, Kim Byung-Gwon, Yu Byeng-Chul, Kim Jiwon, Hong Young-Seoub
Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea.
Department of Preventive Medicine, Kosin University College of Medicine, Busan, Korea.
J Prev Med Public Health. 2025 May;58(3):269-277. doi: 10.3961/jpmph.24.482. Epub 2025 Jan 14.
This study was performed to investigate the prevalence of falls, mental health issues, and health behaviors among older adults, as well as to analyze the association between multiple falls and mental health status in this population.
We utilized data from the 2017, 2019, and 2021 Korean Community Health Survey, a nationwide survey organized by region and conducted by the Korea Disease Control and Prevention Agency. Participants were categorized into no-fall, single-fall, and multiple fall groups based on responses to an index question regarding fall experiences and the number of such incidents reported in the survey. The chi-square test was applied to understand the characteristics of the elderly population in the community. Subsequently, multinomial logistic regression analysis was conducted to clarify the association between falls and mental health.
Integrated data analysis revealed that 11.3% of participants experienced a single fall, while 5.7% reported multiple falls. Participants from low-education and low-income backgrounds exhibited relatively high rates of falls. Additionally, non-drinkers and non-smokers reported falls more frequently than their counterparts who consumed alcohol and smoked. Multinomial logistic regression revealed significant associations between multiple falls and mental health factors. In particular, the severity of depression was directly proportional to the likelihood of experiencing multiple falls, with an odds ratio of 2.95 (95% confidence interval, 2.49 to 3.50).
We identified associations between various mental health-related factors-including sleep duration, subjective stress, the presence of depression, and Patient Health Questionnaire-9 score-and the occurrence of multiple falls.
本研究旨在调查老年人跌倒、心理健康问题及健康行为的患病率，并分析该人群中多次跌倒与心理健康状况之间的关联。
我们利用了2017年、2019年和2021年韩国社区健康调查的数据，该调查是由韩国疾病控制与预防机构按地区组织开展的全国性调查。根据关于跌倒经历的一个指标问题的回答以及调查中报告的此类事件数量，将参与者分为未跌倒组、单次跌倒组和多次跌倒组。应用卡方检验来了解社区老年人群的特征。随后，进行多项逻辑回归分析以阐明跌倒与心理健康之间的关联。
综合数据分析显示，11.3%的参与者经历过单次跌倒，而5.7%报告有多次跌倒。低教育和低收入背景的参与者跌倒发生率相对较高。此外，不饮酒者和不吸烟者报告跌倒的频率高于饮酒和吸烟的同龄人。多项逻辑回归显示多次跌倒与心理健康因素之间存在显著关联。特别是，抑郁的严重程度与经历多次跌倒的可能性成正比，优势比为2.95（95%置信区间，2.49至3.50）。
我们确定了各种与心理健康相关的因素——包括睡眠时间、主观压力、抑郁的存在以及患者健康问卷-9得分——与多次跌倒的发生之间的关联。
