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影响老年人家庭伤害的因素:二元逻辑回归分析

Factors Affecting Home Injuries in Older Adults: An Analysis Using Binary Logistic Regression.

作者信息

Abbasian Mehdi, Sadeghi-Bazargani Homayoun, Matlabi Hossein, Havaei Naser, Hashemiparast Mina, Allahverdipour Hamid

机构信息

Department of Geriatric Health Tabriz University of Medical Sciences Tabriz Iran.

Research Center of Psychiatry and Behavioral Sciences, Aging Research Institute Tabriz University of Medical Sciences Tabriz Iran.

出版信息

Health Sci Rep. 2025 Jul 15;8(7):e71055. doi: 10.1002/hsr2.71055. eCollection 2025 Jul.

Abstract

BACKGROUND AND AIMS

This study aimed to identify injury patterns and contributing factors among older adults living in Tabriz City.

METHODS

A stratified random sampling method was used to select eligible participants. The sample size was determined by the population, with contributions calculated via a formula and simple random selection. The study analyzed data from 350 individuals aged over 60, residing in 350 households, using tests and binary logistic regression for statistical evaluation.

RESULTS

The results showed that 177 participants (50.5%) experienced at least one type of home-related injury. Notably, women were found to be 5.1 times more likely to sustain an injury than men (CI: 95%; 2.38-11.08). Additionally, older adults who required assistance with instrumental activities of daily living (IADLs) had at least 7.81 times higher risk of injury compared to their independent counterparts (CI: 95%; 7.81-118.24). Furthermore, the risk of injury was 6.1 times greater for those with no or only one potential caregiver, compared to older individuals with multiple caregivers (CI: 2.56-14.96).

CONCLUSION

These findings emphasize the need to enhance home safety modification, particularly for older adults living alone. They underscore the importance of the challenges related to IADLs, highlighting the necessity for targeted interventions in injury prevention, design, and policy development.

摘要

背景与目的

本研究旨在确定大不里士市老年人群中的受伤模式及相关影响因素。

方法

采用分层随机抽样方法选取符合条件的参与者。样本量根据人口确定,通过公式计算并经简单随机抽样得出。本研究分析了350户家庭中350名60岁以上个体的数据,使用检验和二元逻辑回归进行统计评估。

结果

结果显示,177名参与者(50.5%)经历过至少一种与家庭相关的伤害。值得注意的是,女性受伤的可能性是男性的5.1倍(置信区间:95%;2.38 - 11.08)。此外,在日常生活工具性活动(IADL)方面需要帮助的老年人受伤风险比能够自理的老年人至少高7.81倍(置信区间:95%;7.81 - 118.24)。而且,与有多个照顾者的老年人相比,没有或只有一个潜在照顾者的老年人受伤风险高6.1倍(置信区间:2.56 - 14.96)。

结论

这些发现强调了加强家庭安全改造的必要性,尤其是对于独居的老年人。它们突出了与日常生活工具性活动相关挑战的重要性,凸显了在伤害预防、设计和政策制定方面进行针对性干预的必要性。

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