Gul Mevlana, Bayrakceken Esra, Alkan Omer, Gur Ali
Faculty of Medicine, Emergency Medicine Department, Ataturk University, Erzurum, Yakutiye, Türkiye.
Department of Medical Services and Techniques, Vocational School of Health Services, Ataturk University, Yakutiye, Yakutiye, Türkiye.
BMC Geriatr. 2025 Aug 5;25(1):593. doi: 10.1186/s12877-025-06270-4.
The population is aging, and cases of geriatric trauma are becoming increasingly common. Home accidents represent a significant public health problem for older individuals. It is imperative that we recognize the special considerations that must be taken into account to provide appropriate care. The present study aims to identify the factors associated with home accidents among individuals aged 60 and over in Türkiye.
The study involved a descriptive and causal-comparative quantitative research design. Microdata obtained from the Türkiye Health Survey conducted by the Turkish Statistical Institute in 2019 and 2022 were used, with a sample size of 8,225 older adults. A stratified two-step cluster sampling method was employed. The study's dependent variable was the occurrence of home accidents, measured by means of the question "Have you experienced a home accident resulting in injury in the last 12 months? (Yes, No)." The independent variables were those available in the Türkiye Health Survey. Frequencies and percentages were obtained considering the home accident occurrence and years among the older participants. Binary logistic regression (enter) analyses were then applied to identify the risk factors affecting home accidents in older individuals.
The probability of home accidents in 2019 and 2022 was 50.2% and 50.4% higher, respectively, in women compared to men. The probability of home accidents among older individuals who were illiterate or had not completed any schooling was 67.4% lower than those educated to elementary school level or higher in 2019. Home accidents were 42% less likely among married older individuals, and 24.4% less probable among employed individuals, in 2022. The probability of home accidents among older individuals with arthrosis was 65.7% lower in 2019 compared to those without arthrosis.
Individuals of advanced age are susceptible to accidents in their domestic environments. A wide spectrum of factors contributes to the occurrence of such accidents. The prevention of home accidents requires an awareness of the risk factors involved, an enhancement of programs designed to facilitate healthy aging, and an increased emphasis on preventive measures. Some lifestyle modifications (exercise, nutritional therapy, home design, and the use of assistive devices) can be employed to minimise the risk factors for falls in older individuals, and the medications they use for morbid conditions should be reviewed. Improving the self-care skills of the geriatric population, educating and supporting the older adult and their carers will reduce the number of traumatic injuries requiring hospitalisation.
人口老龄化，老年创伤病例日益常见。家庭事故是老年人面临的一个重大公共卫生问题。我们必须认识到在提供适当护理时必须考虑的特殊因素。本研究旨在确定土耳其60岁及以上人群中与家庭事故相关的因素。
该研究采用描述性和因果比较定量研究设计。使用了从土耳其统计局2019年和2022年进行的土耳其健康调查中获得的微观数据，样本量为8225名老年人。采用分层两步整群抽样方法。该研究的因变量是家庭事故的发生情况，通过“在过去12个月里，您是否经历过导致受伤的家庭事故？（是，否）”这一问题来衡量。自变量是土耳其健康调查中可用的变量。考虑到老年参与者中家庭事故的发生情况和年份，得出频率和百分比。然后应用二元逻辑回归（进入）分析来确定影响老年人家庭事故的风险因素。
2019年和2022年，女性发生家庭事故的概率分别比男性高50.2%和50.4%。2019年，文盲或未完成任何学业的老年人发生家庭事故的概率比受过小学及以上教育的老年人低67.4%。2022年，已婚老年人发生家庭事故的可能性降低42%，就业老年人降低24.4%。2019年，患有关节炎的老年人发生家庭事故的概率比未患有关节炎的老年人低65.7%。
高龄个体在家庭环境中易发生事故。多种因素导致此类事故的发生。预防家庭事故需要了解相关风险因素，加强旨在促进健康老龄化的项目，并更加重视预防措施。可以采用一些生活方式的改变（锻炼营养疗法、家居设计和使用辅助设备）来尽量减少老年人跌倒风险因素，并应审查他们用于治疗疾病的药物。提高老年人群的自我护理技能，教育和支持老年人及其护理人员将减少需要住院治疗的创伤性损伤数量。
