Abstract:Objective To investigate the current situation and risk factors of falls in community elderly aged 60 years and above in Chengdu City, and to provide references for developing preventive measures. Methods The research team adopted a multi-stage cluster random sampling method to select several communities in Chengdu City from January to March, 2018, and then the elderly aged 60 years and above who lived in the communities for one year were chosen to serve as the surveyed subjects. A self-designed questionnaire was used to collect the data regarding falls occurring in January-December, 2017. Results A total of 782 community elderly people in Chengdu City were surveyed. Totally 104 elderly people experienced 184 falls from January to December, 2017, and the incidence rates of falls and falling times were 13.30% and 23.53% respectively. The incidence rates of falls in males and females were 8.31% and 16.42% respectively, showing a statistically significant difference (χ2=10.514, P=0.001). The incidence rate of falls increased with age, with a statistically significant difference (χ2tendency=5.117, P=0.024). Falls peaked at 7-11 a.m. (57.61%) and 14-18 p.m. (21.74%), and the proportion of falls occurring in winter was the highest (29.35%). Falls commonly occurred at home (47.28%), on stairs or steps (26.09%) and in public places (13.59%). Multivariate logistic regression analysis showed that female (OR=1.252), the age groups of 70-<80 years and 80-92 years (OR=1.315, OR=2.347), suffering from chronic disease (OR=3.329) and poor eyesight (OR=3.027) were the risk factors for falls in the community elderly, while regular physical exercise (OR=0.362) was the protective factor. Conclusions The incidence rate of falls in the community elderly aged 60 years and above in Chengdu City is high. It is necessary to formulate comprehensive intervention measures for the elderly female, the elderly aged 70 years and above and the elderly with chronic diseases or poor eyesight so as to reduce the incidence rate of falls in the elderly.
谢娜, 杨悦, 魏全. 成都市社区60岁及以上老年人跌倒现状及影响因素分析[J]. 实用预防医学, 2019, 26(1): 42-45.
XIE Na, YANG Yue, WEI Quan. Current status of falls and its influencing factors among the community elderly aged 60 years and above in Chengdu City. , 2019, 26(1): 42-45.