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Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study

BACKGROUND: Falls among older adults is a common precipitating factor for unintentional injuries and represent a major health problem associated with increased morbidity, mortality, and health care cost in low-and-middle-income countries. The burden of fall in this population is well established in...

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Autores principales: Janakiraman, Balamurugan, Temesgen, Melaku Hailu, Jember, Gashaw, Gelaw, Asmare Yitayeh, Gebremeskel, Berihu Fisseha, Ravichandran, Hariharasudhan, Worku, Emnet, Abich, Yohannes, Yilak, Fekadu, Belay, Misganaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736232/
https://www.ncbi.nlm.nih.gov/pubmed/31504057
http://dx.doi.org/10.1371/journal.pone.0221875
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author Janakiraman, Balamurugan
Temesgen, Melaku Hailu
Jember, Gashaw
Gelaw, Asmare Yitayeh
Gebremeskel, Berihu Fisseha
Ravichandran, Hariharasudhan
Worku, Emnet
Abich, Yohannes
Yilak, Fekadu
Belay, Misganaw
author_facet Janakiraman, Balamurugan
Temesgen, Melaku Hailu
Jember, Gashaw
Gelaw, Asmare Yitayeh
Gebremeskel, Berihu Fisseha
Ravichandran, Hariharasudhan
Worku, Emnet
Abich, Yohannes
Yilak, Fekadu
Belay, Misganaw
author_sort Janakiraman, Balamurugan
collection PubMed
description BACKGROUND: Falls among older adults is a common precipitating factor for unintentional injuries and represent a major health problem associated with increased morbidity, mortality, and health care cost in low-and-middle-income countries. The burden of fall in this population is well established in high-income countries and scant attention is given to this precipitating factor in low-and-middle-income countries, including Ethiopia. Therefore, this study aimed to estimate the prevalence and factors associated with fall among community-dwelling older adults in Ethiopia. METHODS: A community-based cross-sectional study was conducted among community-dwelling older adults of Gondar. Multi-stage random sampling technique was used across administrative areas. Six hundred and five households were selected proportionally using systematic random sampling technique. Physical measurement and face to face interview method were employed using a structured questionnaire for data collection. Data were analyzed descriptively and through uni- and multivariate logistic regression model. RESULTS: One hundred and seventy (n = 170, 28.4%; 95% CI 24.7–32.1) community-dwelling older adults reported having experienced fall in the past 12 months. Sex (OR = 1.91, 95% CI: 1.24–2.95), low educational status (OR = 2.37, 95% CI: 1.19–4.74), uncomfortable home environment (OR = 2.02, 95% CI: 1.34, 3.04), having diagnosed medical condition (OR = 4.659, 95% CI: 1.20–18.02), and use of medication (OR = 5.57, 95% CI: 1.19–26.21) were significantly associated risk factors of self-reported fall in the past 12 months. Most outdoor falls are associated with females and participants aged below 66 years. CONCLUSION: In conclusion, more than 1/4th of the community-dwelling older adults experienced at least one episode of fall and about 60% of them reported recurrent falls. Identifying risk group and risk factors that could be modified so as to prevent falls in older adults deserves attention. Outdoor falls are usually attributable to modifiable environmental aspects and improvements in outdoor environment needed.
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spelling pubmed-67362322019-09-20 Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study Janakiraman, Balamurugan Temesgen, Melaku Hailu Jember, Gashaw Gelaw, Asmare Yitayeh Gebremeskel, Berihu Fisseha Ravichandran, Hariharasudhan Worku, Emnet Abich, Yohannes Yilak, Fekadu Belay, Misganaw PLoS One Research Article BACKGROUND: Falls among older adults is a common precipitating factor for unintentional injuries and represent a major health problem associated with increased morbidity, mortality, and health care cost in low-and-middle-income countries. The burden of fall in this population is well established in high-income countries and scant attention is given to this precipitating factor in low-and-middle-income countries, including Ethiopia. Therefore, this study aimed to estimate the prevalence and factors associated with fall among community-dwelling older adults in Ethiopia. METHODS: A community-based cross-sectional study was conducted among community-dwelling older adults of Gondar. Multi-stage random sampling technique was used across administrative areas. Six hundred and five households were selected proportionally using systematic random sampling technique. Physical measurement and face to face interview method were employed using a structured questionnaire for data collection. Data were analyzed descriptively and through uni- and multivariate logistic regression model. RESULTS: One hundred and seventy (n = 170, 28.4%; 95% CI 24.7–32.1) community-dwelling older adults reported having experienced fall in the past 12 months. Sex (OR = 1.91, 95% CI: 1.24–2.95), low educational status (OR = 2.37, 95% CI: 1.19–4.74), uncomfortable home environment (OR = 2.02, 95% CI: 1.34, 3.04), having diagnosed medical condition (OR = 4.659, 95% CI: 1.20–18.02), and use of medication (OR = 5.57, 95% CI: 1.19–26.21) were significantly associated risk factors of self-reported fall in the past 12 months. Most outdoor falls are associated with females and participants aged below 66 years. CONCLUSION: In conclusion, more than 1/4th of the community-dwelling older adults experienced at least one episode of fall and about 60% of them reported recurrent falls. Identifying risk group and risk factors that could be modified so as to prevent falls in older adults deserves attention. Outdoor falls are usually attributable to modifiable environmental aspects and improvements in outdoor environment needed. Public Library of Science 2019-09-10 /pmc/articles/PMC6736232/ /pubmed/31504057 http://dx.doi.org/10.1371/journal.pone.0221875 Text en © 2019 Janakiraman et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Janakiraman, Balamurugan
Temesgen, Melaku Hailu
Jember, Gashaw
Gelaw, Asmare Yitayeh
Gebremeskel, Berihu Fisseha
Ravichandran, Hariharasudhan
Worku, Emnet
Abich, Yohannes
Yilak, Fekadu
Belay, Misganaw
Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title_full Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title_fullStr Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title_full_unstemmed Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title_short Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
title_sort falls among community-dwelling older adults in ethiopia; a preliminary cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736232/
https://www.ncbi.nlm.nih.gov/pubmed/31504057
http://dx.doi.org/10.1371/journal.pone.0221875
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