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Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China

Background: To investigate the prevalence of falls and associated factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions. Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical status...

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Autores principales: Chen, Xiaodong, Lin, Zeting, Gao, Ran, Yang, Yijian, Li, Liping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297296/
https://www.ncbi.nlm.nih.gov/pubmed/34280986
http://dx.doi.org/10.3390/ijerph18137050
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author Chen, Xiaodong
Lin, Zeting
Gao, Ran
Yang, Yijian
Li, Liping
author_facet Chen, Xiaodong
Lin, Zeting
Gao, Ran
Yang, Yijian
Li, Liping
author_sort Chen, Xiaodong
collection PubMed
description Background: To investigate the prevalence of falls and associated factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions. Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical status, falls, home environment, and balance ability among 649 older adult participants. Univariate and multivariate logistic regression were used to examine the associated factors of falls. Results: The incidence of falls among older adults in Shantou City was 20.65%. Among them, the incidence was 27.27% in urban areas and 16.99% in rural areas. The rate of injury from falls among older adults was 14.48%, with18.61% in urban area and 12.20% in rural area. Multivariate analysis showed that the associated factors of falls among older adults in Shantou City included a high school or below education level (OR = 2.387, 95% CI: 1.305–4.366); non-farming as the previous occupation (OR = 2.574, 95% CI: 1.613–4.109); incontinence(OR = 2.881, 95% CI: 1.517–5.470); lack of fall prevention education (OR = 1.856, 95% CI: 1.041–3.311); and reduced balance ability (OR = 3.917, 95% CI: 2.532–6.058). Discussion: Older adults have a higher rate of falling in Shantou City, compared to the average rate in China. There are similarities and differences in the associated factors of falls among older adults between urban and rural areas of Shantou City. Targeted interventions for older adults in different regions may be more effective in reducing the risk of falls.
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spelling pubmed-82972962021-07-23 Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China Chen, Xiaodong Lin, Zeting Gao, Ran Yang, Yijian Li, Liping Int J Environ Res Public Health Article Background: To investigate the prevalence of falls and associated factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions. Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical status, falls, home environment, and balance ability among 649 older adult participants. Univariate and multivariate logistic regression were used to examine the associated factors of falls. Results: The incidence of falls among older adults in Shantou City was 20.65%. Among them, the incidence was 27.27% in urban areas and 16.99% in rural areas. The rate of injury from falls among older adults was 14.48%, with18.61% in urban area and 12.20% in rural area. Multivariate analysis showed that the associated factors of falls among older adults in Shantou City included a high school or below education level (OR = 2.387, 95% CI: 1.305–4.366); non-farming as the previous occupation (OR = 2.574, 95% CI: 1.613–4.109); incontinence(OR = 2.881, 95% CI: 1.517–5.470); lack of fall prevention education (OR = 1.856, 95% CI: 1.041–3.311); and reduced balance ability (OR = 3.917, 95% CI: 2.532–6.058). Discussion: Older adults have a higher rate of falling in Shantou City, compared to the average rate in China. There are similarities and differences in the associated factors of falls among older adults between urban and rural areas of Shantou City. Targeted interventions for older adults in different regions may be more effective in reducing the risk of falls. MDPI 2021-07-01 /pmc/articles/PMC8297296/ /pubmed/34280986 http://dx.doi.org/10.3390/ijerph18137050 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Xiaodong
Lin, Zeting
Gao, Ran
Yang, Yijian
Li, Liping
Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title_full Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title_fullStr Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title_full_unstemmed Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title_short Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China
title_sort prevalence and associated factors of falls among older adults between urban and rural areas of shantou city, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297296/
https://www.ncbi.nlm.nih.gov/pubmed/34280986
http://dx.doi.org/10.3390/ijerph18137050
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