Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China
Objective This study aims to investigate the prevalence and risk factors of falls among the elderly in Guangdong, China.Methods A cross-sectional study was conducted in six communities of Guangdong province. People over 60 years old were selected with multistage random-cluster sampling. Data on fall...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e062257.full |
| _version_ | 1811226027465113600 |
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| author | Chuan Li Xue-yan Zheng Xiao-jun Xu Li-feng Lin Xia-zi Lin Rui-lin Meng Dan-dan Peng Hao-feng Xu |
| author_facet | Chuan Li Xue-yan Zheng Xiao-jun Xu Li-feng Lin Xia-zi Lin Rui-lin Meng Dan-dan Peng Hao-feng Xu |
| author_sort | Chuan Li |
| collection | DOAJ |
| description | Objective This study aims to investigate the prevalence and risk factors of falls among the elderly in Guangdong, China.Methods A cross-sectional study was conducted in six communities of Guangdong province. People over 60 years old were selected with multistage random-cluster sampling. Data on falls within the previous 12 months and fall-related risk factors were collected through a face-to-face interview.Results The prevalence of falls among older adults was 11.9% (95% CI: 11.0% to 12.8%) among 5374 interviewees. The common injuries caused by falls were bruises/scrapes (40.0%) and fractures (15.5%), and most people fall while doing housework (35.0%). Univariate analysis showed that 14 factors were associated with falls among older adults, including gender, age, residence, occupation, education level, balance ability, situation of cognition, disease, depression, living arrangement, marital status, the behaviour of exercise, drinking and drug use (p<0.05). Multivariate analysis showed that the associated factors of falls among older adults included woman (OR=1.68, 95% CI: 1.40 to 2.02), age from 70 to 79 years (OR=1.31, 95% CI: 1.09 to 1.58), age over 80 (OR=1.63, 95% CI: 1.25 to 2.13), impaired balance ability (OR=1.45, 95% CI: 1.20 to 1.75), exercise several times per month (OR=1.69, 95% CI: 1.13 to 2.53), polypharmacy (OR=1.54, 95% CI: 1.19 to 2.00), cognition impairment (OR=1.35, 95% CI: 1.08 to 1.69), mild depression (OR=1.89, 95% CI: 1.47 to 2.45) and moderate depression (OR=3.07, 95% CI: 1.99 to 4.73).Conclusions The hazards caused by falls to the elderly in China cannot be ignored. A multidimensional customised fall prevention programme should be considered to reduce the risk of falls among the elderly based on the results above. |
| first_indexed | 2024-04-12T09:17:11Z |
| format | Article |
| id | doaj.art-8800582bd2f343dd8e85da79b953d80e |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T09:17:11Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-8800582bd2f343dd8e85da79b953d80e2022-12-22T03:38:48ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-062257Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, ChinaChuan Li0Xue-yan Zheng1Xiao-jun Xu2Li-feng Lin3Xia-zi Lin4Rui-lin Meng5Dan-dan Peng6Hao-feng Xu7Institute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaInstitute of Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, ChinaObjective This study aims to investigate the prevalence and risk factors of falls among the elderly in Guangdong, China.Methods A cross-sectional study was conducted in six communities of Guangdong province. People over 60 years old were selected with multistage random-cluster sampling. Data on falls within the previous 12 months and fall-related risk factors were collected through a face-to-face interview.Results The prevalence of falls among older adults was 11.9% (95% CI: 11.0% to 12.8%) among 5374 interviewees. The common injuries caused by falls were bruises/scrapes (40.0%) and fractures (15.5%), and most people fall while doing housework (35.0%). Univariate analysis showed that 14 factors were associated with falls among older adults, including gender, age, residence, occupation, education level, balance ability, situation of cognition, disease, depression, living arrangement, marital status, the behaviour of exercise, drinking and drug use (p<0.05). Multivariate analysis showed that the associated factors of falls among older adults included woman (OR=1.68, 95% CI: 1.40 to 2.02), age from 70 to 79 years (OR=1.31, 95% CI: 1.09 to 1.58), age over 80 (OR=1.63, 95% CI: 1.25 to 2.13), impaired balance ability (OR=1.45, 95% CI: 1.20 to 1.75), exercise several times per month (OR=1.69, 95% CI: 1.13 to 2.53), polypharmacy (OR=1.54, 95% CI: 1.19 to 2.00), cognition impairment (OR=1.35, 95% CI: 1.08 to 1.69), mild depression (OR=1.89, 95% CI: 1.47 to 2.45) and moderate depression (OR=3.07, 95% CI: 1.99 to 4.73).Conclusions The hazards caused by falls to the elderly in China cannot be ignored. A multidimensional customised fall prevention programme should be considered to reduce the risk of falls among the elderly based on the results above.https://bmjopen.bmj.com/content/12/11/e062257.full |
| spellingShingle | Chuan Li Xue-yan Zheng Xiao-jun Xu Li-feng Lin Xia-zi Lin Rui-lin Meng Dan-dan Peng Hao-feng Xu Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China BMJ Open |
| title | Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China |
| title_full | Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China |
| title_fullStr | Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China |
| title_full_unstemmed | Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China |
| title_short | Cross-sectional study on prevalence and risk factors for falls among the elderly in communities of Guangdong province, China |
| title_sort | cross sectional study on prevalence and risk factors for falls among the elderly in communities of guangdong province china |
| url | https://bmjopen.bmj.com/content/12/11/e062257.full |
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