Analysis of current situation and influencing factors of falls among elderly in four regions of Sichuan Province in 2022
Objective To understand the current situation and influencing factors of falls among elderly people in four regions of Sichuan Province,and to provide a basis for formulating fall prevention and intervention measures for elderly people in Sichuan Province.Methods A cluster sampling method in proportional to population size was used to randomly select 2 017 residents over 60 years old from four regions of Sichuan Province.The investigation was performed with face-to-face inquiry survey,self-answering questionnaires and on-site observation three methods.The survey contents included demography characteristics,fall related factors,fall occurrence,fall knowledge,behavior and attitude,and the use of walking aids.The factors related to falls were analyzed by univariate and multivariate binary logistic regression,the test level was α=0.05.Results The incidence of falls among elderly people in the four regions of Sichuan Province in 2022 was 20.7％,and 60.6％of elderly people were injured after falls.The results of multivariate logistic regression showed that rural areas(OR=1.391,95％CI:1.092-1.774),women(OR=1.488,95％CI:1.169-1.893),poor sleep quality(OR=2.004,95％CI:1.274-3.152)and very poor sleep quality(OR=4.095,95％CI:2.158-7.772),chronic bronchitis(OR=1.460,95％CI:1.082-1.971),foot diseases(OR=1.609,95％CI:1.158-2.237),opioid analgesic(OR=1.830,95％CI:1.272-2.633),average self rated health status(OR=1.601,95％CI:1.200-2.137)and very poor self rated health status(OR=3.060,95％CI:2.070-4.523)were the risk factors of falls of the elderly(all P＜0.05).Conclusions The incidence of falls among elderly people in four regions of Sichuan Province is relatively high.The risks of falls among the elderly in rural areas,elderly women,poor sleep quality,chronic bronchitis and foot diseases,taking opioid Analgesic,and poor self assessed health are high.Sichuan Province should improve the risk assessment of falls among the elderly,screen high-risk groups for falls.Prevention and intervention measures should be taken by carrying out fall prevention and healthy sleep education,strengthening physical exercise,actively preventing and treating fall-related diseases,and safe medication.
万方数据
维普
