Prevalence and Risk Factors of Injurious Falls in community-dwellers Aged 12-64 in Taiwan

台灣地區12-64歲民眾跌傷之盛行率暨危險因子研究

蔡益堅(Yih-Jian Tsai) ； 葉純志(Chun-Chih Yeh) ； 藍祚運(Tzuo-Yun Lan) ； 張粹文(Cui-Wen Chang) ； 洪百薰(Baai-Shyun Hurng)

《台灣公共衛生雜誌》 27卷1期 (2008/02) Pp. 13-24

https://doi.org/10.6288/TJPH2008-27-01-02

摘要

目標：檢視12-64歲者及不同年齡層之跌傷盛行率暨危險因子。方法：本研究採用2005年國民健康訪問調查12-64歲者資料檔進行分析。首先描述其跌傷之時間、地點、求醫住院等流行狀況。再選年齡、性別、是否已婚／同居、自評健康、運動、視力、慢性病數目、是否需輔具等做單變項邏輯迴歸分析及卡方檢定。並針對12-24，25-44及45-64歲人口群分別建構多變項邏輯迴歸模式。結果：在完訪的18.099位12-64歲者當中有991人跌傷，盛行率5.6%；其中84人住院。年齡別跌傷盛行率雖然呈現U字形，且可能比2001年高。在12-24，25-44及45-64歲人口群之多變項邏輯迴歸模式中，女性、正向自評健康、視力清楚至非常清楚與跌傷風險降低有關；年齡層低於40-44歲、過去兩週有運動、具有至少一種慢性病及需輔具等與跌傷風險升高有關。但是否已婚/同居與跌傷風險之間並無顯著相關。結論：2005年12-64歲者年齡別跌傷盛行率呈現U字形，此與2001年研究一致；12-24，25-44及45-64歲各年齡層之跌傷危險因子不同，建議採行生命周期策略，針對各年齡層分別施行不同的跌傷研究與防制計畫。

關鍵字

跌傷 ； 盛行率 ； 危險因子 ； 台灣國民健康訪問調查

並列摘要

Objectives: To investigate the prevalence and risk factors of injurious falls across different age groups for community dwellers aged 12-64. Methods: Data analyzed were collected from the 2005 National Health Interview Survey (NHIS) in Taiwan. The characteristics of injurious falls by time/place of occurrence and their consequences are described. Uni-variate logistic regression and Chi-square (x^2) test were used to examine the association of injurious falls with: age, sex, marital status, self-perception of health, exercise, visual ability, chronic conditions, and if there was a requirement for the use of special aids and or appliances. Multivariate logistic regression models were established for age groups 12-24. 25-44 and 45-64. Results: Among 18,099 persons aged 12-64 who completed the interview, 991(5.6%) reported having injurious falls, and 84 of them received further hospitalization. The relationship between the prevalence of injurious falls and age was U-shaped. Multivariate logistic regression models for ages 12-24, 25-44 and 45-64 showed that participants who were female, had a positive self-perception of health, and had good to very good visual ability had a reduced risk of injurious falls. In contrast, respondents who were younger than 40-44, and who had souse form of exercise in the previous two weeks, as well as had at least one chronic condition, or required special aids/appliances showed an increased risk of injurious falls. Living with a spouse/partner was not significantly associated with injurious falls. Conclusions: The U-shaped relationship of the risk of injurious falls and age was in agreement with that of the preceding study. Risk factors of injurious falls varied across a variety of age groups. Our results suggest a life-cycle approach for fall related studies and prevention programs.

並列關鍵字

injurious falls ； prevalence ； risk factors ； National Health Interview Survey Taiwan

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