臺灣南部某一社區男性老人跌倒盛行率及相關因子之研究

The Prevalence of and Factors Associated with Falls by Elderly Rural Males

林怡貝(Yi-Bei Lin) ； 張秦松(Chin-Sung Chang) ； 張軒睿(Hsuan-Jui Chang) ； 邱郁婷(Yu-Ting Chiu) ； 張嘉凌(Chia-Ling Chang) ； 陳全裕(Chuan-Yu Chen) ； 張尹凡(Yin-Fan Chang) ； 吳至行(Chih-Hsing Wu)

《台灣家庭醫學雜誌》 22卷1期 (2012/03) Pp. 1-10

https://doi.org/10.7023/TJFM.201203.0001

摘要

Aims: To determine the prevalence of and risk factors for falls among elderly rural males and to provide suggestions for the prevention of falls. Methods: Subjects were recruited from 1033 elderly people aged 65 years and older in Tianliao District, Kaohsiung City during July 12 to 29, 2009. Of these, 414 residents (60.8%) responded. Each subject was interviewed face-to-face by well-trained interviewers who completed the structure questionnaire. Data from one subject were incomplete, so 413 subjects were entered into the analysis. There was no significant difference (p＞0.05) in average age between the 413 responders (average age: 74.6±6.2) and the 620 non-responders (average age: 74.9±6.5). Results: Of the 413 men, 78 (18.9%) had fallen in the preceding year for a total of 167 separate incidents. Of the 167 falls, 62.3% were outdoors: 26.8% in farmland and 21.5% on sidewalks. Indoors, falls were mostly in courtyards (16.7%) and on stairs (13.3%). Univariate analyses showed that significant risk factors were age (p=0.016), the habit of drinking coffee (p=0.036), self-perceived health status, a history of diabetes mellitus (p=0.013) and a history of previous surgery (p=0.017). Multiple logistic regression analysis showed that the experience of surgery and a history of diabetes mellitus were positively associated with the risk of falling and age and self-perceived health status were negatively associated with that risk. Conclusions: This study showed that the prevalence of falls among elderly rural males was 18.9%. Being younger, having worse self-perceived health status, a history of diabetes mellitus and a history of previous surgery were independent risk factors associated with falls.

並列摘要

Aims: To determine the prevalence of and risk factors for falls among elderly rural males and to provide suggestions for the prevention of falls. Methods: Subjects were recruited from 1033 elderly people aged 65 years and older in Tianliao District, Kaohsiung City during July 12 to 29, 2009. Of these, 414 residents (60.8%) responded. Each subject was interviewed face-to-face by well-trained interviewers who completed the structure questionnaire. Data from one subject were incomplete, so 413 subjects were entered into the analysis. There was no significant difference (p＞0.05) in average age between the 413 responders (average age: 74.6±6.2) and the 620 non-responders (average age: 74.9±6.5). Results: Of the 413 men, 78 (18.9%) had fallen in the preceding year for a total of 167 separate incidents. Of the 167 falls, 62.3% were outdoors: 26.8% in farmland and 21.5% on sidewalks. Indoors, falls were mostly in courtyards (16.7%) and on stairs (13.3%). Univariate analyses showed that significant risk factors were age (p=0.016), the habit of drinking coffee (p=0.036), self-perceived health status, a history of diabetes mellitus (p=0.013) and a history of previous surgery (p=0.017). Multiple logistic regression analysis showed that the experience of surgery and a history of diabetes mellitus were positively associated with the risk of falling and age and self-perceived health status were negatively associated with that risk. Conclusions: This study showed that the prevalence of falls among elderly rural males was 18.9%. Being younger, having worse self-perceived health status, a history of diabetes mellitus and a history of previous surgery were independent risk factors associated with falls.

並列關鍵字

aging ； diabetes ； fracture

參考文獻

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黃少君、陳曾基、周碧瑟(2005)。石牌地區老年人跌倒累積發生率其相關性之探討。台灣衛誌。24，136-45。

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中華民國內政部民國九十八年施政績效。2010年9月1日，取自http://www.moi.gov.tw/chi/chi_public/policy.aspx?policy_code=05

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