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FALL EVENTS AMONG OLDER COMMUNITY-DWELLING MEN: AN EXAMINATION OF RISK AND PROTECTIVE FACTORS

机译:老年人社区居民中的秋季事件:对风险和保护因素的审查

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摘要

Falls are a leading cause of nursing home admission and hospitalization among older adults; however, there is surprisingly little research that examines risk and protective factors for falls among community-dwelling older men. Our study is the first to investigate fall events among older men—and to examine racial and ethnic differences in fall risk among men—using a population-based sample.We analyzed data from 4429 community-dwelling men from the Health and Retirement Study aged 65 and older. We used multinomial logistic regression analyses to examine risk and protective factors for single and recurrent (1 or more) self-reported fall profiles at baseline (2000) and longitudinally (2000–2010). We examined self-reported fall events by race/ethnicity (non-Hispanic white, African American, and Hispanic/Latino), controlling health and socio-demographic characteristics.In baseline analyses, African American men were less likely than non-Hispanic white men to experience multiple fall events, compared to no falls (RRR: 0.63, p=0.005). Racial/ethnic differences in single or recurrent fall events were not statistically significant in longitudinal analyses. Fall risk did not differ between non-Hispanic white and Hispanic/Latino older men.Consistent with other population-based studies, certain characteristics (e.g., older age, ADL limitations, greater depressive symptoms) were associated with a higher relative risk of single and/or recurrent fall events over follow-up.This study identifies risk and protective factors of single and recurrent falls among older men, which can inform clinical practice and falls prevention programs for diverse community-residing older adult populations.
机译:跌倒是老年人入院和住院的主要原因。然而,令人惊讶的是,很少有研究检查社区居住的老年男子跌倒的风险和保护因素。我们的研究是第一个使用基于人群的样本调查老年男性跌倒事件并检查男性跌倒风险的种族和种族差异的方法。我们分析了65岁健康与退休研究中来自4429名社区居民的数据和更老。我们使用多项Logistic回归分析来检查基线(2000年)和纵向(2000-2010年)自我和反复(1个或更多)自我报告的跌倒曲线的风险和保护因素。我们通过种族/族裔(非西班牙裔白人,非裔美国人和西班牙裔/拉丁美洲裔)检查了自我报告的摔倒事件,控制了健康状况和社会人口统计学特征。在基线分析中,非裔美国人比非西班牙裔白人更有可能与没有跌倒相比经历了多次跌倒事件(RRR:0.63,p = 0.005)。在纵向分析中,单次或反复跌倒事件的种族/种族差异在统计学上无统计学意义。非西班牙裔白人和西班牙裔/拉丁美洲裔男性之间的跌倒风险没有差异。与其他基于人群的研究一致,某些特征(例如,年龄,ADL限制,抑郁症状更严重)与单身或双性恋的相对风险较高相关。这项研究确定了老年男性单次或反复跌倒的风险和保护因素,这些信息和信息可为临床实践和针对居住在社区的各种老年人群提供预防跌倒的方案。

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    E.J. Nicklett; R.J. Thorpe;

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  • 年(卷),期 -1(1),Suppl 1
  • 年度 -1
  • 页码 219
  • 总页数 1
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