湖北省农村老年人跌倒发生情况及影响因素分析

目的研究湖北省麻城市农村地区老年人跌倒发生的现状及其影响因素。方法采用多阶段整群抽样抽取湖北省麻城市农村地区3个办事处的17个行政村60岁以上的老年人作为研究对象,调查过去一年内跌倒的发生情况及其相关影响因素。采用χ2检验以及单因素Logistic回归分析研究影响农村老年人跌倒发生的危险因素。结果在本调查中前一年内发生跌倒的老年人共268人,跌倒发生率为13.5%。跌倒主要以不小心摔跤为主,占66.4%。单因素分析发现,抑郁与老人跌倒的发生相关。Logistic回归分析抑郁的老年人与非抑郁老年人相比发生跌倒风险增加(OR=1.967,95%CI:1.451～2.667)。结论湖北省农村地区老年人跌倒发生率高,抑郁是影响老年人跌倒发生的重要危险因素。社会与家庭应关注并积极治疗抑郁老人,减少老年人跌倒的发生。

Elderly Falling Information and Analysis of Risk Factors in Hubei Province

Objective To estimate the prevalence of elderly falling and to examine the risk factors of the elderly falling in rural community.Methods A cross-sectional study was performed on 3 rural communities(17 villages)in Macheng city of Hubei province.2 000 elderly persons were interviewed regarding the information about falling in one year,general information and the risk factors of falling.Results 268 elderly persons experienced at least once falling in the past year,and the incidence of falling in the past year was 13.5%.After adjusting for potential confounding factors,depression(OR=1.967,95% CI:1.451—2.667)was the risk factor causing falling.Conclusion The incidence of falling in elderly persons of rural community in Hubei is high.Depression is a significant risk factor of the elderly falling in rural community.Society and family should pay attention to and treat elderly depression to prevent the elderly falling.