上海市宝山区老年跌倒现况及的影响因素分析.docVIP

上海市宝山区老年跌倒现况及的影响因素分析 　　摘要：【目的】了解上海市宝山区老年跌倒发生的水平，分析其发生的影响因素，为进一步开展预防工作提供依据。【方法】采用多阶段抽样的方法，对两个社区4个居委共计2849名老年人的跌倒发生及相关影响因素进行了回顾性调查。【结果】一年内跌倒发生率10.28% （293/2849），按人次计算为14.15%（403/2849），大部分的跌倒?l生在家中（45.55%），女性（OR=1.446，95%CI：1.099 ～1.901）、室内地面存在危险因素（OR=1.435，95%CI：1.039 ～1.981）、患有慢性病（OR=1.726，95%CI：1.130 ～2.637）、有跌倒史（OR=4.325，95%CI：3.265 ～5.729）、日常生活需要拐杖者（OR=1.906，95%CI：1.346 ～2.697）、楼道内照明差（OR=1.668，95%CI：1.042 ～2.669）是老年跌倒的危险因素，经常室外活动是保护性因素（OR=0.855，95%CI： 0.755 ～0.967）。【结论】老年跌倒是内在因素（年龄相关的生理改变、疾病等）和环境因素的多重作用的结果，老年跌倒的预防需要采取多方面综合措施。 　　关键词：老年；跌倒；影响因素 　　中图分类号：R161.7 文献标志码：A DOI：10.19428/j.cnki.sjpm.2018.18467 　　引用格式：刘世友，万金豹，高金丽，等.上海市宝山区老年跌倒现况及影响因素分析[J].上海预防医学，2018，30（1）：42-46. 　　Current situation of falls in elderly and its influential factors in Baoshan District of Shanghai LIU Shi-you1，WAN Jin-bao1，GAO Jin-li2，XU Hui-qin3（1.Disease Prevention and Control Center，Baoshan District，Shanghai 201901，China；2.Songnan Zhen Community Health Service Center，Baoshan District，Shanghai 200431，China；3.Dachang Town Health Service Center，Baishan District，Shanghai 200442，China） 　　Abstract： [Objective] To ascertain the situation of falls and its influential factors among older adults in Baoshan District of Shanghai，and to provide evidence for its further prevention. [Methods] By means of multiple-stage cluster sampling were selected a total of 2849 older adults from 4 neighborhood committees of two communities.They were retrospectively investigated for their falls and influential factors. [Results] The incidence of falls in elderly within the past one year was 10.28% （293/2849）；Calculation by person/time was 14.15% （403/2849）；The majority of falls occurred at home （45.55%）.Logistic regression models showed that for female respondents（OR=1.446，95%CI：1.099-1.901），there were risk factors on the ground in their rooms（OR=1.435，95%CI：1.039-1.981），some with chronic diseases（OR=1.726，95%CI：1.130-2.637），might have had experience of falls（OR=4.325，95%CI：3.265-5.729） and needed crutches（OR=1.90