Falls associated with indoor and outdoor environmental hazards among community-dwelling older adults between men and women.
Falls associated with indoor and outdoor environmental hazards among community-dwelling older adults between men and women.
复制标题
在社区居住的老年人中，男性和女性之间的跌倒与室内外环境危害有关。
DOI：
10.1186/s12877-021-02499-x
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发表时间：
2021-10-12
期刊：
影响因子：
4.1
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Lee S
危险的环境暴露是老年人跌倒的公认危险因素。然而，在跌倒与室内和室外环境危害的关联方面，性别差异很少。本研究考察了导致跌倒的室内和室外环境风险因素，并使用具有全国代表性的数据对美国老年人中男性和女性的数据进行了比较。我们使用2011年全国健康与老龄化趋势研究（NHATS）对6680名年龄≥65岁的美国社区居民进行了横断面分析。在调整了社会人口、健康和行为因素后，采用一系列逻辑回归来确定按性别分层的与跌倒相关的室内和室外环境危害。我们还测试了与性别的显著相互作用。与男性相比，女性摔倒的发生率更高。在对社会人口、健康和行为条件进行调整的模型中，跌倒与室内和室外环境危害的关联存在性别差异。性别分析显示，存在室内环境危害（OR = 1.37, 95% CI = 1.04 -1.79）的女性摔倒的几率更高，而对于男性来说，存在室外环境危害（OR = 1.34, 95% CI = 1.02-1.75）与跌倒有关。我们还发现室外环境危害与性别之间存在显著的交互项（OR = 0.65, 95% CI = 0.47-0.90）。交互作用图显示，室外环境危害的存在增加了男性跌倒的风险，而女性没有。在老年男性和女性中，跌倒与室内和室外环境危害的关联存在显著的性别差异。我们的研究结果表明，需要有针对性的预防项目来提高人们对环境危害的认识，需要有针对性的环境干预措施来帮助预防跌倒。在线版本包含补充材料，可在10.1186/s12877-021-02499-x获得。
Hazardous environmental exposures are recognized risk factors for falls among older adults. However, the gender differences in the associations of falls with indoor and outdoor environmental hazards are scarce. This study examined the indoor and outdoor environmental risk factors for falls and compared the data for men and women among U.S. older adults using nationally representative data. We used the 2011 National Health and Aging Trends Study (NHATS) for a cross-sectional analysis of 6680 community-dwelling adults aged ≥65 years in the United States. A series of logistic regressions was used to identify the indoor and outdoor environmental hazards associated with falls stratified by gender after adjusting for sociodemographic, health, and behaviors. We also tested for significant interactions with gender. Compared to men, women had a higher prevalence of falls. In the model adjusted for sociodemographic, health, and behavioral conditions, there were gender differences in the association of falls with the presence of indoor and outdoor environmental hazards. Gender-specific analyses showed that women with the presence of indoor environmental hazards (OR = 1.37, 95% CI = 1.04.-1.79) had higher odds of falls, whereas for men, the presence of outdoor environmental hazards (OR = 1.34, 95% CI = 1.02–1.75) was associated with falls. We also found a significant interaction term between outdoor environmental hazards and gender (OR = 0.65, 95% CI = 0.47–0.90). The interaction plot indicated that the presence of outdoor environmental hazards increased the risks of falling in men but not in women. Significant gender differences exist in the association of falls with indoor and outdoor environmental hazards among older men and women. Our findings suggest that gender-tailored prevention programs to increase awareness of the environmental hazards and gender-specific environmental interventions are needed to help prevent falls. The online version contains supplementary material available at 10.1186/s12877-021-02499-x.
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