Older persons' perception of risk of falling: Implications for fall-prevention campaigns
Older persons' perception of risk of falling: Implications for fall-prevention campaigns
复制标题
DOI：
10.2105/ajph.2007.115055
复制
发表时间：
2008-02-01
影响因子：
12.7
通讯作者：
Newman, Beth
中科院分区：
文献类型：
--
作者：
Hughes, Karen;van Beurden, Eric;Newman, Beth
目标.我们研究了老年人对福尔斯的态度和对预防跌倒意识设计的影响。我们评估的数据来自（1）2002年在北方河流、新南威尔士州（之前的防跌倒项目所在地; n = 1601）和昆士兰州宽湾（比较社区; n = 1601）对60岁及以上的澳大利亚人进行的计算机辅助电话调查;（2）8个焦点小组（n = 73）。与对照组受试者相比，来自既往干预研究中心的受试者不太可能同意福尔斯不可预防（比值比[OR]=0.76; 95%置信区间[CI]=0.65，0.90），并且更可能将预防福尔斯列为高度优先事项（OR = 1.31; 95% CI = 1.09，1.57）。两组之间的自我感知福尔斯风险没有差异;超过60%的人认为他们的风险很低。那些感知风险较低的人更有可能是男性，年轻，有伴侣，有私人保险，报告健康状况更好，没有福尔斯病史。焦点小组数据表明，老年人更喜欢强调健康和独立的信息，而不是跌倒。尽管老年人接受了传统的预防跌倒的信息，但大多数人认为它们与个人无关。促进健康和独立的信息可能更有效。
Objectives. We examined older people's attitudes about falls and implications for the design of fall-prevention awareness campaigns.Methods. We assessed data from (1) computer-assisted telephone surveys conducted in 2002 with Australians 60 years and older in Northern Rivers, New South Wales (site of a previous fall-prevention program; n = 1601), and Wide Bay, Queensland (comparison community; n = 1601), and (2) 8 focus groups (n = 73).Results. Participants from the previous intervention site were less likely than were comparison participants to agree that falls are not preventable (odds ratio [OR]=0.76; 95% confidence interval [CI]=0.65, 0.90) and more likely to rate the prevention of falls a high priority (OR = 1.31; 95% CI = 1.09, 1.57). There was no difference between the groups for self-perceived risk of falls; more than 60% rated their risk as low. Those with a low perceived risk were more likely to be men, younger, partnered, and privately insured, and to report better health and no history of falls. Focus group data indicated that older people preferred messages that emphasized health and independence rather than falls.Conclusions. Although older people accepted traditional fall-prevention messages, most viewed them as not personally relevant. Messages that promote health and independence may be more effective.