Falls and fear of falling: burden, beliefs and behaviours

Falls and fear of falling: burden, beliefs and behaviours
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DOI:
10.1093/ageing/afp053
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发表时间:
2009-07-01
期刊:
影响因子:
6.7
通讯作者:
Stevens, Judy A.
Stevens, Judy A.
中科院分区:
医学1区
文献类型:
--
作者:
Boyd, Rebecca;Stevens, Judy A.

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设计图:2001年至2003年,对美国成年人进行了一项横断面、列表辅助随机数字拨号电话调查。受试者:1,709名年龄在65岁或65岁以上的成年人,他们讲英语或西班牙语。方法:计算近期福尔斯、跌倒伤害、害怕跌倒和预防跌倒的信念和行为的患病率估计值。结果:估计有350万或9.6%的老年人报告在过去3个月内至少跌倒一次。大约36.2%的老年人说他们中度或非常害怕摔倒。在过去的3个月里,很少有老年人下降,报告作出任何改变,以防止未来的福尔斯。结论:高患病率的福尔斯和美国老年人的担心下降是值得关注的。两者都可能导致不良的健康后果,包括生活质量下降,功能限制,活动受限和抑郁症。在设计跌倒预防方案时,应考虑老年人对跌倒的恐惧以及他们不愿采取可能防止未来福尔斯跌倒的行为。
Design: a cross-sectional, list-assisted random digit dialling telephone survey of US adults from 2001 to 2003.Subjects: 1,709 adults aged 65 or older who spoke either English or Spanish.Methods: prevalence estimates were calculated for recent falls, fall injuries, fear of falling and fall prevention beliefs and behaviours.Results: an estimated 3.5 million, or 9.6%, of older adults reported falling at least once in the past 3 months. About 36.2% of all older adults said that they were moderately or very afraid of falling. Few older adults who fell in the past 3 months reported making any changes to prevent future falls.Conclusions: the high prevalence of falls and fear of falling among US older adults is of concern. Both can result in adverse health outcomes including decreased quality of life, functional limitations, restricted activity and depression. Older adults' fear of falling and their reluctance to adopt behaviours that could prevent future falls should be considered when designing fall prevention programmes.