Biopsychosocial Predictors of Fall Events Among Older African Americans.
Biopsychosocial Predictors of Fall Events Among Older African Americans.
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DOI：
10.1177/0164027516651974
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发表时间：
2017-04
影响因子：
2.6
通讯作者：
Evans L
中科院分区：
文献类型：
--
作者：
Nicklett EJ;Taylor RJ;Rostant O;Johnson KE;Evans L
这项研究确定了老年社区居住的非裔美国人中福尔斯的风险和保护因素。借鉴生物心理社会的角度来看，我们进行了一系列的性别和年龄调整的多项逻辑回归分析，以确定老年非裔美国人之间的跌倒事件的相关性。我们的样本包括1,442名65岁及以上的社区居住的非洲裔美国人，他们参加了2010-12轮的健康和退休研究。与发生单次和/或多次福尔斯跌倒的相对风险更高相关的生物物理特征包括更大的功能限制、更差的自评健康、更差的自评视力、慢性疾病（高血压、糖尿病、癌症、肺病、心脏问题、中风和关节炎）、更大的慢性疾病合并症、年龄更大和女性。体力活动与复发性福尔斯呈负相关。在检查的心理社会特征中，抑郁症状越严重，经历单次和多次跌倒事件的相对风险越大。对临床医生和未来的研究进行了讨论。
This study identifies risk and protective factors for falls among older, community-dwelling African Americans. Drawing upon the biopsychosocial perspective, we conducted a series of sex- and age-adjusted multinomial logistic regression analyses to identify the correlates of fall events among older African Americans. Our sample consisted of 1,442 community-dwelling African Americans aged 65 and older, participating in the 2010-12 rounds of the Health and Retirement Study. Biophysical characteristics associated with greater relative risk of experiencing single and/or multiple falls included greater functional limitations, poorer self-rated health, poorer self-rated vision, chronic illnesses (high blood pressure, diabetes, cancer, lung disease, heart problems, stroke, and arthritis), greater chronic illness comorbidity, older age, and female sex. Physical activity was negatively associated with recurrent falls. Among the examined psychosocial characteristics, greater depressive symptoms were associated with greater relative risk of experiencing single and multiple fall events. Implications for clinicians and future studies are discussed.