Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling.
Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling.
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DOI：
10.1186/1471-2458-9-170
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发表时间：
2009-06-02
影响因子：
4.5
通讯作者：
Zijlstra GA
中科院分区：
文献类型：
--
作者：
Kempen GI;van Haastregt JC;McKee KJ;Delbaere K;Zijlstra GA
害怕跌倒和避免活动在老年人中很常见，被认为是与跌倒同等重要的（公共）健康问题。早期关于害怕跌倒和避免活动的相关研究几乎没有区分严重和轻度的害怕跌倒和避免活动的程度，这从临床角度来看可能是相关的。此外，大多数研究只关注社会人口统计和/或与健康有关的变量，几乎没有纳入包括心理社会变量在内的广泛的可能与害怕跌倒相关的因素。本研究分析了5个社会人口学变量、7个健康相关变量和6个心理社会变量与因害怕跌倒而避免活动的老年人害怕跌倒和避免活动水平之间的单变量和多变量关联。对540名年龄≥70岁、至少有轻度跌倒恐惧和避免活动的社区生活老年人进行横断面研究。采用卡方检验、t检验和logistic回归分析来研究所选相关因素与两种结果之间的关联。老年、女性、日常生活活动受限、视力受损、健康状况不佳、慢性发病率、跌倒、一般自我效能低、控制能力低、孤独、焦虑感和抑郁症状被确定为严重害怕跌倒和避免活动的单变量相关因素。女性、日常生活活动受限以及过去6个月内一次或多次跌倒与严重的跌倒恐惧独立相关。较高的年龄和日常生活活动的限制与严重的活动回避独立相关。心理社会变量对轻度和重度跌倒恐惧之间的差异以及由于害怕跌倒而轻度和重度避免活动之间的差异没有独立贡献。虽然由于理论上的原因，关于特定变量与严重跌倒恐惧和避免活动水平的独特关联的知识是有意义的，但单变量关联的知识也可能有助于明确制定干预措施和方案的概念，以减少老年人，特别是在他们发展的早期阶段对跌倒恐惧和避免活动的恐惧。
Fear of falling and avoidance of activity are common in old age and are suggested to be (public) health problems of equal importance to falls. Earlier studies of correlates of fear of falling and avoidance of activity did hardly differentiate between severe and mild levels of fear of falling and avoidance of activity which may be relevant from clinical point of view. Furthermore, most studies focused only on socio-demographics and/or health-related variables and hardly incorporated an extensive range of potential correlates of fear of falling including psychosocial variables. This study analyzes the univariate and multivariate associations between five socio-demographic, seven health-related and six psychosocial variables and levels of fear of falling and avoidance of activity in older persons who avoid activity due to fear of falling. Cross-sectional study in 540 community-living older people aged ≥ 70 years with at least mild fear of falling and avoidance of activity. Chi-squares, t-tests and logistics regression analyses were performed to study the associations between the selected correlates and both outcomes. Old age, female sex, limitations in activity of daily living, impaired vision, poor perceived health, chronic morbidity, falls, low general self-efficacy, low mastery, loneliness, feelings of anxiety and symptoms of depression were identified as univariate correlates of severe fear of falling and avoidance of activity. Female sex, limitations in activity of daily living and one or more falls in the previous six months correlated independently with severe fear of falling. Higher age and limitations in activity of daily living correlated independently with severe avoidance of activity. Psychosocial variables did not contribute independently to the difference between mild and severe fear of falling and to the difference between mild and severe avoidance of activity due to fear of falling. Although knowledge about the unique associations of specific variables with levels of severe fear of falling and avoidance of activity is of interest for theoretical reasons, knowledge of univariate association may also help to specify the concepts for developing interventions and programmes to reduce fear of falling and avoidance of activity in old age, particularly in their early stages of development.
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影响因子：
7.2
作者：
van Haastregt, Jolanda C. M.;Zijlstra, G. A. Rixt;Kempen, Gertrudis I. J. M.
通讯作者：
Kempen, Gertrudis I. J. M.
DOI：
10.1046/j.1532-5415.2002.50352.x
发表时间：
2002-08-01
影响因子：
6.3
作者：
Friedman, SM;Munoz, B;Fried, LP
通讯作者：
Fried, LP
DOI：
10.1046/j.1532-5415.2002.50119.x
发表时间：
2002-03-01
影响因子：
6.3
作者：
Murphy, SL;Williams, CS;Gill, TM
通讯作者：
Gill, TM
DOI：
10.1093/gerona/60.3.355
发表时间：
2005-03-01
影响因子：
5.1
作者：
Wilson, MMG;Miller, DK;Wolinsky, FD
通讯作者：
Wolinsky, FD
DOI：
10.1111/j.1532-5415.2007.01317.x
发表时间：
2007-10-01
影响因子：
6.3
作者：
Austin, Nicole;Devine, Amanda;Bruce, David
通讯作者：
Bruce, David