社会经济因素与老年人跌倒风险增加有关
Martinus Megalla1,2, Jared Ditkowsky1,2, Manisha S Parulekar1,2
1Hackensack Meridian School of Medicine, Nutley, NJ, USA (MM, JD, MSP).
American journal of lifestyle medicine
|March 5, 2025
概括
健康的社会决定因素在老年人中显著影响跌倒风险. 福利受益人数增加了摔倒伤害,而美国公民身份与较低的摔倒风险有关,这强调了在评估中需要SDOH.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 跌倒是老年人受伤和死亡的主要原因.
- 社会经济因素越来越被认为是健康结果的关键决定因素.
研究的目的:
- 调查社会经济因素与美国老年人中跌倒风险之间的关联.
- 用国家数据分析健康的社会决定因素对落相关伤害的影响.
主要方法:
- 对国家健康访谈调查 (NHIS) 数据库 (2000-2018年) 的回顾性分析.
- 评估变量,包括福利受益人数和美国公民身份,与老年人的跌倒和受伤有关.
主要成果:
- 福利受益人与因跌倒而受伤的风险增加显著相关 (aOR = 18.8,P = .01).
- 美国公民身份与老年人跌倒风险降低有关 (aOR = 0.4,P = .02).
- 在老年人群中确定了社会经济因素与倒结果之间的新相关性.
结论:
- 健康的社会决定因素 (SDOH) 在老年人中对跌倒风险和受伤严重程度起着至关重要的作用.
- 建议将SDOH评估整合到常规跌倒风险评估中,适用于住院和门诊患者.
- 研究结果强调,医疗保健提供者需要在老年人防摔策略中考虑社会经济背景.
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