非西班牙裔黑人和西班牙裔男性患有慢性疾病的事件和经常性跌倒
Temitope Olokunlade1, Ledric D Sherman2, Mark E Benden1
1Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX, USA.
老年西班牙裔男性,健康状况不佳的男性和临床抑郁症患者更容易摔倒. 增加的并发病率和较少的社会支持也提高了这一人口群体中经常性跌倒的风险.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 安全研究 安全研究
背景情况:
- 对老年男性,特别是非西班牙裔黑人和西班牙裔男性患有慢性疾病的跌倒风险的了解有限.
- 安全研究中的关键差距是这些特定的人群中跌倒的发生率和复发率.
- 专注于老年男性 (≥60岁) 至少有一种慢性疾病.
研究的目的:
- 调查与意外跌倒 (1次跌倒) 和反复跌倒 (2次+跌倒) 相关的因素.
- 分析60岁及以上的非西班牙裔黑人和西班牙裔男性患有慢性疾病的风险.
- 为弱势男性群体提供有针对性的防摔策略.
主要方法:
- 使用网络提供的问卷进行横截面研究.
- 全国779名非西班牙裔黑人 (58.8%) 和西班牙裔 (41.2%) 男人的样本.
- 多项逻辑回归分析了因社会人口统计学,疾病特征,健康状况和社会支持而调整的跌幅 (0, 1, 2+跌幅).
主要成果:
- 西班牙裔男性,一般健康状况较差的男性和临床抑郁症患者更有可能经历意外和反复跌倒.
- 较高的伴随性疾病负担和较低的管理健康问题的社会支持与反复跌倒有关.
- 73%的人报告说0次跌倒,12.6%的人报告说1次跌倒,14.4%的人报告说2次以上跌倒.
结论:
- 多元干预非常重要,重点是疾病自我管理,心理健康和社会支持.
- 调查结果强调了在老年男性中预防跌倒方面需要跨学科的合作.
- 突出了老年非西班牙裔黑人和西班牙裔男性患有慢性疾病的跌倒的特定风险因素.
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