家庭危险在视觉功能与老年人跌倒之间的关联中的作用
Shu Xu1, Philippa Clarke1, Michelle J Sun2
1Institute for Social Research, University of Michigan, Ann Arbor.
JAMA ophthalmology
|December 11, 2025
概括
视力不佳增加了老年人的跌倒风险,尤其是家庭危险,如倒风险或缺乏抓杆. 与视力护理一起解决家庭安全问题可以预防跌倒.
科学领域:
- 老年学是一门学科.
- 眼科医生 眼科 眼科
- 环境健康 环境健康
背景情况:
- 视力受损的老年人面临更高的跌倒风险.
- 在这种关联中,家庭环境危害的具体作用需要进一步调查.
研究的目的:
- 检查视觉功能,家庭危险和老年人中跌倒发生率之间的关系.
- 为了确定家庭环境因素是否会改变视力障碍和跌倒之间的联系.
主要方法:
- 基于人口的横截面研究,使用来自国家健康和衰老趋势研究 (N=4648) 的数据.
- 视觉功能通过远距离视敏度 (DVA) 和对比度敏感度 (CS) 进行评估.
- 家庭危险包括缺乏抓杆,倒的危险和破碎的地板;跌倒是自我报告的.
主要成果:
- 更糟糕的DVA和CS显著与危险的房屋中的落有关.
- 没有抓杆 (DVA OR 1.14) 和倒危险 (DVA OR 1.29) 等特定危险增加了跌倒风险.
- 多次家庭危险放大了视力差和跌倒之间的关联.
结论:
- 在老年人中,家庭环境显著影响视觉功能与跌倒之间的关联.
- 防摔策略应整合视力受损的老年人家庭安全干预措施.
- 解决内在 (视觉) 和外在 (家庭危险) 因素对于有效的防摔至关重要.
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