不良的童年经历与中年和老年人中的跌倒有关,美国2023年BRFSS数据
Carlos A Reyes-Ortiz1, Claudia M Payan-Villamizar2, Adalberto Campo-Arias3
1Institute of Public Health, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, FL, USA.
概括
童年不良经历 (ACE) 增加了中年和老年人的跌倒风险. 在制定防摔策略时,公共卫生工作应考虑ACE.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 心理学 心理学 心理学
背景情况:
- 童年不良经历 (ACE) 与长期负面的健康结果有关.
- 了解ACE对晚年跌倒风险的影响对于公共卫生干预至关重要.
研究的目的:
- 调查ACE与美国45岁及以上成年人中跌倒的发生率之间的关联.
- 探索ACE和跌倒之间的关系中的潜在调解因素.
主要方法:
- 利用了来自2023年行为风险因素监测系统的38437名参与者 (年龄在45-80岁) 的数据.
- 评估了过去12个月的下降,并根据滥用和家庭功能障碍 (0-11分,二分化为≥2比0-1) 来分类ACE.
- 采用多变量分析来确定关联和调解效应.
主要成果:
- 具有≥2个ACE的参与者表现出更高的跌倒几率 (中年人的OR为1.34,老年人的OR为1.28).
- 特定的ACE,比如与被监禁的家庭成员生活或经历性虐待,独立地与更高的跌倒风险有关.
- 抑郁症,功能限制,多病症和记忆障碍介导了ACEs-fall关联.
结论:
- 在中年和老年人群中,ACEs代表了一个显著的,以前未被认可的跌倒风险因素.
- 医疗保健提供者和公共卫生官员应将ACE查纳入整个生命周期的跌倒风险评估和预防计划中.
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