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The Incidence of Falls and Related Factors among Chinese Elderly Community Residents in Six Provinces

Kun Wang, Meijun Chen, Xiaoyue Zhang, Lanchao Zhang, Chun Chang, Yu Tian, Xiaofeng Wang, Zhijing Li and Ying Ji ()
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Kun Wang: Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing 100191, China
Meijun Chen: School of Public Health, The University of Hong Kong, Hong Kong 999077, China
Xiaoyue Zhang: Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing 100191, China
Lanchao Zhang: Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing 100191, China
Chun Chang: Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing 100191, China
Yu Tian: Xinjiekou Community Health Service Center of Xicheng District, Beijing 100035, China
Xiaofeng Wang: Ronghua Community Health Service Center of Beijing Economic-Technological Development Area, Beijing 100176, China
Zhijing Li: School of Health Humanities, Peking University Health Science Center, Beijing 100191, China
Ying Ji: Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing 100191, China

IJERPH, 2022, vol. 19, issue 22, 1-15

Abstract: This cross-sectional study classified the factors related to falls among residents ≥ 60 years old in China in order to provide evidence for the prevention of falls in the elderly. A total of 2994 participants were enrolled, and the correlations between social demography, physical health, self-health management awareness, family support, and fall risk were analyzed. Factors influencing falls were classified by location, cause, and the activity during falls. Suffering from osteoarthropathy (OR = 1.761, 95% CI: 1.234–2.513, p < 0.05), depression or anxiety (OR = 1.896, 95% CI: 1.331–2.700, p < 0.001), household size > 2 (OR = 1.806, 95% CI: 1.042–3.130, p < 0.05), and poor self-assessed health (OR = 1.478, 95% CI: 1.107–1.972, p < 0.01) were risk factors. Higher participation in community health programs (OR = 0.522, 95% CI: 0.298–0.912, p < 0.05) and spousal support (OR = 0.909, 95% CI: 0.841–0.981, p < 0.05) were protective factors. Falls were divided into the following categories: stairs/hallway (vision, attention problems), bath/toilet (vision, attention problems, slipping), indoor housework (dizziness, leg weakness), and outdoor activities (attention, surface problems). While acknowledging that the personal physical and mental health of the elderly may lead to falls, community support, accelerated transformation of housing, and the construction of barrier-free environments play an important role in reducing the risk of falls.

Keywords: falls; Chinese older people; risk factors; self-health management awareness; family support (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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