Current status of falls and related injuries among Chinese elderly in 2013.
10.3760/cma.j.issn.0254-6450.2018.04.010
- VernacularTitle:2013年中国老年居民跌倒伤害流行状况分析
- Author:
S G QI
1
;
Z H WANG
;
L M WANG
;
M ZHANG
Author Information
1. National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
- Publication Type:Journal Article
- Keywords:
Elderly;
Falls;
Surveillance
- MeSH:
Accidental Falls/statistics & numerical data*;
Adult;
Aged;
Aging;
Asian People;
China/epidemiology*;
Female;
Fractures, Bone/ethnology*;
Hip Fractures/ethnology*;
Humans;
Male;
Prevalence;
Residence Characteristics;
Risk Factors;
Rural Population;
Sex Factors;
Surveys and Questionnaires;
Urban Population
- From:
Chinese Journal of Epidemiology
2018;39(4):439-442
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the demographic characteristics of falls and fall-related injuries in Chinese elderly population. Methods: In 2013, the 4(th) round Chronic Non-communicable Disease and Risk Factor Surveillance in China was conducted in 31 provinces. A stratified multi-stage cluster sampling was used to select the samples. A total number of 98 629 community-based adults aged 60 years and older received a set of standardized questionnaires with a face to face interview. The prevalence rates of falls and consequent injuries were compared between different genders, age groups, levels of education and areas of residency. Results: The overall prevalence of falls among elderly in the previous 6 months was 8.0%(95%CI: 7.5%-8.5%). The prevalence was increasing with age and decreasing with the levels of education, and higher in females (9.1%) than in males (6.8%), with differences statistically significant (χ(2)=74.1, P<0.01). Prevalence rates were also seen higher in rural (8.6%), in widowed (11.0%) residents and in farmers or house workers than those in urban areas (7.2%), in non-widowed (7.0%), or having other jobs, with differences all statistically significant (χ(2)=7.7, P<0.01, χ(2)=128.0, P<0.01). 52.6% of the elderly got injured when fell. The proportion of injury was greater in females (54.8%) than that in males (49.6%), with differences statistically significant (χ(2)=10.2, P<0.01). Proportion of most frequent types of injuries were hip fractures (7.3%), hand/arm fractures (12.5%), head injury (8.0%) and bruise (53.6%) respectively. The proportion of hip fractures was 12.4% in elderly over 80 year of age, also was the highest. Conclusions: Results from the present study showed that elderly suffered high prevalence of falls.Statistically significant differences were seen in residents with different groups as genders, age, education levels, marital status, urban/rural areas or jobs. Group-based comprehensive prevention and intervention on falls should be strengthened.
