Prevalence and risk factors associated with falls among community-dwelling and institutionalized older adults in Indonesia
- Author:
Karl Peltzer
;
Indri Hapsari Susilowati
;
Susiana Nugraha
;
Sabarinah Sabarinah
;
Supa Pengpid
;
Bonardo Prayogo Hasiholan
- Publication Type:Journal Article
- Keywords:
Fall;
fall risk;
health correlates;
older adults;
community;
elderly home;
Indonesia
- From:Malaysian Family Physician
2020;15(1):30-38
- CountryMalaysia
- Language:English
-
Abstract:
Objective: To assess the prevalence and social and health correlates of falls and fall risk in a sample
of community-dwelling and institutionalized older Indonesians.
Methods: Tis cross-sectional study was conducted July–August 2018 in three regions in Indonesia.
Adults aged 60 years and above (n=427) were recruited via random sampling from community
clinics and public and private elderly homes. Tey responded to interview-administered questions
and provided measurements on sociodemographics and various health variables, including falls and
fall risk. Fall risk was assessed with the STEADI (Stopping Elderly Accidents, Deaths, & Injuries)
screen. Multivariable logistic regression was conducted to estimate associations with fall and fall
risk.
Results: In the year immediately preceding the study, 29.0% of participants had sufered a fall.
Approximately one-third of women (31.1%) and one-ffth of men (20.4%) reported a fall in the
past year, and 25.4% of community dwellers and 32.7% of institutionalized older adults had fallen.
Te overall proportion of fall risk was 45.4%, 49.0% among women, 38.0% among men, 50.5%
in the institutionalized setting, and 40.4% in the community setting. In adjusted logistic regression
analysis, older age (OR: 1.89, CI: 1.06, 3.37), private elderly home setting (OR:2.04, CI: 1.10,
3.78), and being female (OR: 0.49, CI: 0.30, 0.82) were associated with falls in the preceding
12 months. Older age (80-102 years) (OR: 2.55, CI: 1.46, 4.46), private elderly home residence
(OR: 2.24, CI: 1.19, 4.21), lack of education (OR: 0.51, CI: 0.28, 0.93), memory problems (OR:
1.81, CI: 1.09, 2.99), and arthritis (OR: 2.97, CI: 1.26, 7.00) were associated with fall risk by
the STEADI screen. In stratifed analysis by setting, being female (OR: 0.49, CI: 0.25, 0.95) and
living in urban areas (OR: 1.97, CI: 1.03, 3.76) were associated with falls in the institutionalized
setting, and having near vision problems (OR: 2.32, CI: 1.09, 4.93) was associated with falls in
the community setting. Older age (OR: 2.87, CI: 1.36, 6.07) was associated with fall risk in the
institutionalized setting, and rural residence (OR: 0.37, CI: 0.15, 0.93) and having a joint disorder
or arthritis (OR: 4.82, CI: 1.28, 16.61) were associated with fall risk in the community setting.
Conclusion: A high proportion of older adults in community and institutional care in Indonesia
have fallen or were at risk of falling in the preceding 12 months. Health variables for fall and fall
risk were identifed for the population overall and for specifc populations in the home care and
community setting that could help in designing fall-prevention strategies.
- Full text:2.2020my0065.pdf
