■关于老年人跌倒的社会因素的研究有限。这项研究评估了过去一年跌倒与社会参与之间的关系,儿童的支持,与孩子的关系,社会脆弱。
■参与者是来自SABE的17,687名社区居住的老年人(健康,幸福,和衰老,2015)哥伦比亚调查。协变量包括社会人口统计学特征,环境障碍,精神药物摄入量,视力问题,记忆丧失,多浊度,害怕跌倒。
■在多变量逻辑回归分析中,社交脆弱(与不虚弱)与较高的跌倒几率相关(OR=1.20;95%置信区间[CI],1.10-1.32)。参与组(OR=1.07;95%CI,1.03-1.11),帮助他人(OR=1.04;95%CI,1.02-1.06),或志愿服务(OR=1.09;95%CI,1.01-1.17)也与较高的跌倒几率相关.这些发现得到了部分解释,因为大多数团体参与者居住在城市,他们更容易受到环境障碍的影响。相比之下,接受帮助,感情,和来自儿童的陪伴(OR=0.95;95%CI,0.93-0.97)与较低的跌倒几率相关。此外,与不令人满意的关系相比,与儿童良好的关系与较低的跌倒几率相关(OR=0.75;95%CI,0.66-0.85).
■儿童的支持和与他们的良好关系与较少的跌倒有关;然而,社会脆弱和参与社会群体与更多的跌倒有关。
UNASSIGNED: There is limited research on social factors related to falls among older adults. This study assessed the association between falls during the past year with social participation, children\'s support, relationship with children, and social frailty.
UNASSIGNED: Participants were 17,687 community-dwelling older adults from the SABE (Health, Well-being, and Aging, 2015) Colombia survey. Covariates included sociodemographic characteristics, environmental barriers, psychotropic intake, vision problems, memory loss, multimorbidity, and fear of falling.
UNASSIGNED: In multivariate logistic regression analyses, being socially frail (vs. no-frail) was associated with higher odds of falls (OR=1.20; 95% confidence interval [CI], 1.10-1.32). Participating in groups (OR=1.07; 95% CI, 1.03-1.11), helping others (OR=1.04; 95% CI, 1.02-1.06), or volunteering (OR=1.09; 95% CI, 1.01-1.17) were also associated with higher odds of falls. These findings were partly explained because most group participants reside in cities where they are more exposed to environmental barriers. In contrast, receiving help, affection, and company from children (OR=0.95; 95% CI, 0.93-0.97) was associated with lower fall odds than not receiving it. Moreover, having a good relationship with children was associated with lower odds of falls (OR=0.75; 95% CI, 0.66-0.85) compared to an unsatisfactory relationship.
UNASSIGNED: Support from children and having a good relationship with them were associated with fewer falls; however, social frailty and participation in social groups were associated with more falls.