Funding: Funding for the prevalence study was gained through (Australian) National Health and Medical Research Council (NHMRC) grants 219 194 and 353 612. The NHMRC had no role in the study design, study implementation, data interpretation or drafting of this paper.
Preliminary evaluation of the prevalence of falls, pain and urinary incontinence in remote living Indigenous Australians over the age of 45 years
Article first published online: 30 JUL 2010
© 2010 The Authors. Internal Medicine Journal © 2010 Royal Australasian College of Physicians
Internal Medicine Journal
Volume 42, Issue 6, pages e102–e107, June 2012
How to Cite
LoGiudice, D. C., Smith, K., Atkinson, D., Dwyer, A., Lautenschlager, N., Almeida, O. A. and Flicker, L. (2012), Preliminary evaluation of the prevalence of falls, pain and urinary incontinence in remote living Indigenous Australians over the age of 45 years. Internal Medicine Journal, 42: e102–e107. doi: 10.1111/j.1445-5994.2010.02332.x
- Issue published online: 14 JUN 2012
- Article first published online: 30 JUL 2010
- Accepted manuscript online: 30 JUL 2010 12:00AM EST
- Received 16 May 2010; accepted 15 July 2010.
- indigenous population;
Aims: To report on the prevalence of falls, urinary incontinence, pain and associated factors in remote living Indigenous Australians over the age of 45 years.
Methods: A cross-sectional, semi-purposeful sample of 363 indigenous men and women aged over 45 years living in six remote communities and one town in Kimberley, Australia. Participants were assessed for self- or informant-reported rates of falls, urinary incontinence and pain.
Results: The prevalence of self- or informant-reported falls was 31% (95% CI 25.3, 36.7), pain 55% (95% CI 47.4, 62.6) and urinary incontinence 9% (95% CI 5.9, 12.1%). Associations with falls after adjustment for age, sex and education included alcohol use (OR 2.4, 95% CI 1.4, 4.2), stroke (OR 2.4, 95% CI 1.1, 5.0), epilepsy (OR 3.5, 95% CI 1.1, 11.6), head injury (OR 2.1, 95% CI 1.3, 3.3) and poor hearing (OR 2.5, 95% CI 1.4, 4.1); for urinary incontinence epilepsy (OR 6.0, 95% CI 1.7, 21.2) and stroke (OR 16.7, 95% CI 6.0, 46.3); and for pain, poor hearing (OR 1.9, 95% CI 1.0, 3.3) and female sex (OR 1.8, 95% CI 1.2, 2.7).
Conclusions: Falls, urinary incontinence and pain are common and reported for the first time in older indigenous people living in remote regions. The presence of these syndromes in ages over 45 may be due to accumulation of health insults during the life course.