Determinants of Falls in Community-Dwelling Elderly: Hierarchical Analysis

Authors

  • Thais Alves Brito M.P.H,

    1. Núcleo de Estudos em Epidemiologia do Envelhecimento, Universidade Estadual do Sudoeste da Bahia (UESB), Bahia, Brazil
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  • Raildo da Silva Coqueiro M.S.,

    1. Núcleo de Estudos em Epidemiologia do Envelhecimento, Universidade Estadual do Sudoeste da Bahia (UESB), Bahia, Brazil
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  • Marcos Henrique Fernandes Ph.D.,

    1. Programa de Pós-Graduação em Enfermagem e Saúde (UESB), Bahia, Brazil
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  • Cleber Souza de Jesus M.P.H

    Corresponding author
    1. Núcleo de Estudos em Epidemiologia do Envelhecimento, Universidade Estadual do Sudoeste da Bahia (UESB), Bahia, Brazil
    • Correspondence to:

      Cleber Souza de Jesus, Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde, Núcleo de Estudos em Epidemiologia do Envelhecimento (NEPE), Av. José Moreira Sobrinho, S/N, Jequiezinho, Jequié – BA 45206-190, Brazil. E-mail: csjesus@uesb.edu.br

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Abstract

Objective

To analyze the fall-related factors in community-dwelling elderly.

Design and Sample

Epidemiologic cross-sectional population-based household study with hierarchical interrelationships among the potential risk factors. The sample was made up of noninstitutionalized individuals over age 60, who were resident of a city in Brazil's Northeast Region.

Measures

The dependent variable was fall occurrence in the last 12 months; independent variables were sociodemographic, behavioral, health, and functional status factors. Multivariate hierarchical Poisson regression analysis was used based on a proposed theoretic model.

Results

Three hundred and sixteen (89.0%) elderly participated of the survey, average age 74.2 years; the majority was female, with limited literacy and had low-medium family income. The fall prevalence was of 25.8%; occurrence was related to depression symptoms (PR = 1.55) and balance limitation (PR = 1.56).

Conclusions

The high fall prevalence among elderly necessitates the identification of fall-related factors for action planning prevention programs with this group.

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