Prevalence and risk factors for Falls among older adults in a primary care facility in Ghana.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Madison Adanusa, Seth Kofi Pobee, Ebenezer Zaabaar, Vukey Mawuko, Kofi Asiedu, Solomon Kweku Amuzu, Wendy Adubofour, Celestine Bazayeya, Ethel Enam Yawo Senaya, Desiree Citsofe Ofori, Samuel Kyei
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引用次数: 0

Abstract

Background: Falls are a serious problem and are among the leading causes of morbidity, functional dependency, and death in older adults. Falls have become a social and global public health concern due to the current aging population in Africa and across the globe. However, their prevalence and risk factors have received little attention in Africa.

Purpose: Thus, this study aimed to provide a baseline survey to determine the prevalence and associated risk factors for falls among older adults attending a primary care facility in Cape Coast, Ghana.

Results: Participants (n = 244) were patients aged 60 years and older who visited the University of Cape Coast Hospital. The prevalence of falls identified in this hospital-based study was 40.2%. The following independent variables were found to be statistically significant predictors of risk of falls among the participants when compared with their respective reference categories; age 80 years and above [OR = 3.707, 95% CI = 1.738 - 7.907, p = 0.001], participants who had a history of falls [OR = 2.234, 95% CI = 1.326 - 3.765, p = 0.003], participants with three or more co-morbidities [OR = 16.456, 95% CI = 2.099 - 129.020, p = 0.008] and obesity [OR = 2.211, 95% CI = 1.151 - 4.250, p = 0.017].

Conclusion: The prevalence of falls among older adults is high. Thus, clinicians in the primary care setting should screen for, give fall prevention education, and prescribe appropriate interventions to at-risk patients.

加纳初级保健机构中老年人跌倒的患病率和危险因素
背景跌倒是一个严重的问题,是导致老年人发病、功能依赖和死亡的主要原因之一。由于当前非洲和全球人口老龄化,秋季成为一个社会和全球公共卫生问题。然而,它们的流行率和风险因素在非洲很少受到关注。目的因此,本研究旨在提供一项基线调查,以确定加纳开普海岸初级保健机构中老年成年人跌倒的患病率和相关风险因素。结果参与者(n=244)为60岁及以上的患者,他们曾到开普海岸大学医院就诊。这项基于医院的研究中发现的跌倒患病率为40.2%。与各自的参考类别相比,以下自变量是参与者跌倒风险的统计学显著预测因素;年龄80岁及以上[OR=3.707,95%CI=1.738-7.07,p=0.001],有跌倒史的参与者[OR=2.234,95%CI=1.326-37.65,p=0.003],有三种或三种以上合并症的参与者[OOR=16.456,95%CI=2.099-129.020,p=0.008]和肥胖[OR=2.211,95%CI=1.151-4.250,p=0.017]。结论老年人跌倒的患病率较高。因此,初级保健环境中的临床医生应该筛查、进行跌倒预防教育,并为高危患者开出适当的干预措施。
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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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