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The prevalence, circumstances and consequences of unintentional falls among elderly Iranians: A population study
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Tehran University of Medical Sciences, Tehran, Iran.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Karolinska Institutet.
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
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2018 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 79, p. 123-130Article in journal (Refereed) Published
Abstract [en]

Background and aim

Falling threatens the health, independence and quality of life of older adults. Information about characteristics and predisposing factors of falls is essential to develop and implement effective preventing measure. The aim of this study was to examine the prevalence, circumstances and consequences of falls among community-dwelling older adults in Tehran, Iran, and scrutinize factors (e.g. demographics) associated with falls.

Methods

A cross-sectional study was conducted in Tehran. A total of 653 individuals aged 65 years and over were selected by a stratified random sampling as representing older adults in Tehran. All required data were collected through face-to-face interviews using questionnaires.

Results

The prevalence of falls was 39.7% and higher in women than in men. For both sexes, most of the falls occurred in the afternoon (n = 135, 52.1%) and at home (n = 209, 80.7%). One-fourth of the falls (23.2%) occurred in a forward direction, mostly among women (60%). For both sexes, one-third of the causes of falls were loss of balance, mostly among women and the oldest persons. Two-hundred and twelve of the fallers reported injuries. The logistic regression showed that female gender, low education and constant worries about living expenses were significantly associated with falls.

Conclusions

This study may have provided new insights into the characteristics/ circumstances/ consequences of injurious falls and their relation with age, gender and injury severity in Iran. It may be useful for health policy makers and health providers when designing falls intervention and prevention programs at the community level.

Place, publisher, year, edition, pages
2018. Vol. 79, p. 123-130
Keywords [en]
Falls, Prevalence, Older adults, Circumstances, Consequences
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-34471DOI: 10.1016/j.archger.2018.08.001ISI: 000447149300020PubMedID: 30205318Scopus ID: 2-s2.0-85053056987OAI: oai:DiVA.org:miun-34471DiVA, id: diva2:1250132
Available from: 2018-09-21 Created: 2018-09-21 Last updated: 2019-01-16Bibliographically approved

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