Cause, nature and care-seeking behaviour for injuries among community-dwelling older adults, USA, 2004–2013

Xu, Dongjuan; Drew, Julia A. Rivera

doi:10.1136/injuryprev-2015-041583

Cited by 15 publications

(11 citation statements)

References 23 publications

(19 reference statements)

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“…A much higher proportion of American elders lived alone than their Chinese counterparts (30% vs 10%), while a much higher proportion of Chinese elders lived with others with no spouse or partner present than their American counterparts (17% vs 11%). In the USA, coresidence of older adults with others may indicate vulnerable health and need for live-in assistance 20. We found that American elders living with others with no spouse or partner present reported worse health status than those in other living arrangements.…”

Section: Discussionmentioning

confidence: 67%

A cross-sectional study of self-rated health among older adults: a comparison of China and the United States

Wang

2019

BMJ Open

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ObjectivesWe used nationally representative samples of China and the US older population to investigate (1) whether factors influencing self-rated health among older Chinese were similar to those among older Americans; and (2) whether there was a significant cross-national difference in self-rated health between China and the USA after controlling those available influencing factors.DesignA cross-sectional study. Data came from the 2014 Health and Retirement Study and China Health and Retirement Longitudinal Study conducted from 2014 to 2015.ParticipantsOur final sample size totaled 8905 older adults in the USA and 4442 older adults in China.OutcomeThe response variable was self-rated health. Ordered logistic regression models were conducted to investigate factors influencing self-rated health among older adults.ResultsMore than three-fourths (78%) of older adults in China reported fair or poor health status, while almost 74% of older adults in the USA reported excellent, very good or good health status. In the overall ordered logistic regression model, when controlling statistically for sociodemographics, family structure, functional limitations, cognition, chronic conditions, mental health and health-related behaviours, the Chinese survey respondents were much more likely to rate their health as being poorer than the US respondents. The odds of having better versus poorer health was almost five times greater in American older adults than those in China (OR=4.88, 95% CI 4.06 to 5.86). Older adults in China living alone rated their health better than those living with spouse/partner; however, no significant difference was found between these two living arrangements in older Americans. In contrast, older adults in the USA living with others rated their health worse compared with those living with spouse/partner. In addition, older adults who had more activities of daily living limitations, poorer self-reported memory, worse mental health and chronic health conditions had lower self-rated health in both countries.ConclusionsWe found a striking difference in self-rated health between China and the USA even after controlling for measures of disease, functional status and other influencing factors. Relative to their American counterparts, Chinese elders were much more likely to report worse health.

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Section: Discussionmentioning

confidence: 67%

A cross-sectional study of self-rated health among older adults: a comparison of China and the United States

Wang

2019

BMJ Open

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“…Moreover, approximately 30% of people over 65 years of age living in the community fall each year, according to a review based on the Cochrane database [ 1 ]. Injuries sustained in a fall were more likely to be serious than those due to other reasons in community-dwelling older adults that were characterized as hip fracture, head injury and/or other fracture [ 2 ]. From viewpoints of prevention medicine, all trials to reduce rate of falling or consequence of falling would be worthy.…”

Section: Introductionmentioning

confidence: 99%

Relationship between muscle strength and fall episodes among the elderly: the Yilan study, Taiwan

Yang

Hsu

Lin³

et al. 2018

BMC Geriatr

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BackgroundFall episodes are not unusual among community residents, especially the elderly, and lower muscle strength is an important issue to address in order to prevent falls.MethodsA community health survey was conducted in a suburban area of Taiwan, and 1067 older adults were selected for enrollment in the present study. All the enrolled subjects had been visited at their homes; the subjects’ strength of both hands and muscle mass of both legs were measured and well-established questionnaires were finished by certificated paramedic staffs.ResultsThe incidence of fall episodes in the previous 1 year in the Yilan elderly population was 15.1%, and the female predominance was significant. A significantly higher prevalence of cataracts was found in group who experienced a fall in the past year (64% vs. 54.9% in the non-fall group). Mild or more severe dementia was much more prevalent in the group who experienced a recent fall (33.8% vs. 25.7% in the non-fall group). The strength of both hands tested as the physical function was 17.6 ± 8.0 kg in the recent fall group, significantly weaker than that in the non-fall group (20.7 ± 8.7 kg). Multivariate regression analysis revealed a greater weekly exercise duration and greater strength of both hands reduced the occurrence of falls among the whole and the female population. The standardized effect sizes of hand grip strength between both groups, not trivial, were 0.29 and 0.37 for the total population and the female subpopulation respectively.ConclusionsLess weekly exercise duration and weaker muscle strength were f ound to be independent risk factors of fall episode(s) in an elderly Taiwanese population, especially in the female sub-population. Muscle strength, measured by average of both hands grip strength, was the most significantly factor of one-year fall episode(s) accessed retrospectively.

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“…The toolkit includes a questionnaire and algorithm (Figure 1) that guides clinicians through screening and assessment for risk factors to enable classification of an older adult as low, moderate, or high risk for falling and recommends referrals and interventions to address individually identified risk factors (Stevens & Phelan, 2013). Successful interventions for fall prevention include, but are not limited to, participation in programs to encourage exercise to maintain and increase strength and balance, medication management, and home modifications (Xu & Drew, 2017). Screening for fall risk and addressing modifiable risk factors may potentially decrease falls by as much as 25% (Houry, Florence, Baldwin, Stevens, & McClure, 2016).…”

Section: Introductionmentioning

confidence: 99%

Older Adults’ Experience With Fall Prevention Recommendations Derived From the STEADI

Vincenzo

Patton

2019

Health Promotion Practice

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The Centers for Disease Control and Prevention (CDC) Stopping Elderly Accidents, Deaths & Injuries (STEADI) toolkit is a national effort to prevent falls among older adults. Studies have been conducted on implementation of the STEADI, but no studies have investigated older adults’ adherence to or perceptions of fall prevention recommendations delineated within the STEADI algorithm. Semistructured interviews were conducted with a purposive sample of older adults 6 months after attending a falls risk assessment. Seventy-nine percent accurately recalled their fall risk, 57% followed one or more recommendations, and 32% did not recall at least one recommendation correctly. The most common recommendation recalled and adhered to was exercise. No participants recalled or adhered to recommendations including medication review, taking time changing positions, vision check, podiatrist visit, or physical therapy. Thirty-two percent fell. Of these, 55.6% did not follow any recommendations. Interview transcripts were analyzed using comparative methodology following the tenets of thematic analysis. Three themes emerged: participating in fall prevention, barriers to following recommendations, and providers can encourage people to prevent falls. An unexpected facilitator to participation in fall prevention efforts emerged—older adults’ perception that they were positively influencing society by participating in research and working with students and the university. This finding provides an opportunity for providers of health education to address the growing public health issue of falls among older adults while also creating opportunities for students to engage in community service and interdisciplinary service learning.

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Cause, nature and care-seeking behaviour for injuries among community-dwelling older adults, USA, 2004–2013

Cited by 15 publications

References 23 publications

A cross-sectional study of self-rated health among older adults: a comparison of China and the United States

A cross-sectional study of self-rated health among older adults: a comparison of China and the United States

Relationship between muscle strength and fall episodes among the elderly: the Yilan study, Taiwan

Older Adults’ Experience With Fall Prevention Recommendations Derived From the STEADI

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