Risk factors for unintentional injuries among the rural elderly: a county-based cross-sectional survey

Unintentional injuries are major causes of mortality and morbidity. Although generally perceived as accidents, it is possible to identify those at higher risk and implement appropriate prevention measures. This study aims to investigate the common causes of unintentional injuries and their associated risk factors among a large representative sample. Data of 12,022 individuals who completed the Hong Kong Population Health Survey 2014/15 were extracted. The primary outcome was the prevalence of having unintentional injury(-ies) in the previous 12 months that was severe enough to limit daily activities. Multivariable logistic regression analyses were conducted to identify associations between injuries and sociodemographic, clinical and lifestyle factors. 14.5% of respondents reported episode(s) of unintentional injury in the past 12 months in the population level. The main causes of top three most severe unintentional injuries were sprains (24.0%), falls (19.9%) and being hit/struck (19.6%). 13.2% injury episodes were work-related among the most severe episode. Factors independently associated with significantly higher risks of injury included currently employed, homemaker or student, born in Hong Kong (as compared with immigrants), doctor-diagnosed chronic conditions, harmful alcohol consumption, insufficient sleep, and disturbed sleep. To summarize, unintentional injuries are highly prevalent and associated with harmful drinking, insufficient sleep, and disturbed sleep, which are potential modifiable risk factors for prevention.

Section: Risk Factors For Unintentional Injuriessupporting

confidence: 91%

Unintentional Injury Burden in Hong Kong: Results from a Representative Population-Based Survey

Tang

Bedford

et al. 2021

“…Household structures in the Philippines are steadily changing [35]. Migration among the predominantly young workforce has reduced the number of individuals rendering care assistance and attention to older adult household members left in rural areas, increasing their risk of having an accident within their homes, which is comparable to a study from China [21]. In addition, health insurance coverage among older Filipinos has increased over the years, enhancing the seeking of health care and an awareness with conditions, including injuries.…”

Section: Differential On Self-reported Injuries With Characteristics Of Older Filipinosmentioning

confidence: 97%

“…To further elucidate the patterns and particularly the characteristics associated with self-reported injuries among older adults, several socioeconomic and demographic variables, as well as health characteristics, that have been theoretically and empirically linked with experience of having injuries, were included [5,9,[19][20][21]30]. Participant's age was categorized as follows: 60-69, 70-79, and 80 years or over.…”

Section: Exposure Variablesmentioning

confidence: 99%

“…This information is required to serve as a basis for the development of national and local strategies that will effectively prevent injuries from happening, reducing untoward negative effects on the wellbeing of older adults and therefore, effectively catering and responding to the health and welfare needs of older adults. Currently, studies from other countries conducted during a single time period has shown that those populations that include older adults aged 75 or over, women, those residing in rural areas, those that are married, those living with other household members, those that are economically disadvantaged, those that are illiterate, those covered by health insurance, and those with a chronic condition were found to be correlated with a higher prevalence of home accidents, falls, or unintentional injuries [9,14,[19][20][21]. However, given the context of the Philippines, it is important to determine the specific socioeconomic, demographic, and health characteristics associated with suffering from common injuries among community-dwelling older adults over the years as these factors may present a different meaning and impact in comparison, particularly with developed settings.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Determinants of Self-Reported Injuries among Community-Dwelling Older Adults in the Philippines: A 10-Year Pooled Analysis

Moncatar

Nakamura

Siongco

et al. 2020

Injury among older adults is a serious health concern, but little information is known about it, particularly in developing countries. This study aimed to determine the prevalence of, and examine the socioeconomic, demographic, and health determinants of, self-reported injuries among older Filipinos. Using a pooled data of 21,316 community-dwelling residents aged 60 years or over from three waves of the Philippine National Demographic and Health Survey, multivariate logistic regression analyses were performed to assess the relationship between participants’ characteristics and reports of injuries. The total prevalence of self-reported injuries over a 10-year period was at 1.2%. Older adults with either government or private health insurance were more likely to report experiencing injuries (adjusted odds ratio (AOR) 1.55, 95% confidence interval (CI), 1.14–2.11), regardless of socio-demographic and economic status. In contrast, female older adults were found to be associated with a lower likelihood of self-reported injuries, after adjustment for other variables (AOR 0.69, 95% CI 0.53–0.88). Older adults who attained secondary education or higher also showed a lower likelihood of self-reported injuries (AOR 0.53, 95% CI 0.31–0.92). The proportion of older adults with injuries in the Philippines is still relatively low. However, preventive approaches with a special focus on gender, educational attainment, and health insurance status of older adults are warranted.

“…Injuries can be intentional or unintentional. Risk factors for the occurrence of injuries include chronic diseases (e.g., DM, CKD, orthostatic hypotension, cataracts) and lifestyle factors (e.g., walking stick, sleep duration, mental health) [5]. However, few studies have investigated the relationship between gout and the occurrence of injury.…”

Section: Introductionmentioning

confidence: 99%

Association Between Gout and Injury Risk: A National Retrospective Cohort Study

Chou

Lin

et al. 2020

The association between gout and injury remains unclear. This study aimed to investigate the injury risk in patients with gout. Using the Longitudinal Health Insurance Database (LHID) from 2000 to 2010 in Taiwan, patients with gout (group CFG) and those without gout (group C) were enrolled for further analysis. The CFG group was separated into two subgroups (with and without medication) to determine whether the risk of injury was reduced with drug intervention. The follow-up period was defined as the time from the initial diagnosis of gout to the date of injury. A total of 257,442 individuals were enrolled in this study, with 85,814 people in group CFG and 171,628 people in group C. Using Cox regression analysis, group CFG showed a significant increase in the risk of injury. Traffic injuries, poisoning, falls, crushing/cutting/piercing injury, and suicides were prominent among these injuries. Furthermore, when urate-lowing drugs were used to treat the CFG group, there were no significant differences in the occurrence of injury. Patients with gout had an increased risk of injury overall, and drug intervention did not lower the risk of injury in these patients.