Document Detail


Risk factors for falling in older Mexican Americans.
MedLine Citation:
PMID:  15328944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To estimate the prevalence of falls and the risk factors associated with falls in Mexican-American men and women aged 72 and older, from the Hispanic Established Population for the Epidemiological Study of the Elderly. DESIGN: A 2-year cohort study. SETTING: Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. METHODS: Data on sociodemographic characteristics, health status, cognitive function, affective function, functional status, body mass index, and summary performance measures of lower body function, were obtained (1998-1999). Two years later (2000-2001), falls in the previous 12 months were assessed by self-report. Chi-square, univariate statistics, and multivariate logistic regression analyses were used. RESULTS: Of the 1,391 participants, 31.8% fell one or more times, and 14.2% reported 2 or more falls. In the logistic regression analysis, aged > or = 80 years (adjusted odds ratio [OR]=1.52, 95% confidence interval [CI]=1.17-1.98), being female (OR=1.45, 95% CI 1.13-1.86), having diabetes (OR=1.37, 95% CI 1.06-1.77), having arthritis (OR=1.32, 95% CI 1.04-1.68), experiencing impairment of instrumental activities of daily living (OR=1.05, 95% CI 1.01-1.10), and exhibiting high depressive symptoms (OR=1.59, 95% CI 1.16-2.19), were significant (P<.05) independent risk factors for one or more falls. The risk of falling increased linearly with the number of risk factors, from 14% with none, to 41% with 3 or more risk factors (P<.001). CONCLUSIONS: Prevalence of falls among older Mexican Americans was similar to that reported in non-Hispanic Caucasians. Potential modifiable conditions, such as functional deficits, arthritis, diabetes, and depressive symptoms were independent risk factors for falls in this population.
Authors:
Carlos A Reyes-Ortiz; Soham Al Snih; José Loera; Laura A Ray; Kyriakos Markides
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Ethnicity & disease     Volume:  14     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2004  
Date Detail:
Created Date:  2004-08-26     Completed Date:  2004-11-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-22     Citation Subset:  IM    
Affiliation:
Division of Geriatrics, Sealy Center on Aging, Galveston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control,  statistics & numerical data*
Activities of Daily Living
Aged
Aged, 80 and over
Chi-Square Distribution
Cohort Studies
Confidence Intervals
Female
Health Status*
Humans
Logistic Models
Male
Mexican Americans / statistics & numerical data*
Odds Ratio
Prevalence
Risk Factors
Socioeconomic Factors
Southwestern United States / epidemiology
Grant Support
ID/Acronym/Agency:
AG10939/AG/NIA NIH HHS; K-08 AT00722-01/AT/NCCAM NIH HHS; P50 CA105631/CA/NCI NIH HHS; P60 AG17231/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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