Prevalence and risk factors of falls among elderly in Yasothon province

Authors

  • Thanom Namwong Yasothon Provincial Health Office
  • Narisara Arrirak Yasothon Provincial Health Office

DOI:

https://doi.org/10.14456/dcj.2023.14

Keywords:

elderly, falls, prevalence, risk factor

Abstract

This cross-sectional study aimed to examine the prevalence and identify factors associated with falls in the elderly. All elderly people aged 60 years and over in ​​Muang Yasothon district were included into this study. Data were collected using fall risk assessment tool of elderly and analyzed by descriptive statistics and multiple logistic regression was performed to identify risk factors associated with falls. A total of 20,994 elderly people were recruited and 18,818 (89.6%) met the inclusion criteria. The prevalence of falls was 7.5% (95%CI 7.1-7.9); 6.1% in males, 8.6% in females. The falls prevalence increased with age. Six factors associated with falls were female gender (ORadj 1.6, 95%CI 1.3-1.9), visual impairment (ORadj 1.4, 95%CI 1.3-1.6), balance impairment (ORadj 1.5, 95%CI 1.4-1.6), medication use (ORadj 1.8, 95%CI 1.6-2.1), Thai style house or elevated house with stairs (ORadj 1.3, 95%CI 1.2-1.5), and high waist circumference (ORadj 1.3, 95%CI 1.1-1.6). The falls prevalence increased with age as an increasing of body deterioration. Therefore, healthcare workers are suggested to use these 6 risks associated with falls to design the health care systems for elderly in the community.

References

Yamwong N. Quality of life and physical activities of daily living among elderly patients at HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Heal Sci. 2014;21(1):36–44. (in Thai)

Udombhornprabha A, Boonhong J, Tejapongvorachai T. Health-related quality of life of the Thai hip fracture patients after the one year of post- hospital discharge. Srinagarind Med J. 2012;27(2):180–8. (in Thai)

Wongworaphithak C. Mortality Rate at One Year in elderly hip fracture patients treated with Non-surgical methods. Region 11 Medical Journal. 2016;30(4):345–55. (in Thai)

Srichang N, Kawee L. Fall forecast report of the elderly (aged 60 years and over) in Thailand, 2017 - 2021. Non-communicable disease specialist, Department of disease control; 2021. (in Thai)

Kumkwan Y, Khumngeon A, Wannalai U, Khatta N. Home-based fall prevention guideline in Thai contexts for elderly people. Nursing journal of the Ministry of Public Health. 2018;28(3):10–22. (in Thai)

International Health Policy Development Agency. Health status report on the burden of diseases and injuries of the Thai population 2014. Nonthaburi: International Health Policy Development Agency; 2017. (in Thai)

Tsai YJ, Yang PY, Yang YC, Lin MR, Wang YW. Prevalence and risk factors of falls among community-dwelling older people: results from three consecutive waves of the national health interview survey in Taiwan. BMC Geriatr. 2020;20(1):1–11.

Ek S, Rizzuto D, Fratiglioni L, Calderón-Larrañaga A, Johnell K, Sjongth of Follow-Up. J Am Geriatr Soc. 2019;67(2):246–53.

Luang-ubol J, Klangkarn S, Promsatayaprot V. Prevalence and associated risk factors of fall among older adults in rural Maha-sarakham. Journal of The Office of ODPC 7 Khon Kaen. 2020;27(3):11–21. (in Thai)

Vannajak K, Taweekarn-Vannajak P. Falling in osteoporosis elderly: Cause and exercise for prevention. The Public Health Journal of Burapha University. 2018;13(2):142–50. (in Thai)

Phucharern O, Rodkaew A, Konkong C. The related factors on elderly fall in huaroe subdistrict, Mueang district, Phitsanulok province. PSRU Journal of Science and Technology. 2018;3(2):46–54. (in Thai)

Lecktip C, Woratanarat T, Bhubhanil S, Lapmanee S. Risk factors for falls in elderly. J Med Health Sci. 2019;26(1):57–60. (in Thai)

Department of Elderly Affairs. Statistics of the elderly in Thailand [Internet]. 2020. [cited 2021 Jun 6]. Available from: https://www.dop.go.th/th/know/1. (in Thai)

Pipatyaokul R. Outcome after hip fracture in elderly patients. Medical Journal of Srisaket Surin Buriram Hospital. 2017;32(1):21–32. (in Thai)

Health Data Center (HDC). Health status Yasothon province [Internet]. 2022 [cited 2021 Jun 6]. Available from: https://yst.hdc.moph.go.th/hdc/reports/page.php?cat_id=7f9ab56b0f39fd053143ecc4f05354fc.(in Thai)

Strategy and Planning Division Office of the Permanent Secretary, Ministry of Public Health. The 20-year national strategic plan 2017-2036. Nonthaburi: Office of the Permanent Secretary; 2021. (in Thai)

Office of the National Economic and Social Development Council. National economic development plan. No. 12 (2017-2021) [Internet]. 2022 [cited 2021 Feb 2]. Available from: https://www.nesdc.go.th/ewt_news.php?nid=6420&filename=develop_issue. (in Thai)

Strategy and Planning Division Office of the Permanent Secretary, Ministry of Public Health. Details of indicators of the Ministry of Public Health Fiscal Year 2021 [Internet]. 2021 [cited 2021 Jun 2]. Available from: https://bps.moph.go.th/new_bps/sites/default/files/PDF File.pdf. (in Thai)

Yasothon Provincial Public Health Office. Documents for government inspection and supervision work. Normal case, round 2/2021, Yasothon: Yasothon Provincial Public Health Office; 2021. (in Thai)

Visanuyothin T, Duangthipsirikul D, Kaweekorn P, Phokthip S, Sanguanwongwan S, Chaichuay P. Project implementation of community health system development into an integrated seamless health service system for the high-risk elderly of Stroke, STEMI and Hip fracture in 10th Public Health Region. Ubon-ratchathani: Ultimat printing; 2021. (in Thai)

Thiamwong L, Thamarpirat J, Maneesriwongul W, Jitapunkul S. Thai falls risk assessment test (Thai-FRAT) developed for community-dwelling thai elderly. J Med Assoc Thai. 2008;91(12):1823–32.

Cochran WG. Sampling techniques. 3rd ed. Biostatistics. New York: John Wiley & Son; 1977.

Hosmer, D.W. and Lemeshow S. Applied logistic regression. 2nd ed. New York: McGraw-Hill.; 2000.

Susilowati IH, Nugraha S, Sabarinah S, Peltzer K, Pengpid S, Hasiholan BP. Prevalence and risk factors associated with falls among community-dwelling and institutionalized older adults in indonesia. Malaysian Fam Physician. 2020;15(1):30–8.

Rodseeda P. Fall prevention among the elderly living in a community: The nursing role in home health care. Thai Red Cross Nurs J. 2018;11(2):15–25. (in Thai)

Greiner M, Pfeiffer D SR. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev Vet Med. 2000;45(1–2):23–41.

Downloads

Published

2023-03-25

How to Cite

1.
Namwong T, Arrirak N. Prevalence and risk factors of falls among elderly in Yasothon province. Dis Control J [Internet]. 2023 Mar. 25 [cited 2024 May 10];49(1):158-66. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/255171

Issue

Section

Original Article