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The effects of mental health on recurrent falls among elderly adults, based on Korean Community Health Survey data

Epidemiology and Health 2020년 42권 1호 p.5 ~ 5
Jo Kyung-Hee, 박종, 류소연,
소속 상세정보
 ( Jo Kyung-Hee ) - Chosun University Graduate School Department of Public Health
박종 ( Park Jong ) - Chosun University College of Medicine Department of Preventive Medicine
류소연 ( Ryu So-Yeon ) - Chosun University College of Medicine Department of Preventive Medicine

Abstract


OBJECTIVES: This study aimed to identify the effect of mental health on frequency of falls (single and recurrent falls) among elderly adults.

METHODS: Data were drawn from the 2015 Korean Community Health Survey. A chi-square test was conducted to compare differences in fall frequency according to health-related behaviors, chronic diseases, and mental health. Subsequently, multinomial logistic regression analysis was used to identify the effects of mental health on single and recurrent falls based on variables found to be significant in the chi-square test.

RESULTS: Recurrent falls were found to be more risky than single falls. Depression was significantly related to single falls (odds ratio [OR], 1.27; 95% confidence interval [CI], 1.12 to 1.44). Depression (OR, 1.56; 95% CI, 1.38 to 1.76), sleep disorder (5 hours or less: OR, 1.12; 95% CI, 1.02 to 1.23; more than 9 hours: OR, 1.24; 95% CI, 1.07 to 1.44, respectively), and subjective stress (OR, 2.30; 95% CI, 1.90 to 2.78) were significantly related to recurrent falls.

CONCLUSIONS: The study’s findings suggest that specialized fall prevention programs are needed to address different types of falls in elderly adults. To prevent recurrent falls, systematic treatment strategies and rehabilitation training must improve physical function and mental health.

키워드

Accidental falls; Mental health; Depression; Aged; Korea Community Health Survey

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