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1 "Accidental falls"
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Original Article
The effects of mental health on recurrent falls among elderly adults, based on Korean Community Health Survey data
Kyung Hee Jo, Jong Park, So Yeon Ryu
Epidemiol Health. 2020;42:e2020005.   Published online February 2, 2020
DOI: https://doi.org/10.4178/epih.e2020005
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  • 8 Web of Science
  • 9 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
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.
Summary
Korean summary
우리나라 노인에서 정신건강이 낙상에 미치는 영향을 확인하였고, 그 결과 단순낙상은 우울감 경험을 한 경우 낙상발생 위험이 증가했으며, 반복낙상은 우울감을 경험하고, 수면장애가 있으며(수면시간 6시간 미만, 9시간 이상), 주관적 스트레스가 커질수록 낙상 위험이 증가하였다. 최종적으로 노인의 정신건강이 반복낙상에 미치는 영향이 더 큰 것을 확인하였다. 본 연구결과를 통해 낙상 예방 및 관리를 위한 보건사업을 제시하고, 반복낙상자의 정신적/신체적 기능 증진을 위한 치료전략과 재활훈련 계획의 근거자료로 활용할 수 있을 것으로 생각된다.

Citations

Citations to this article as recorded by  
  • The understanding and experience of falls among community-dwelling adults aged 50 and over living with mental illness: A qualitative study
    Ling Koh, Lynette Mackenzie, Mandy Meehan, Diane Grayshon, Meryl Lovarini
    Aging & Mental Health.2023; 27(4): 789.     CrossRef
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    Yeong Mi Seo, Eun Sook Lee
    Research in Community and Public Health Nursing.2023; 34: 12.     CrossRef
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    Vanessa Koh, David B. Matchar, Angelique Chan
    Archives of Gerontology and Geriatrics.2023; 112: 105015.     CrossRef
  • The genetics of falling susceptibility and identification of causal risk factors
    Matt C. Smith, Jessica O’Loughlin, Vasileios Karageorgiou, Francesco Casanova, Genevieve K. R. Williams, Malcolm Hilton, Jessica Tyrrell
    Scientific Reports.2023;[Epub]     CrossRef
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    Sadaya Misaki, Hiroshi Murayama, Mika Sugiyama, Hiroki Inagaki, Tsuyoshi Okamura, Chiaki Ura, Fumiko Miyamae, Ayako Edahiro, Keiko Motokawa, Shuichi Awata
    Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics.2023; 60(4): 364.     CrossRef
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    Hyun Jin Park, Ui Jeong Kim, Won kyung Lee, Bohyun Park, Yoonhee Shin, Seonhwa Lee, Eun Jeong Choi, Nam-eun Kim, Ju Ok Park, Hyesook Park
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable
    Shaoliang Tang, Meixian Liu, Tongling Yang, Chaoyu Ye, Ying Gong, Ling Yao, Yun Xu, Yamei Bai
    BMC Geriatrics.2022;[Epub]     CrossRef
  • Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
    Mi Young Kim, Yujeong Kim
    BMC Geriatrics.2022;[Epub]     CrossRef
  • A Machine Learning Approach for the Classification of Falls and Activities of Daily Living in Agricultural Workers
    Hyunmok Son, Jae Woon Lim, Sangbae Park, Byeongjoo Park, Jinsub Han, Hong Bae Kim, Myung Chul Lee, Kyoung-Je Jang, Ghiseok Kim, Jong Hoon Chung
    IEEE Access.2022; 10: 77418.     CrossRef

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