Abstract:
Background Fear of falling (FOF) is highly prevalent in the elderly, but there is a lack of data on FOF status and its associated factors in community- dwelling elderly women in China.
Objective To investigate the current situation of FOF in elderly women in community and analyze the related risk factors, so as to enrich the relevant data of FOF in elderly women in community and provide references for the development of personalized community fall prevention and control interventions.
Methods From June to September in 2021, 278 elderly women in the community of 3 elderly activity centers in Beijing were selected. Field questionnaires were used to collect demographic data, exercise status, sleep status, using walking aids or not, urinary urgency, self-perception of walking instability, types of diseases, long-term medication, fall history in the past year, FOF, anxiety and depression, and other data of the subjects.
Results The incidence of FOF was 53.2% in elderly women in community, and the incidence of FOF in community elderly women with a history of falls was 69.6%. Logistic regression analysis showed that living alone (OR=2.344, 95% CI: 1.114-4.931), lack of exercise (OR=1.983, 95% CI: 1.020-3.856), using walking aids (OR=2.640, 95% CI: 1.086-6.419), urinary urgency (OR=3.275, 95% CI: 1.509-7.109), unstable walking (OR=3.402, 95% CI: 1.799-6.432) and depression (OR=2.129, 95% CI: 1.129-4.016) were independently associated with FOF in community- dwelling women (P ＜ 0.001).
Conclusion There is a high incidence of FOF in elderly women in the community, and it is even higher in cases with a history of falls. Elderly women in the community who live alone, lack of exercise, using walking aids, rushing to the bathroom, walk unsteadily and depression are more likely to develop FOF. Attention should be paid to the screening and evaluation of these people, and targeted prevention measures should be implemented.
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