Title:	Falls among Brazilian older adults living in urban areas : ELSI-Brazil Quedas entre idosos brasileiros residentes em áreas urbanas : ELSI-Brasil
Authors:	Pimentel, Wendel Rodrigo Teixeira Pagotto, Valéria Stopa, Sheila Rizzato Hoffmann, Maria Cristina Corrêa Lopes Andrade, Fabíola Bof de Souza Junior, Paulo Roberto Borges de Costa, Maria Fernanda Lima Menezes, Ruth Losada de
Assunto::	Idosos Quedas (acidentes) em idosos Fatores socioeconômicos Pesquisa
Issue Date:	2018
Publisher:	Faculdade de Saúde Pública da Universidade de São Paulo
Citation:	PIMENTEL, Wendel Rodrigo Teixeira et al. Quedas entre idosos brasileiros residentes em áreas urbanas: ELSI-Brasil. Revista de Saúde Pública, São Paulo, v. 52, supl. 2, 12s, 2018. DOI: http://dx.doi.org/10.11606/s1518-8787.2018052000635. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300508&lng=pt&nrm=iso. Acesso em: 23 jan. 2019. Epub 25-Out-2018.
Abstract:	OBJECTIVE To assess the prevalence and factors associated with falls in a nationally representative sample of older Brazilians residing in urban areas. METHODS Data from 4,174 participants (60 years or older) from the baseline of ELSI-Brazil, conducted between 2015 and 2016, were used. The outcome variable was the reporting of one or more falls in the last 12 months. The exploratory variables were sociodemographic characteristics, factors related to the urban environment, and health conditions. Statistical analysis was performed using Poisson regression. RESULTS The prevalence of falls was 25.1%. Of these, 1.8% resulted in a hip or femur fracture and, among them, 31.8% required surgery for prosthesis placement. Statistically significant associations (p < 0.05) with falls were observed for females [prevalence ratio (PR) = 1.26], age group of 75 years or older (PR = 1.21), fear of falling due to defective sidewalks (PR = 1.47), fear of crossing streets (PR = 1.22), diabetes (PR = 1.17), arthritis or rheumatism (PR = 1.29), and depression (PR = 1.53). No significant associations were found for educational level, marital status, hypertension, and perception of violence in the neighborhood. CONCLUSIONS The factors associated with falls among older adults are multidimensional, comprising individual characteristics and the urban environment, which indicates the need for intra and intersectoral actions to prevent falls in this population.
Licença::	This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided that the original author and source are credited.
DOI:	http://dx.doi.org/10.11606/s1518-8787.2018052000635
Appears in Collections:	Artigos publicados em periódicos e afins

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