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Abstract:
BACKGROUND:More than half of homeless adults are of age ≥ 50 years. Falls are a common cause of morbidity in older adults in the general population. Risk factors for falls in the general population include poor health, alcohol use, and exposure to unsafe environments. Homeless adults aged ≥ 50 have a high prevalence of known risk factors and face additional potential risks. OBJECTIVES:To examine the prevalence of and risk of falling in a cohort of older homeless adults. DESIGN:Longitudinal cohort study with participant interviews every 6 months for 3 years; data were analyzed using generalized estimating equations (GEEs). PARTICIPANTS:Three hundred fifty adults aged ≥ 50, homeless at study entry, recruited via population-based sampling. MEASURES:The dependent variable is any falls in prior 6 months; independent variables include individual (i.e., illness, behaviors) and social/environmental (i.e., social support, experiencing violence, living unsheltered) factors. RESULTS:Over three quarters of participants were men (77.1%) and Black (79.7%). The median age was 58 (IQR 54, 61). At baseline, one third (33.7%) reported a fall in the prior 6 months. At follow-up visits, 23.1% to 31.2% of participants reported having fallen. In GEE models, individual risk factors (non-Black race, being a women, older age, functional impairment, urinary incontinence, history of stroke, and use of assistive devices, opioid, and marijuana) were associated with increased odds of falls. Environmental and social factors (spending any nights unsheltered (adjusted odds ratio (AOR) = 1.42, CI = 1.10-1.83) and experiencing physical assault (AOR = 1.67, CI = 1.18-2.37) were also associated. CONCLUSIONS:Older homeless adults fall frequently. Likely contributors include having a high prevalence of conditions that increase the risk of falls, compounded by heightened exposure to unsafe environments. Fall prevention in this population should target those at highest risk and address modifiable environmental conditions. Providing shelter or housing and addressing substance use could reduce morbidity from falls in homeless older adults.
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最新影响因子:6.473 | 期刊ISSN:0884-8734 | CiteScore:2.0 |
出版周期:Monthly | 是否OA:YES | 出版年份:1986 |
期刊官方网址:http://link.springer.com/journal/11606
期刊投稿地址:http://www.jgim.org/
自引率:7.00% | 研究方向:医学-医学:内科 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Official Journal of the Society of General Internal Medicine. The Journal of General Internal Medicine promotes improved patient care, research, and education in primary care. Its articles focus on topics such as epidemiology, prevention, the health care system, curriculum development, and numerous other non-traditional themes, in addition to classic clinical research on problems in internal medicine.
普通内科学会官方期刊。《普通内科杂志》促进改善初级保健的病人护理、研究和教育。它的文章集中于流行病学、预防、卫生保健系统、课程开发和许多其他非传统主题,以及关于内科问题的经典临床研究。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
HEALTH CARE SCIENCES & SERVICES (卫生保健与服务) 2区 MEDICINE, GENERAL & INTERNAL (医学:内科) 2区 |
14/94 22/155 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
158 | 142 | 16 |
引文计数(2018)
文献(2015-2017)
2552次引用
1273篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Internal Medicine
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#48/121
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发表一篇学和医学成像类SCI论文
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