Psychological risk factors associated with falls among elderly people in Baghdad city, Iraq

Abstract

Background: Ageing of the population is one of the most important demographic facts that come to the foreground in the 21st century. Objective: To assess the relationship between psychological factors (depression, loneliness, using anti anxiety medication, fear from falls and internal displacement of the population) and falls among elderly people in Baghdad city, Iraq. Methods: A matched 1:1 community based case-control study involving 716 elderly respondents, recruited randomly from six Non Governmental Organization (NGO) in different areas of Baghdad. Interviews to each respondent were done accordingly. Geriatric depression scale (GDS) was used to assess the depression among the elderly people. Results: The minimum age for cases and controls was 60 years old while the maximum age for cases was 87 and for controls was 85 years old. The female was predominant than male, 53.6% to 46.4% respectively. The relation between depression, fear from fall, using anti anxiety medication, internal displacement and falls was statistically significant (p < 0.001). Conclusions: Psychological factor especially depression among elderly people is one of the important risk factors contributing to falls accident. Fear from falls, displacement and taking anti anxiety medication were also in significant relation.

 

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Abdal Qader, M. , Amin, R. , Shah, S. , Isa, Z. , Latif, K. and Ghazi, H. (2013) Psychological risk factors associated with falls among elderly people in Baghdad city, Iraq. Open Journal of Preventive Medicine, 3, 441-445. doi: 10.4236/ojpm.2013.37059.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Graafmans, W.C., Ooms, M.E., Hofstee, H.M.A, Bezemer, P.D., Bouter, L.M. and Lips, P. (1996) Falls in the elderly: A prospective study of risk factors and risk profiles. American Journal of Epidemiology, 143, 11.
http://dx.doi.org/10.1093/oxfordjournals.aje.a008690
[2] UN Office for the Coordination of Humanitarian Affairs (2007) IRAQ: Elderly most vulnerable to insecurity IRIN, the humanitarian news and analysis service of the integrated regional information networks, UN-OCHA, Baghdad city.
[3] Tremblay Jr. K.R. and Barber, C.E. (2010) Preventing falls in the elderly.
http://www.ext.colostate.edu/pubs/consumer/10242.html
[4] Rao, S.S. (2005) Prevention of falls in older patients. American Family Physician, 72, 81-88.
[5] Scheffer, A.C., Schuurmans, M.J., van Dijk, N., van der Hooft, T. and de Rooij SE. (2008) Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37, 19-24.
http://dx.doi.org/10.1093/ageing/afm169
[6] Elliott, S., Painter, J. and Hudson, S. (2009) Living alone and fall risk factors in community-dwelling middle age and older adults. Journal of Community Health, 34, 301-310.
http://dx.doi.org/10.1007/s10900-009-9152-x
[7] Samira, N. (2011)
http://www.stanford.edu/~yesavage/GDS.html
[8] Morgan Robert, O., Virnig Beth. A., Maurice, D., Elsayed A.-M. and Carolee A. De V. (2003) Low-intensity exercise and reduction of the risk for falls among at-risk elders. The Journals of Gerontology, 59, M1062-M1067.
http://biomedgerontology.oxfordjournals.org/content/59/10/M1062.short-aff-1
[9] Yu, P.L., Qin, Z.H., Shi, J., Zhang, J., Xin, M.Z., Wu, Z.L. and Sun, Z.Q. (2009) Prevalence and related factors of falls among the elderly in an urban community of Beijing. Biomedical Environmental Sciences, 22, 179-187.
http://dx.doi.org/10.1016/S0895-3988(09)60043-X
[10] Kwan, M.M., Close, J.C., Wong, A.K. and Lord, S.R. (2011) Falls incidence, risk factors, and consequences in Chinese older people: A systematic review. Journal of the American Geriatric Society, 59, 536-543.
http://dx.doi.org/10.1111/j.1532-5415.2010.03286.x
[11] Leung, A., Chi, I., Lou, V.W. and Chan, K.S. (2010) Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong. Health & Social Care in the Community, 18, 272-281.
[12] Stevens, J.A., Ballesteros, M.F., Mack, K.A., Rudd, R.A., DeCaro, E. and Adler, G. (2012) Gender differences in seeking care for falls in the aged Medicare population. American Journal of Preventive Medicine, 43, 59-62.
http://dx.doi.org/10.1016/j.amepre.2012.03.008
[13] Juliana, G., Lucy, G., Otávio de T.N. and Marcelo, P.R. (2010) factors related to falls among elderly women resident in a community. Revista da Associacao Médica Brasileira, 56, 327-332.
[14] Salvà, A., Bolíbar, I., Pera, G. and Arias, C. (2004) Incidence and consequences of falls among elderly people living in the community. Medicina Clinica (Barc), 122, 172-176.
http://dx.doi.org/10.1016/S0025-7753(04)74184-6
[15] United Nations High Commissioner for Refugees (2012) 2012 UNHCR country operations profile, Iraq, UNHCR, Baghdad city.
[16] Lawlor, D.A., Patel, R. and Shah, E. (2013). Association between falls in elderly women and chronic diseases and drug use: Cross sectional study. BMJ, 327, 712.
[17] Alon, A. (2005) Sleeping pills won’t increase elderly fall risk. Health Day News, University of Michigan Health System.

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