Abstract:
PURPOSE:Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. METHODS:Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments. HOUSES (HOUsing-based Index of SocioEconomic Status), a socioeconomic status measure based on individual housing features, was also calculated. Cox regression models were utilized to assess the association of the HOUSES (in quartiles) with accidental fall risk. RESULTS:Seven hundred eleven (5.8%) participants had at least one emergency room visit due to an accidental fall during the study period. Subjects with higher HOUSES were less likely to experience falls in a dose-response manner (hazard ratio: 0.58; 95% confidence interval: 0.44-0.76 for comparing the highest to the lowest quartile). In addition, the HOUSES was positively associated with better health behaviors, social support, and functional status. CONCLUSIONS:The HOUSES is inversely associated with accidental fall risk requiring emergency care in a dose-response manner. The HOUSES may capture falls-related risk factors through housing features and socioeconomic status-related psychosocial factors.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Ryu E,Juhn YJ,Wheeler PH,Hathcock MA,Wi CI,Olson JE,Cerhan JR,Takahashi PYdoi
10.1016/j.annepidem.2017.05.019subject
Has Abstractpub_date
2017-07-01 00:00:00pages
415-420.e2issue
7eissn
1047-2797issn
1873-2585pii
S1047-2797(16)30347-7journal_volume
27pub_type
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journal_title:Annals of epidemiology
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
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更新日期:2015-03-01 00:00:00
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journal_title:Annals of epidemiology
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