Abstract:
BACKGROUND:Older people not only consume more medication but they also represent a group at high risk for adverse effects such as injurious falls. This study examines the association between the medications most commonly prescribed to older people in Sweden and fall injuries. METHODS:This is a population-based, matched, case-control study of 64 399 persons aged ≥ 65 years in Sweden admitted to hospital because of a fall injury between March 2006 and December 2009, and four controls per case matched by gender, date of birth and place of residence. The prevalence of the 20 most commonly prescribed medications was compiled for the 30-day period before the index date. The association between those medications and injurious falls was estimated with odds ratios and corresponding 95% confidence intervals using conditional logistic regression. RESULTS:Ten of the top 20 most commonly prescribed medications, and in particular the three medications affecting the central nervous system (CNS), significantly increased the risk of fall injuries (highest for opioids and antidepressants) but not the seven cardiovascular ones, who had a protective effect (lowest for angiotensin converting enzyme inhibitors and selective calcium channel blockers). CONCLUSIONS:The adverse effect of several commonly prescribed medications may seriously threaten their positive effects on the well-being and quality of life of older people. Their association with injurious falls is of particular concern as falls are prevalent and often leading to severe consequences. This needs to be acknowledged so physicians and patients can make informed decisions when prescribing and using them.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Kuschel BM,Laflamme L,Möller Jdoi
10.1093/eurpub/cku120subject
Has Abstractpub_date
2015-06-01 00:00:00pages
527-32issue
3eissn
1101-1262issn
1464-360Xpii
cku120journal_volume
25pub_type
杂志文章abstract:BACKGROUND:Patient delay was investigated in a cohort of TB patients identified from May 1996 until April 1997 in 13 Autonomous Regions in Spain. The study covered almost 67% of the total Spanish population. METHODS:Data were collected from clinical records. Using unconditional logistic regression with two different c...
journal_title:European journal of public health
pub_type: 杂志文章,多中心研究
doi:10.1093/eurpub/14.2.151
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Parent child relationships and parenting processes are emerging as potential life course determinants of health. Parenting is socially patterned and could be one of the factors responsible for the negative effects of social inequalities on health, both in childhood and adulthood. This study tests the hypothe...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl261
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Bullying among children and adolescents is a public health concern; victimization is associated with psychological and physical health problems. The purpose of this study is to examine temporal trends in bullying victimization among school-aged children in Europe and North America. METHODS:Data were obtaine...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv029
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The global economic crisis has been associated with increased unemployment, reduced health-care spending and adverse health outcomes. Insights into the impact of economic variations on cancer mortality, however, remain limited. METHODS:We used multivariate regression analysis to assess how changes in unempl...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku167
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Increasingly neighbourhoods are identified as influencing health. Neighbourhood characteristics have been linked to cigarette use. In Lebanon, the water pipe (narghile) use is most frequent among youth. The current study is aimed at identifying differential neighbourhood influences on smoking narghile among ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp173
更新日期:2010-08-01 00:00:00
abstract:Background:Measuring homophobia at country level is important to guide public health policy as reductions in stigma are associated with improved health outcomes among gay men and other men who have sex with men. Methods: We developed a Homophobic Climate Index incorporating institutional and social components of homoph...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky023
更新日期:2018-10-01 00:00:00
abstract:Background:Comparative research on health outcomes in North and South Korea offers a unique opportunity to explore political and social determinants of health. We examined the age- and cause-specific contributions to the life expectancy (LE) gap between the two Koreas. Methods:We calculated the LE at birth in 1993 and...
journal_title:European journal of public health
pub_type: 历史文章,杂志文章
doi:10.1093/eurpub/cky029
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:We conducted a systematic review and meta-analysis from published cohort studies to examine the association of adult height and all-cause mortality and to further explore the dose-response association. METHODS:PubMed, The Cochrane Library, The Ovid, CNKI, CQVIP and Wanfang databases were searched for articl...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa213
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:Economic downturns have been associated with increased suicide rates. The 2008 global financial crisis varied across countries but hit Iceland relatively hard. We aimed to study potential changes in suicide rates in Iceland during this major economic transition. METHODS:Data were retrieved on all suicides i...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa121
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION:People with severe mental illness have increased risk for premature mortality and thus a shorter life expectancy. Relative death rates are used to show the excess mortality among patients with mental health disorder but cannot be used for the comparisons by country, region and time. METHODS:A population-b...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv245
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Poor co-ordination and collaboration have been identified by many governments as a major and growing weakness of their health care systems. Better integrated care for the elderly individuals is one field of particular importance. In this study, we ask to what extent local authorities' social care services cr...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks171
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Watching three-dimensional television (3D TV) may strain the eyes. However, other potential harmful effects of 3D TV watching have been rarely investigated. The current study examined the impact of 3D TV watching on neurophysiological responses and cognitive functioning as compared with two-dimensional TV (2...
journal_title:European journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.1093/eurpub/ckv022
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:There is little information on potential differences in smoking behaviour of parents between Finland and Russia and on the effects of environmental tobacco smoke (ETS) exposure on allergic and respiratory diseases among Finnish and Russian children. The aim of the study was to compare the smoking behaviour o...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckm053
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:The current financial crisis is having a major impact on European economies, especially that of Spain. Past evidence suggests that adverse macro-economic conditions exacerbate mental illness, but evidence from the current crisis is limited. This study analyses the association between the financial crisis and...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt083
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Risk factors in young adulthood may persist into later life and eventually lead to cardiovascular (CV) disease. The purpose of this study was to describe the prevalence of hypertension and other established CV risk factors in older adolescents. METHODS:Study nurses examined 120 girls and 80 boys with a mean...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.4.361
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:In this paper, we investigate cross-sectional and prospective relationships between various socioeconomic indicators and different health behaviours among boys and girls at ages 13-21, and whether socioeconomic status (SES) is related to changes in health behaviour over time. METHODS:The study is based on a...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki051
更新日期:2006-02-01 00:00:00
abstract:Background:Through its effects on the immune system, smoking may facilitate influenza virus infection, its severity and its most frequent complications. The objective was to investigate the smoking history as a risk factor for influenza hospitalization and influenza vaccine effectiveness in elderly smokers/ex-smokers a...
journal_title:European journal of public health
pub_type: 杂志文章,多中心研究
doi:10.1093/eurpub/ckx130
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:To reduce homelessness, it is important to gain a better understanding of the differences between homeless people who remain in institutions and those who gain and can sustain independent housing. This longitudinal study explores differences in housing transitions and differences in changes in health and sel...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa054
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:In order to demonstrate the feasibility of human immunodeficiency virus (HIV) infection and related risk behaviour surveillance in European prisons, a multicentre pilot study was undertaken. METHODS:A cross-sectional survey was carried out in six European prisons (France, Germany, Italy, The Netherlands, Sc...
journal_title:European journal of public health
pub_type: 杂志文章,多中心研究
doi:10.1093/eurpub/11.3.243
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Area-based programmes are seen as a promising strategy for tackling health inequalities. In these programmes, local authorities and other local actors collaborate to employ health promoting interventions and policies. Little is known about the underlying processes of collaborative governance. To unravel this...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt038
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:To investigate the attitudes of paediatricians in private practice towards counselling smoking parents of infants on their smoking behaviour. METHODS:Questionnaires were mailed to 188 eligible paediatricians in Mecklenburg-West Pommerania. RESULTS:The response rate to this survey was 62%. With regard to ri...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.2.199
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:The more diseases one suffers from, the higher the number of health care services attended. This study aims to examine the role this association plays in socio-economic differences in multiple health care utilization. METHODS:The study population derived from the Netherlands Health Interview Surveys (1990-1...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.3.311
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Joint British Societies have developed a tool that utilizes information on cardiovascular disease (CVD) risk factors to estimate an individual's 'heart age'. We studied if using heart age as an add-on to conventional risk communication could enhance the motivation for adapting to a healthier lifestyle result...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa048
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:Smoking and physical inactivity are linked to mortality, but it is not known whether the association between smoking and mortality is affected by the amount and intensity of physical activity. We examined the joint associations of smoking and physical activity with mortality, while taking key covariates into...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw065
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:The aim of the study was to examine the effects of parental socioeconomic status, own socioeconomic status and social mobility upon the development of smoking from adolescence to adulthood. METHODS:Subjects were the participants of the North Karelia Youth Project study from six schools in Eastern Finland. A...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.4.417
更新日期:2004-12-01 00:00:00
abstract:Background:The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact health, but fewer studies have examined how different types of pe...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky100
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Previous studies indicate that hearing loss have negative emotional implications also on spouses of the hearing impaired persons. We sought to assess the relationship between hearing impairment and spousal mental health in the general population. METHODS:Pure tone audiometry and questionnaires were administ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp176
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:The combination of four protective lifestyle behaviours (being physically active, a non-smoker, a moderate alcohol consumer and having adequate fruit and vegetable intake) has been estimated to increase life expectancy by 14 years. However, the effect of adopting these lifestyle behaviours on general health,...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp102
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:In April 2000, the Council of the Baltic Sea States established the Task Force on Communicable Disease Control in the Baltic Sea region (the Task Force). A successor structure, the Northern Dimension Partnership in Public Health and Social Wellbeing, was established in autumn 2003. This article, a follow-up ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl027
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:On 31 December 2013, the US Preventive Services Task Force rated low-dose computed tomography (LDCT) for lung cancer screening as level 'B' recommendation. Yet, lung cancer screening implementation remains controversial, particularly when considering its cost-effectiveness. The aim of this work is to investi...
journal_title:European journal of public health
pub_type: 杂志文章,评审
doi:10.1093/eurpub/ckv158
更新日期:2016-02-01 00:00:00