Risk factors for falling in older Mexican Americans

Carlos A. Reyes-Ortiz, Soham Al Snih al snih, José Loera, Laura A. Ray, Kyriakos Markides

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Objective: To estimate the prevalence of falls and the risk factors associated with falls in Mexican-American men and women aged 72 and older, from the Hispanic Established Population for the Epidemiological Study of the Elderly. Design: A 2-year cohort study. Setting: Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. Methods: Data on sociodemographic characteristics, health status, cognitive function, affective function, functional status, body mass index, and summary performance measures of lower body function, were obtained (1998-1999). Two years later (2000-2001), falls in the previous 12 months were assessed by self-report. Chi-square, univariate statistics, and multivariate logistic regression analyses were used. Results: Of the 1,391 participants, 31.8% fell one or more times, and 14.2% reported 2 or more falls. In the logistic regression analysis, aged ≥80 years (adjusted odds ratio [OR]=1.52, 95% confidence interval [CI]=1.17-1.98), being female (OR=1.45, 95% CI 1.13-1.86), having diabetes (OR=1.37, 95% CI 1.06-1.77), having arthritis (OR=1.32, 95% CI 1.04-1.68), experiencing impairment of instrumental activities of daily living (OR=1.05, 95% CI 1.01-1.10), and exhibiting high depressive symptoms (OR=1.59, 95% CI 1.16-2.19), were significant (P<.05) independent risk factors for one or more falls. The risk of falling increased linearly with the number of risk factors, from 14% with none, to 41% with 3 or more risk factors (P<.001). Conclusions: Prevalence of falls among older Mexican Americans was similar to that reported in non-Hispanic Caucasians. Potential modifiable conditions, such as functional deficits, arthritis, diabetes, and depressive symptoms were independent risk factors for falls in this population.

Original languageEnglish
Pages (from-to)417-422
Number of pages6
JournalEthnicity and Disease
Volume14
Issue number3
StatePublished - Jun 2004

Fingerprint

Accidental Falls
Odds Ratio
Confidence Intervals
Arthritis
Logistic Models
Regression Analysis
Depression
Body Weights and Measures
Activities of Daily Living
Hispanic Americans
varespladib methyl
Self Report
Cognition
Population
Health Status
Epidemiologic Studies
Body Mass Index
Cohort Studies

Keywords

  • Falls
  • Older Mexican Americans
  • Prevalence
  • Risk Factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Risk factors for falling in older Mexican Americans. / Reyes-Ortiz, Carlos A.; Al Snih al snih, Soham; Loera, José; Ray, Laura A.; Markides, Kyriakos.

In: Ethnicity and Disease, Vol. 14, No. 3, 06.2004, p. 417-422.

Research output: Contribution to journalArticle

Reyes-Ortiz, CA, Al Snih al snih, S, Loera, J, Ray, LA & Markides, K 2004, 'Risk factors for falling in older Mexican Americans', Ethnicity and Disease, vol. 14, no. 3, pp. 417-422.
Reyes-Ortiz, Carlos A. ; Al Snih al snih, Soham ; Loera, José ; Ray, Laura A. ; Markides, Kyriakos. / Risk factors for falling in older Mexican Americans. In: Ethnicity and Disease. 2004 ; Vol. 14, No. 3. pp. 417-422.
@article{c2b0ed892b254ab499cab28e3e000999,
title = "Risk factors for falling in older Mexican Americans",
abstract = "Objective: To estimate the prevalence of falls and the risk factors associated with falls in Mexican-American men and women aged 72 and older, from the Hispanic Established Population for the Epidemiological Study of the Elderly. Design: A 2-year cohort study. Setting: Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. Methods: Data on sociodemographic characteristics, health status, cognitive function, affective function, functional status, body mass index, and summary performance measures of lower body function, were obtained (1998-1999). Two years later (2000-2001), falls in the previous 12 months were assessed by self-report. Chi-square, univariate statistics, and multivariate logistic regression analyses were used. Results: Of the 1,391 participants, 31.8{\%} fell one or more times, and 14.2{\%} reported 2 or more falls. In the logistic regression analysis, aged ≥80 years (adjusted odds ratio [OR]=1.52, 95{\%} confidence interval [CI]=1.17-1.98), being female (OR=1.45, 95{\%} CI 1.13-1.86), having diabetes (OR=1.37, 95{\%} CI 1.06-1.77), having arthritis (OR=1.32, 95{\%} CI 1.04-1.68), experiencing impairment of instrumental activities of daily living (OR=1.05, 95{\%} CI 1.01-1.10), and exhibiting high depressive symptoms (OR=1.59, 95{\%} CI 1.16-2.19), were significant (P<.05) independent risk factors for one or more falls. The risk of falling increased linearly with the number of risk factors, from 14{\%} with none, to 41{\%} with 3 or more risk factors (P<.001). Conclusions: Prevalence of falls among older Mexican Americans was similar to that reported in non-Hispanic Caucasians. Potential modifiable conditions, such as functional deficits, arthritis, diabetes, and depressive symptoms were independent risk factors for falls in this population.",
keywords = "Falls, Older Mexican Americans, Prevalence, Risk Factors",
author = "Reyes-Ortiz, {Carlos A.} and {Al Snih al snih}, Soham and Jos{\'e} Loera and Ray, {Laura A.} and Kyriakos Markides",
year = "2004",
month = "6",
language = "English",
volume = "14",
pages = "417--422",
journal = "Ethnicity and Disease",
issn = "1049-510X",
publisher = "ISHIB",
number = "3",

}

TY - JOUR

T1 - Risk factors for falling in older Mexican Americans

AU - Reyes-Ortiz, Carlos A.

AU - Al Snih al snih, Soham

AU - Loera, José

AU - Ray, Laura A.

AU - Markides, Kyriakos

PY - 2004/6

Y1 - 2004/6

N2 - Objective: To estimate the prevalence of falls and the risk factors associated with falls in Mexican-American men and women aged 72 and older, from the Hispanic Established Population for the Epidemiological Study of the Elderly. Design: A 2-year cohort study. Setting: Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. Methods: Data on sociodemographic characteristics, health status, cognitive function, affective function, functional status, body mass index, and summary performance measures of lower body function, were obtained (1998-1999). Two years later (2000-2001), falls in the previous 12 months were assessed by self-report. Chi-square, univariate statistics, and multivariate logistic regression analyses were used. Results: Of the 1,391 participants, 31.8% fell one or more times, and 14.2% reported 2 or more falls. In the logistic regression analysis, aged ≥80 years (adjusted odds ratio [OR]=1.52, 95% confidence interval [CI]=1.17-1.98), being female (OR=1.45, 95% CI 1.13-1.86), having diabetes (OR=1.37, 95% CI 1.06-1.77), having arthritis (OR=1.32, 95% CI 1.04-1.68), experiencing impairment of instrumental activities of daily living (OR=1.05, 95% CI 1.01-1.10), and exhibiting high depressive symptoms (OR=1.59, 95% CI 1.16-2.19), were significant (P<.05) independent risk factors for one or more falls. The risk of falling increased linearly with the number of risk factors, from 14% with none, to 41% with 3 or more risk factors (P<.001). Conclusions: Prevalence of falls among older Mexican Americans was similar to that reported in non-Hispanic Caucasians. Potential modifiable conditions, such as functional deficits, arthritis, diabetes, and depressive symptoms were independent risk factors for falls in this population.

AB - Objective: To estimate the prevalence of falls and the risk factors associated with falls in Mexican-American men and women aged 72 and older, from the Hispanic Established Population for the Epidemiological Study of the Elderly. Design: A 2-year cohort study. Setting: Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. Methods: Data on sociodemographic characteristics, health status, cognitive function, affective function, functional status, body mass index, and summary performance measures of lower body function, were obtained (1998-1999). Two years later (2000-2001), falls in the previous 12 months were assessed by self-report. Chi-square, univariate statistics, and multivariate logistic regression analyses were used. Results: Of the 1,391 participants, 31.8% fell one or more times, and 14.2% reported 2 or more falls. In the logistic regression analysis, aged ≥80 years (adjusted odds ratio [OR]=1.52, 95% confidence interval [CI]=1.17-1.98), being female (OR=1.45, 95% CI 1.13-1.86), having diabetes (OR=1.37, 95% CI 1.06-1.77), having arthritis (OR=1.32, 95% CI 1.04-1.68), experiencing impairment of instrumental activities of daily living (OR=1.05, 95% CI 1.01-1.10), and exhibiting high depressive symptoms (OR=1.59, 95% CI 1.16-2.19), were significant (P<.05) independent risk factors for one or more falls. The risk of falling increased linearly with the number of risk factors, from 14% with none, to 41% with 3 or more risk factors (P<.001). Conclusions: Prevalence of falls among older Mexican Americans was similar to that reported in non-Hispanic Caucasians. Potential modifiable conditions, such as functional deficits, arthritis, diabetes, and depressive symptoms were independent risk factors for falls in this population.

KW - Falls

KW - Older Mexican Americans

KW - Prevalence

KW - Risk Factors

UR - http://www.scopus.com/inward/record.url?scp=4344688890&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4344688890&partnerID=8YFLogxK

M3 - Article

C2 - 15328944

AN - SCOPUS:4344688890

VL - 14

SP - 417

EP - 422

JO - Ethnicity and Disease

JF - Ethnicity and Disease

SN - 1049-510X

IS - 3

ER -