【摘要】 目的 了解厦门市老年人跌倒伤害的特征及其影响因素，为厦门市有效开展预防跌倒干预措施提供科学依据。方法 收集2022—2023年厦门市伤害监测数据，并与厦门市基本公共卫生服务工作中调查的≥65岁常住居民的健康体检数据进行匹配获得老年人伤害病例相关数据。采用χ~2检验、单因素和多因素logistic回归分析模型，分析老年人跌倒伤害的特征及其影响因素。结果 ≥65岁老年人伤害病例中，跌倒伤害占比为56.47%。多因素logistic回归分析结果显示，女性(OR=1.447,95%CI:1.223～1.713)、年龄75～<85岁(OR=1.833,95%CI:1.552～2.165)及≥85岁(OR=3.641,95%CI:2.754～4.814)、在公共居住场所(OR=1.715,95%CI:1.373～2.142)、步行时(OR=2.541,95%CI:1.951～3.308)以及患有糖尿病(OR=1.361,95%CI:1.129～1.639)的老年人发生跌倒伤害的可能性更高(均P<0.05);相较于从不锻炼与从不饮酒，每天锻炼(OR=0.790,95%CI:0.668～0.934)与偶尔饮酒(OR=0.716,95%CI:0.525～0.975)的老年人发生跌倒伤害的可能性降低(均P<0.05)。结论 应采取综合预防措施，包括加强对高风险群体的关注和干预，加强运动锻炼，改善居住环境条件等，减少老年人跌倒发生，保障老年人的健康和安全。更多还原

【Abstract】 Objective To understand the characteristics of fall injuries and their influencing factors amongst the elderly in Xiamen City, and to provide a scientific basis for the effective implementation of fall prevention interventions in Xiamen City. Methods Monitoring data about injuries in Xiamen City from 2022 to 2023 were collected and matched with the data regarding health examination of permanent residents aged 65 years and above surveyed in Xiamen’s basic public health services, and then the data related to injury cases in the elderly were obtained. Chi-square test and univariate and multivariate logistic regression models were used to analyze the characteristics of fall injuries and their influencing factors in the elderly. Results Among the injury cases in the elderly aged 65 years and above, fall injuries accounted for 56.47%. The results of multivariate logistic regression analysis revealed that females(OR=1.447, 95%CI: 1.223-1.713), the elderly aged 75-<85 years(OR=1.833, 95%CI: 1.552-2.165), those aged 85 years and above(OR=3.641, 95%CI: 2.754-4.814), those in public residential places(OR=1.715, 95%CI: 1.373-2.142), those during walking(OR=2.541, 95%CI: 1.951-3.308) and those suffering from diabetes(OR=1.361, 95%CI: 1.129-1.639) had a higher likelihood of fall injuries(all P<0.05). Compared with the elderly never exercising and never drinking, those exercising everyday(OR=0.790, 95%CI: 0.668-0.934) and those drinking occasionally(OR=0.716, 95%CI: 0.525-0.975) had a reduced likelihood of fall injuries(all P<0.05). Conclusion It is necessary to take comprehensive prevention measures like enhancing attention and intervention for high-risk groups, promoting physical exercise and improving residential environmental conditions so as to reduce the occurrence of falls among the elderly and ensure their health and safety.更多还原