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Incidence and seasonality of falls amongst old people receiving home help services in a municipality in northern Sweden
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-1682-8326
Department of Social Work, Stockholm University.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-5332-0273
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-9813-2719
2011 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 70, no 2, p. 195-204Article in journal (Refereed) Published
Abstract [en]

Objectives. Falls among old people is a well-documented phenomenon; however, falls among people living in the community and receiving home help services have been under-researched. The aim of this study was to investigate the incidence, including possible seasonal variation, circumstances and injuries related to falls among community living home help receivers, and to investigate whether fall incidence is associated with the type and amount of home help services received. Study design. Prospective cohort study. Methods. All 614 persons aged 65 and over who were living in a particular northern Swedish community and receiving municipality home help were included. Data on age, sex and home help service use were collected from home help service records, and falls were reported by staff on report forms specifically designed for the study. Results. A total number of 264 falls were recorded among 122 participants. The overall fall incidence was 626 per 1,000 PY, and incidence rate ratios were significantly correlated to the total amount of services used (p<0.001), as well as to the degree of help for I-ADL needs (p<0.001), P-ADL needs (p<0.001) and escort service (p=0.007). The proportion of falls reported as resulting in injury was 33%. The monthly fall incidence was significantly associated to daylight photoperiod, however it was not associated to temperature. Conclusions. Fall incidence among home help receivers aged 65 and over seems correlated to the amount of services they receive. This is probably explained by the fact that impairments connected to ADL limitations and home help needs also are connected to an increased risk of falls. This implies that fall prevention should be considered when planning home help care for old people with ADL limitations. Further research on the connection between daylight photoperiod and fall incidence in populations at different latitudes is needed.

Place, publisher, year, edition, pages
2011. Vol. 70, no 2, p. 195-204
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-6193Local ID: 4634a90d-0990-4776-95f4-079df8d583ebOAI: oai:DiVA.org:ltu-6193DiVA, id: diva2:979070
Note
Validerad; 2011; 20110427 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-04-24Bibliographically approved

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Vikman, IreneNäslund, AnnikaNyberg, Lars

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