Association Between History of Abuse and Falling in Older Adults

Carlos Ortíz · José Mauricio Ocampo-Chaparro · Adalberto Campo‐Arias · Holly Michelle Holmes · John M. Halphen

12 citations0/0 files storedJournal of the American Geriatrics Society

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Elder Abuse and Neglect Balance, Gait, and Falls Prevention Child Abuse and Trauma

Abstract

OBJECTIVES: To explore the association between history of several types of abuse and falling. DESIGN: Cross-sectional population-based study. SETTING: Data from the Salud, Bienestar y Envejecimiento (Health, Well-being, and Aging) Bogotá Study. PARTICIPANTS: Community-dwelling adults aged 60 and older living in Bogotá, Colombia (n=2,000). MEASUREMENTS: Falling was defined as the number of times a person had fallen during the previous 12 months. History of abuse was assessed according to self-report. Logistic regression analyses were used to assess the association between elder abuse and falling, adjusting for potential confounders. RESULTS: Multivariate data analyses showed significant higher odds of any falls (≥1 vs 0) for past emotional (odds ratio (OR)=1.53, 95% confidence interval (CI)=1.23-1.90), physical (OR=1.98, 95% CI=1.57-2.51), or sexual (OR=3.08, 95% CI=1.78-5.32) abuse. Similarly, the odds of recurrent falls (≥2 vs 0-1) were significantly higher with each type of abuse. In addition, the odds of any falls and recurrent falls were significant higher in participants with polyvictimization (≥2 types of abuse) than in those with no history of abuse or 1 type of abuse. CONCLUSION: History of abuse (emotional, physical, or sexual) was strongly associated with falling in older adults living in Bogota. Further research is needed to confirm these findings and further delineate the independent effects of elder abuse on fall risk.

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References

1982Development and validation of a geriatric depression screening scale: A preliminary report 2009Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study 2010The long-term costs of traumatic stress: intertwined physical and psychological consequences 2011Physical Health Problems After Single Trauma Exposure 2012Determining Prevalence and Correlates of Elder Abuse Using Promotores : Low‐Income Immigrant Latinos Report High Rates of Abuse and Neglect 2015The impact of childhood sexual abuse on the mental and physical health, and healthcare utilization of older adults 2016Emergency Department Presentations for Injuries in Older Adults Independently Known to be Victims of Elder Abuse 2010Escala de Yesavage para Depresión Geriátrica (GDS-15 y GDS-5): estudio de la consistencia interna y estructura factorial

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