ความสัมพันธ์ระหว่างพหุปัจจัยเชิงนิเวศวิทยาสังคมกับความเสี่ยงต่อการพลัดตกหกล้มของผู้สูงอายุ ตำบลบ้านปึก อำเภอเมือง จังหวัดชลบุรี

Warunsicha  Supprasert; Tosang   Prommaneewong; Worrawan  Kaewrart; Sirawan  Misaard; Apinya  Suebjakhla; Aussawaart  Udomyong; Aranee  Sorralump

Authors

Warunsicha Supprasert Department of Public Health, Sirindhorn College of Public Health, Chonburi
Tosang Prommaneewong Department of Public Health, Sirindhorn College of Public Health, Chonburi
Worrawan Kaewrart Department of Public Health, Sirindhorn College of Public Health, Chonburi
Sirawan Misaard Department of Public Health, Sirindhorn College of Public Health, Chonburi
Apinya Suebjakhla Department of Public Health, Sirindhorn College of Public Health, Chonburi
Aussawaart Udomyong Department of Public Health, Sirindhorn College of Public Health, Chonburi
Aranee Sorralump Department of Public Health, Sirindhorn College of Public Health, Chonburi

Keywords:

Multi-socioecological factors, Risk of falls, Elderly

Abstract

This cross-sectional study aimed to investigate the relationship between multi-socioecological factors and risk of falls among elderly. We recruited 317 elderly people, who were aged 60 years old and above, in the Ban Peuk sub-district, Mueang district, Chonburi province, Thailand by multi-stage random sampling. Data were collected by an interviewing questionnaire comprising six parts; demographic information, fear of falling, Barthel Activities of Daily Living (Barthel ADL), family functioning regarding elderly fall prevention, aged-friendly environment supported by local community, and the Thai Falls Risk Assessment Test (Thai-FRAT). We analyzed data using descriptive statistics, including frequency, percent, mean, standard deviation, and inferential statistics, including Chi-square test and Pearson product-moment correlation coefficient.

The findings indicated that approximately 47.20 % of the elderly had a risk of falls. Personal level factors, including age (r = 0.235, p-value =< 0.001), fear of falling (r = 0.348, p-value =< 0.001), family income (Cramer’s V = 0.160, p-value =0.044), cohabitation with family (Cramer’s V = 0.164, p-value =0.044), and illness with chronic disease (Cramer’s V = 0.184, p-value =0.001), were associated with increased risk of falls of the elderly (p < 0.05). Family level factors including well-functioning family (r = -0.508, p-value =<0.001) and community level factors including elderly-friendly environment supported by local community (r = -0.475, p-value =< 0.001) were associated with the risk of falls of the elderly (p < 0.05). In contrast, educational level, marital status, body mass index, and ADL were not significantly related to the risk of falls of the elderly in our study.

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