Association of Single and Dual Sensory Impairment with Falls among Medicare Beneficiaries.

Autor:	Assi S; Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Garcia Morales EE; Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Du EY; Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA.; Department of Otolaryngology, Head and Neck Surgery, University of California, San Diego, La Jolla, CA, USA., Martinez-Amezcua P; Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Reed NS; Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jazyk:	angličtina
Zdroj:	Journal of aging and health [J Aging Health] 2024 Jun; Vol. 36 (5-6), pp. 390-399. Date of Electronic Publication: 2023 Jul 28.
DOI:	10.1177/08982643231190983
Abstrakt:	Objective: The purpose of this study was to determine if dual sensory impairment (DSI) is associated with falls and fear of falling among older adults. Methods: Using data from the 2019 Medicare Current Beneficiary Survey (MCBS), we studied the cross-sectional association of self-reported hearing/vision impairment with self-reported history/number of falls over the past year, fear of falling (scale 1-6), and a fall requiring medical help using weighted multivariable regressions adjusted for demographic and clinical covariates. Results: Among 11,089 Medicare beneficiaries (mean age = 74, 55% female, 9% Black), DSI is associated with increased prevalence (prevalence ratio = 1.45 [1.28-1.65]) and incidence (incidence ratio = 2.21 [1.79-2.75]) rate of falls, and greater odds of a higher fear of falling score (odds ratio = 1.38 [1.08-1.77]). Discussion: DSI is associated with falls among older adults. Consideration of DSI as a marker to initiate fall prevention programs and inclusion of sensory interventions in these programs may be valuable. Competing Interests: Declaration Conflicts of InterestThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: NSR serves as an advisor to Neosensory board. All other coauthors have nothing to disclose.
Databáze:	MEDLINE
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