142nd APHA Annual Meeting and Exposition

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308693
Fall-related Hospitalization Incidence and Related Injuries among Older Adults in Texas

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Samuel Towne, PhD, MPH, CPH , Health Promotion and Community Health Sciences, Texas A&M School of Rural Public Health, College Station, TX
Matthew Lee Smith, PhD, MPH, CHES , Department of Health Promotion and Behavior, The University of Georgia, College of Public Health, Athens, GA
Marcia Ory, PhD, MPH , Health Promotion and Community Health Sciences, Texas A&M HSC School of Rural Public Health, College Station, TX
Background:
With the rapid growth of the aging US population, the incidence of falls and fall-related injuries are expected to rise. This study examines factors associated with the overall incidence and likelihood of fall-related hospitalizations (falls), among Texans aged 50 and older. We were especially interested in the geographic distribution of falls.

Methods:
Cross-sectional analyses of fall-related hospitalization were performed using the 2011 Texas Hospital Inpatient Discharge Public Use Data File. Descriptive statistics were utilized to examine hospital discharges. Logistic regression analyses were conducted to model the occurrence of reported falls.

Results:
Of the 2,937,579 recorded hospital discharges, there were 60,404 falls among adults aged 50 and older, of which 66.8% were females, 61.9% aged 75 and older, and 14.8% rural residents. Bivariate factors associated with a greater likelihood of a fall included being older, being female, being White (versus Asian or Black), and residing in rural areas. In adjusted analysis, factors significantly associated with a greater likelihood of a fall included being age 65-84 (OR=2.0) or age 85+ (OR=4.4) versus age 50-64, being female (OR=1.5), being White (versus Black, OR=2.1 versus Asian, OR=1.1), and residing in an urban area (OR=1.2).

Conclusions:
The likelihood of having a fall-related hospitalization varies by age, sex, race and geographic setting. Findings indicate the need for increased efforts to identify older adults at elevated risk for falling and develop referral systems for promoting evidence-based fall prevention programs at multiple levels (e.g., evidence-based community programs or clinical interventions) that account for geographical settings.

Learning Areas:

Chronic disease management and prevention
Public health or related research

Learning Objectives:
Describe the incidence of fall-related hospitalizations across Texas Evaluate factors associated with fall-related hospitalizations including geographic and programmatic difference.

Keyword(s): Medical Care, Rural Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I have successfully completed an MPH & a PhD in Public Health, am Certified in Public Health by the National Board of Public Health Examiners and am currently serving as an Assistant Professor and Postdoctoral fellow in the department of Health Promotion & Community Health Sciences at Texas A&Mís Health Science Center.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.