摘要
目的 系统评价中国老年人群跌倒发生的现状。方法 计算机检索CNKI、VIP、CBM、WanFang Data、EMbase、The Cochrane Library和PubMed数据库,搜集中国老年人群跌倒情况的横断面研究,检索时限均为2000年1月1日到2021年12月31日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后采用Stata 16.0软件进行Meta分析。结果 共纳入54个横断面研究,总样本量为111 098例。Meta分析结果显示,中国老年人跌倒发生率为19.3%[95%CI(16.9%,21.6%)]。亚组分析结果显示,男、女性老年人跌倒发生率分别为16.1%、21.9%;60~69岁、70~79岁、80岁以上老年人跌倒发生率分别为16.3%、21.7%、27.3%;华北、华南、华东、西南、华中地区分别为16.6%、17.9%、18.7%、22.0%、25.8%;城市、农村分别为16.4%、23.1%;有、无配偶分别为24.2%、26.8%;独居、非独居老年人跌倒发生率分别为21.1%、17.8%;有、无锻炼习惯老年人跌倒发生率分别为22.1%、27.1%。结论 中国老年人群的跌倒发生率处于较高水平。女性、年龄增加、中西部地区、居住在农村、无配偶、独居、无锻炼习惯的老年人跌倒发生率更高。
Objective To systematically review studies investigating the rate of falls among Chinese elderly.Methods The CNKI, VIP, CBM, WanFang Data, EMbase, The Cochrane Library and PubMed databases were electronically searched to identify cross-sectional studies on the rate of falls in Chinese elderly published from January 1st,2000 to December 31st, 2021. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies. Meta-analysis was then performed using Stata 16.0 software. Results A total of 54 crosssectional studies, involving 111 098 cases were included. The results of meta-analysis showed that the rate of falls among Chinese elderly was 19.3%(95%CI 16.9% to 21.6%). Subgroup analyses showed that the fall rates were 16.1% and 21.9%for males and females, respectively. The rates for 60-69, 70-79, and >80 years age groups were 16.3%, 21.7%, and 27.3%,respectively. The rates for the North, South, East, Southwest, and Central parts of China were 16.6%, 17.9%, 18.7%, 22.0%,and 25.8%, respectively. For the urban and rural elderly, the rates were 16.4% and 23.1%, respectively. The rates for those with or without spouses were 24.2% and 26.8%, respectively, while for the solitary and non-solitary elderly were 21.1% and17.8%, respectively. The rates for elderly with or without exercise habits were 22.1% and 27.1%, respectively. Conclusion The rate of falls is high among Chinese elderly, especially among females, older individuals, those in Southwest China,rural individuals, those without spouse, solitary individuals and those without exercise habits.
作者
康宁
于海军
陆晓敏
张月
陈功
KANG Ning;YU Haijun;LU Xiaomin;ZHANG Yue;CHEN Gong(Institute of Population Research,Peking University,Beijing 100871,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2022年第10期1142-1148,共7页
Chinese Journal of Evidence-based Medicine
基金
国家重点研发计划项目(编号:2018YFC2000603)。
