
@article{ref1,
title="Prevalence and factors associated with falls among older persons in Malaysia",
journal="Geriatrics and gerontology international",
year="2020",
author="Sahril, Norhafizah and Shahein, Nik Adilah and Yoep, Norzawati and Mahmud, Nor Azna and Sooryanarayana, Rajini and Maw Pin, Tan and Muhamad, Nor Asiah and Ismail, Hasimah",
volume="20 Suppl 2",
number="",
pages="33-37",
abstract="AIM: Falls are a common problem among older people, leading to major morbidity and  increased mortality. The study aimed to determine the prevalence of falls among  older persons in Malaysia and its associated factors. <br><br>METHODS: Data were obtained  from the National Health and Morbidity Survey 2018 (NHMS 2018), a cross-sectional  study using stratified cluster sampling design. Older persons were defined as aged  ≥60 years in this study. Descriptive and logistic regression analyses were conducted  using SPSS version 25.0. <br><br>RESULTS: Overall, 14.1% (95% confidence interval [CI]:  12.46, 15.84) of older persons reported having experienced at least one fall during  the past 12 months. Univariate analyses revealed an association between the history  of falls with not being employed (odds ratio [OR]: 1.35 [95% CI: 1.03, 1.77]),  diabetes mellitus (OR: 1.65 [95% CI: 1.33, 2.04]), limitation in activities of daily  living (ADL) (OR: 1.90 [95% CI: 1.43, 2.54]) or instrumental ADL (OR: 1.47 [95% CI:  1.16, 1.84]). Multiple logistic regression revealed that falls were positively  associated with those who had diabetes mellitus (OR: 1.55 [95% CI: 1.23, 1.94]) and  limitation in ADL (OR: 1.56 [95% CI: 1.14, 2.15]); 43.9% of falls occurred outdoors. <br><br>CONCLUSION: One in six older Malaysian people experience at least one fall over a  12-month period. Diabetes mellitus and limitation in ADL were the factors associated  with falls among older persons. A comprehensive and targeted program designed to  reduce risk of falls is urgently needed. Future research should identify suitable  programs for our setting to reduce the potential society burden of falls in older  Malaysians. Geriatr Gerontol Int 2020; 20: 33-37.<p /> <p>Language: en</p>",
language="en",
issn="1444-1586",
doi="10.1111/ggi.13980",
url="http://dx.doi.org/10.1111/ggi.13980"
}