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Understanding Risk Factors for Older Adult Falls: A Review of the BRFSS Findings

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Title: Understanding Risk Factors for Older Adult Falls: A Review of the BRFSS Findings


1
Understanding Risk Factors for Older Adult
Falls A Review of the BRFSS Findings
  • LaTonya Bynum
  • Arkansas BRFSS Survey Coordinator
  • July 26, 2011

2
Outline
  • Overview of BRFSS survey
  • History and purpose of BRFSS
  • Background of Older Adult Falls in Arkansas
  • Limitations
  • Review of BRFSS survey results
  • Conclusions

3
What is BRFSS?
  • Behavioral Risk Factor Surveillance System
  • Random digit dial state based telephone survey
  • Adults ages 18 and older
  • Measures personal behaviors that put health at
    risk
  • Collaboration between CDC and States/Territories
  • Arkansas BRFSS participation since 1993

4
Who uses it?
  • State and Local Health Departments
  • Students and Researchers
  • Non-Profit Agencies
  • Federal Agencies
  • Research organizations
  • Insurance companies
  • Media

5
How it is used?
  • Plan and implement programs like the UAMS
    Disability and Health Program
  • Develop plans to reduce the burden of Diabetes,
    Obesity, Heart Disease, and Tobacco
  • Identify health disparities across the state
  • Prepare grant proposals for state and local level
    projects
  • Conduct public health awareness campaigns for the
    Arkansas BreastCare program
  • Publish scientific articles in professional
    journals
  •  

6
What is the BRFSS Fall Question?
  • The next question asks about a recent fall. By
    fall, we mean when a person unintentionally comes
    to rest on the ground or another lower level. In
    the past 3 months, how many times have you
    fallen?
  • Response choices are
  • _ _ Number of times (0 to 76)
  • None
  • Dont Know/Not Sure
  • Refused.

asked of persons ages 45 and older
7
Fall-Related Deaths Hospitalizations
  • Number of Deaths 184
  • Number of Deaths to Adults Age 65 148
  • Number Hospitalized 14,498
  • Number of Adults Age 65 Hospitalized10,407
  • Average Hospital Stay Cost 22,412
  • Average Number of Hospital Days 5

Source Arkansas Health Statistics Branch
Hospital Discharge and Vital Statistics Systems
8
Limitations of Study
  • BRFSS is a telephone-based survey and excludes
    household without landline telephones, so the
    estimates may be subject to selection bias
  • Data are self-reported and subject to recall
    bias. Prevalence estimates might be
    underestimated.
  • BRFSS does not include institutionalized persons,
    thereby excludes persons in long-term care
    facilities, who are most at risk for falls.

9
Description of BRFSS Results
  • Percentage of falls within the past 3 months
    among persons 65 and older for 2008 and 2010
    combined.

10
Falls Among Older Adults Demographics
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Falls Among Older Adults General Health Status
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Falls Among Older Adults Co-Morbidity/Condition
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Conclusions
  • The following older adult populations are at a
    statistically significant higher risk of
    experiencing a fall
  • Males ages 75 and Older
  • Females who are physically inactive
  • Females with Diabetes
  • Persons reporting Fair or Poor Health
  • Persons with a Disability
  • Persons reporting lack of satisfaction with life

31
Thank You!
  • LaTonya Bynum
  • Arkansas BRFSS Survey Coordinator
  • LaTonya.Bynum_at_arkansas.gov
  • Toll Free Phone 1-800-462-0599 EXT. 2003
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