Published Papers - Abstract 86

Byles JE, Mishra G & MacKenzie L. Falls and serious injury among older women in Australia. Health Promotion Journal of Australia, ; :

Issue Addressed: This paper describes factors associated with falls resulting in serious injury among women in Australia aged 70-75 years.Methods: Cross-sectional data from 12900 community-dwelling women participating in the baseline postal survey of the Australian Longitudinal Study on Women’s Health were analysed to estimate the proportion reporting a fall with serious injury and factors associated with these serious falls. Multiple stepwise logistic regression models were used to identify statistical associations between serious falls and a wide range of health-related and social variables. Results: Six hundred and fifty-five women (4.9%) reported a fall with serious injury within the twelve months before the survey. On multivariate analysis, four variables were significantly associated with these reports of serious falls. Physical health summary score was inversely associated with the odds of having had a serious fall (OR: 0.95; 95% CI:0.94-0.96). A greater number of life events (OR: 1.32; 95% CI: 1.24-1.4); higher scores on the ‘feeling dejected’ subscale of an elder abuse scale (OR: 1.96; 95% CI: 1.45-2.65) and taking medications for nerves (OR: 1.4; 1.09-1.92) were positively associated with reporting a fall with serious injury.Conclusions: Physical, medical and psychological factors are significantly associated with falls with serious injury.So what? These results highlight the need to consider psychological factors both in terms of falls prevention and in assisting people to recover from a fall-related injury.