Treatment for menopausal symptoms and having health insurance were associated with a lower prevalence of falls among Brazilian women

Maturitas. 2013 Aug;75(4):367-72. doi: 10.1016/j.maturitas.2013.04.020. Epub 2013 May 23.

Abstract

Objectives: Brazil has an aging population. This study aims to raise awareness of the prevalence and factors associated with falls among Brazilian women.

Study design: Cross-sectional study with 622 women over 50 years of age was conducted between 05/10/11 and 10/31/11 in the city of Campinas/São Paulo/Brazil in the form of a population survey.

Main outcome measures: The dependent variable was the occurrence of falls in the past 12 months. The independent variables were sociodemographic data, health-related habits and problems, self-perception of health and evaluation of functional capacity. Statistical analysis was carried out by Chi-square test and Poisson regression using the backward selection criteria.

Results: The mean age of the women was 64.1 years. The prevalence of falls in the past 12 months was 24.6%. Having trouble keeping balance when walking: PR 1.87 (95% CI 1.33-2.63, P<0.001); alcohol consumption: PR 1.69 (95% CI 1.25-2.28, P<0.002); having been admitted to a hospital in the last 12 months: PR 1.46 (95% CI 1.09-1.96, P=0.012); and having cataract: PR 1.40 (95% CI 1.05-1.87, P=0.021) were associated with a higher prevalence of falls. Having health insurance: PR 0.67 (95% CI 0.50-0.89, P=0.007) and using some form of medication to treat menopausal symptoms: PR 0.42 (95% CI 0.19-0.92, P=0.031) were associated with a lower prevalence of falls.

Conclusion: Having health insurance and using some form of medication to treat menopausal symptoms were associated with a lower prevalence of falls among Brazilian women.

Keywords: Accidental falls; Health; Hot flashes; Insurance; Menopause; Risk factors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls* / statistics & numerical data
  • Aged
  • Alcohol Drinking
  • Brazil / epidemiology
  • Cataract / complications
  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Data Collection
  • Female
  • Hospitalization
  • Humans
  • Insurance, Health*
  • Menopause*
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Poisson Distribution
  • Postural Balance
  • Prevalence
  • Risk Factors
  • Walking