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Open AccessArticle

Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam

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Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam
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Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Institute of Orthopaedic and Trauma Surgery, Vietnam–Germany Hospital, Hanoi 100000, Vietnam
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Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
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Department of Psychiatry, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam
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Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
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Centre of Excellence in Artificial Intelligence in Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
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Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
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Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
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Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4518; https://doi.org/10.3390/ijerph16224518
Received: 3 October 2019 / Revised: 20 October 2019 / Accepted: 29 October 2019 / Published: 15 November 2019
(This article belongs to the Special Issue Adult Psychiatry )
Although psychological distress is one of the major health issues among aging populations, little is known about how this challenge affects older patients after falls. A cross-sectional study was conducted in Thai Binh province, Vietnam, to explore the prevalence of psychological distress and associated factors among 405 older patients after falls. The 6-item Kessler Psychological Distress Scale (K6) was used to measure psychological distress. Socio-demographic and clinical characteristics were collected using a structured questionnaire. Multivariate Tobit and Logistic regressions were used to determine factors associated with psychological distress. The prevalence of psychological distress among participants was 26.2%. Patients who were alone or older had a higher likelihood of psychological distress. Patients with a history of falls in the past 12 months were more likely to suffer from psychological distress (OR = 2.87, 95%CI = 1.74; 4.72). Having two and three comorbidities was significantly associated with greater K6 scores and a higher risk of psychological distress. This study underlined a significantly high prevalence of psychological distress among older patients after falls. Providing frequent mental health monitoring, screening, treatment, and facilitating social engagements are important implications to improve the mental health of this population. View Full-Text
Keywords: fall; psychological distress; Kessler 6; older adults; Vietnam fall; psychological distress; Kessler 6; older adults; Vietnam
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Nguyen, L.H.; Vu, H.M.; Vu, G.T.; Tran, T.H.; Pham, K.T.H.; Nguyen, B.T.; Phan, H.T.; Nguyen, H.N.; Tran, B.X.; Latkin, C.A.; Ho, C.S.H.; Ho, R.C.M. Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam. Int. J. Environ. Res. Public Health 2019, 16, 4518.

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