Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Sample
2.2. Data Collection
2.2.1. Primary Outcome
2.2.2. Covariates
2.3. Statistical Analysis
2.4. Ethical Approval
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristic | Not Having Psychological Distress | Having Psychological Distress | Total | p-Value | |||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
Total | 299 | 73.8 | 106 | 26.2 | 405 | 100.0 | |
Gender | |||||||
Male | 129 | 79.6 | 33 | 20.4 | 162 | 40.0 | 0.03 |
Female | 170 | 70.0 | 73 | 30.0 | 243 | 60.0 | |
Marital status | |||||||
Single | 76 | 58.0 | 55 | 42.0 | 131 | 32.3 | <0.01 |
Having spouse/partner | 223 | 81.4 | 51 | 18.6 | 274 | 67.7 | |
Location | |||||||
Urban | 26 | 81.3 | 6 | 18.8 | 32 | 7.9 | 0.32 |
Rural | 273 | 73.2 | 100 | 26.8 | 373 | 92.1 | |
Living arrangements | |||||||
Spouse | 193 | 82.1 | 42 | 17.9 | 235 | 58.0 | 0.00 |
Alone | 9 | 52.9 | 8 | 47.1 | 17 | 4.2 | |
Children | 75 | 61.5 | 47 | 38.5 | 122 | 30.1 | |
Others | 22 | 71.0 | 9 | 29.0 | 31 | 7.7 | |
Caregiver | |||||||
Spouse | 174 | 82.1 | 38 | 17.9 | 212 | 52.4 | <0.01 |
Children | 102 | 64.6 | 56 | 35.4 | 158 | 39.0 | |
Other | 23 | 65.7 | 12 | 34.3 | 35 | 8.6 | |
Smoking | |||||||
No smoking | 230 | 70.8 | 95 | 29.2 | 325 | 80.3 | 0.03 |
Former smoker | 39 | 84.8 | 7 | 15.2 | 46 | 11.4 | |
Irregular smoker | 11 | 78.6 | 3 | 21.4 | 14 | 3.5 | |
Regular smoker | 19 | 95.0 | 1 | 5.0 | 20 | 4.9 | |
Mean | SD | Mean | SD | Mean | SD | ||
Age | 70.7 | 8.7 | 75.1 | 9.0 | 71.9 | 9.0 | <0.01 |
Characteristic | Not Having Psychological Distress | Having Psychological Distress | Total | p-Value | |||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
Type of patients | |||||||
Inpatient | 115 | 76.2 | 36 | 23.8 | 151 | 37.3 | 0.41 |
Outpatient | 184 | 72.4 | 70 | 27.6 | 254 | 62.7 | |
Hypertension | |||||||
Yes | 101 | 75.4 | 33 | 24.6 | 134 | 33.1 | 0.62 |
No | 198 | 73.1 | 73 | 26.9 | 271 | 66.9 | |
Heart-related diseases | |||||||
Yes | 33 | 64.7 | 18 | 35.3 | 51 | 12.6 | 0.11 |
No | 266 | 75.1 | 88 | 24.9 | 354 | 87.4 | |
Ear/hearing diseases | |||||||
Yes | 7 | 43.8 | 9 | 56.3 | 16 | 4.0 | 0.01 |
No | 292 | 75.1 | 97 | 24.9 | 389 | 96.1 | |
Lumbar spine pain/cervical spine pain | |||||||
Yes | 53 | 60.2 | 35 | 39.8 | 88 | 21.7 | <0.01 |
No | 246 | 77.6 | 71 | 22.4 | 317 | 78.3 | |
Osteoarthritis/Arthritis | |||||||
Yes | 92 | 67.7 | 44 | 32.4 | 136 | 33.6 | 0.04 |
No | 207 | 77.0 | 62 | 23.0 | 269 | 66.4 | |
Others | |||||||
Yes | 39 | 66.1 | 20 | 33.9 | 59 | 14.6 | 0.14 |
No | 260 | 75.1 | 86 | 24.9 | 346 | 85.4 | |
Number of comorbidities | |||||||
0 | 78 | 78.8 | 21 | 21.2 | 99 | 24.4 | <0.01 |
1 | 130 | 81.3 | 30 | 18.8 | 160 | 39.5 | |
2 | 69 | 67.7 | 33 | 32.4 | 102 | 25.2 | |
3 | 22 | 50.0 | 22 | 50.0 | 44 | 10.9 | |
Other falls in the past 12 months (except the last fall causing hospitalization) | |||||||
Yes | 100 | 33.4 | 64 | 60.4 | 164 | 40.5 | <0.01 |
No | 199 | 66.6 | 42 | 39.6 | 241 | 59.5 |
Characteristic | K6 Score | Having Psychological Distress (Yes/No) | ||
---|---|---|---|---|
Coef. | 95%CI | OR | 95%CI | |
Age | 1.03 ** | (1.00; 1.06) | ||
Smoking status | ||||
Never smoking | REF | REF | ||
Former smoker | −1.01 ** | (−2.02; −0.01) | 0.56 | (0.23; 1.36) |
Regular smoker | −1.63 ** | (−3.14; −0.12) | ||
Living arrangements | ||||
Spouse | REF | REF | ||
Alone | 5.47 *** | (1.86; 16.10) | ||
Children | 1.07 *** | (0.37; 1.77) | 1.75 * | (0.99; 3.07) |
Caregiver | ||||
Spouse | REF | |||
Other | 1.39 ** | (0.25; 2.54) | ||
Fall in the past 12 months | ||||
No | REF | REF | ||
Yes | 1.47 *** | (0.82; 2.11) | 2.87 *** | (1.74; 4.72) |
Type of patient | ||||
Inpatient | REF | |||
Outpatient | 0.54 | (−0.11; 1.19) | ||
Number of comorbidities | ||||
0 | REF | REF | ||
1 | 0.90 | (0.47; 1.75) | ||
2 | 1.53 *** | (0.79; 2.26) | 1.98 * | (1.00; 3.91) |
3 | 1.33 ** | (0.30; 2.37) | 2.67 ** | (1.16; 6.15) |
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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.; et al. 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. https://doi.org/10.3390/ijerph16224518
Nguyen LH, Vu HM, Vu GT, Tran TH, Pham KTH, Nguyen BT, Phan HT, Nguyen HN, Tran BX, Latkin CA, et al. Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam. International Journal of Environmental Research and Public Health. 2019; 16(22):4518. https://doi.org/10.3390/ijerph16224518
Chicago/Turabian StyleNguyen, Long Hoang, Hai Minh Vu, Giang Thu Vu, Tung Hoang Tran, Kiet Tuan Huy Pham, Binh Thanh Nguyen, Hai Thanh Phan, Hieu Ngoc Nguyen, Bach Xuan Tran, Carl A. Latkin, and et al. 2019. "Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam" International Journal of Environmental Research and Public Health 16, no. 22: 4518. https://doi.org/10.3390/ijerph16224518