Gender, socioeconomic, medical, and environmental factors related to domestic accidents of the elderly in Spain. Findings of a national survey

Domestic accidents pose serious threats to the independence of the elderly. We explored associations between domestic accidents and gender, socioeconomic, medical, and environmental factors using data from the European Health Survey 2014 for elderly Spanish female and male nationals. Records of 5960...

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Bibliographic Details
Published in:Women & health 2019-10, Vol.59 (9), p.985-996
Main Authors: López-Soto, Pablo J., Morales-Cané, Ignacio, Smolensky, Michael H., Manfredini, Roberto, Dios-Guerra, Caridad, Rodríguez-Borrego, María Aurora, Carmona-Torres, Juan Manuel
Format: Article
Language:English
Subjects:
Accidents
Confidence intervals
depressive symptoms
Domestic accidents
elderly
Environmental aspects
Environmental factors
Females
Gender
Gender differences
Geriatrics
Medicine
Mental depression
Older people
physical limitations
Polls & surveys
Sex differences
Socioeconomic factors
Socioeconomics
Symptoms
Women
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Summary:Domestic accidents pose serious threats to the independence of the elderly. We explored associations between domestic accidents and gender, socioeconomic, medical, and environmental factors using data from the European Health Survey 2014 for elderly Spanish female and male nationals. Records of 5960 participants (mean age ± SD: 75.9 ± 7.6 years), 59.8% of whom were women, were examined. Domestic accidents occurred in 460 (7.1%) seniors, predominately in women (78.5%). Age (adjusted odds ratio [aOR]: 1.02 [95% confidence interval [CI]: 1.00-1.03, p = .003], female gender (aOR 2.04 [95% CI 1.60-2.60, p < .001]), difficulty managing 12 stairs (reference: none) (some: aOR 2.03 [95% CI 1.53-2.68, p < .001]; much: aOR 2.88 [95% CI 2.15-3.87, p < .001]; inability: aOR 3.09 [95% CI 2.14-4.45, p < .001]), and depressive symptoms severity (reference: absent) (mild: aOR 1.44 [95% CI 1.10-1.89, p = .008]; moderate: aOR 1.91 [95% CI 1.35-2.71, p < .001];. Very severe: aOR 2.53 [95% CI 1.72-3.71, p < .001]; extremely severe: aOR 2.38 [95% CI 1.45-3.93, p = .001]) were independently associated with domestic accidents. Severity of depressive symptoms was the most prominent feature for women, while inability to manage 12 stairs was the most prominent for men. Our results suggest important gender differences in factors associated with domestic accidents that are relevant to intervention and preventive programs.
ISSN:0363-0242
1541-0331
DOI:10.1080/03630242.2019.1587665