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Current Gerontology and Geriatrics Research
Volume 2013 (2013), Article ID 495468, 7 pages
http://dx.doi.org/10.1155/2013/495468
Research Article

Prevalence and Determinants of Falls among Older Adults in Ecuador: An Analysis of the SABE I Survey

Department of Medicine, Laredo Medical Center, 1700 East Saunders, Laredo, TX 78041, USA

Received 23 November 2012; Revised 14 January 2013; Accepted 14 January 2013

Academic Editor: Francesc Formiga

Copyright © 2013 Carlos H. Orces. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The present study based on a nationally representative sample of older adults living in the Andes mountains and coastal region of the country indicates that 34.7% of older adults had fallen in the previous year in Ecuador. Among fallers, 30.6% reported a fall-related injury. The prevalence of falls was higher in women and among older adults residing in the rural Andes mountains. In the multivariate model, women, subjects with cognitive impairment, those reporting urinary incontinence, and those being physically active during the previous year were variables found independently associated with increased risk of falling among older adults in Ecuador. Moreover, a gradual and linear increase in the prevalence of falls was seen as the number of risk factors increased. Falls represent a major public health problem among older adults in Ecuador. The present findings may assist public health authorities to implement programs of awareness and fall prevention among older adults at higher risk of falls.