Medical Journal of Malaysia

MJM, Vol 70 Supplement 1 September 2015

Falls among older adults: Findings from screening at the Ministry of Health Malaysia Primary Care Clinics

Norhafizah Sahril, Noor Ani Ahmad, Mohamad Aznuddin Abd Razak, Chan Ying Ying, Rajini Sooryanarayana, S Maria Awaluddin, Noraida Mohd Kassim, Muslimah Yusof, Rahama Samad, Balkish Mahadir Naidu, Norazizah Ibrahim Wong

Institute for Public Health, National Institutes of Health, Ministry of Health, Malaysia, Kuala Lumpur

ABSTRACT

Introduction: Falls is a major health problem and disproportionately affect the lives of older adults. This study aimed to determine the associated factors for risk of falls among Malaysian older adults.

Method: This study was cross-sectional in design and using secondary data collected from Elderly Health Screening Form (BSSK/WE/2008/Pind.1/2012). It was a nationwide study involving 328 randomly selected Government Primary Care Clinics. Elderly is defined as a person aged 60 years and above. Descriptive and logistic regression analyses were conducted using SPSS version 19.0.

Results: Overall, 19.1% (95% CI: 17.86-20.42) of the elderly reported of experienced falls. The prevalence of falls were higher among females than males (19.5% vs. 18.7%), elderly aged 75 years and older than those who were younger (21.9% vs. 18.4%) and among rural than urban dwellers (21.2% vs. 17.8%). By ethnicity, the highest prevalence of falls was among the Indians, followed by Malays, Chinese and other ethnics (19.8%, 19.4%, 18.9%, 17.3% respectively). Multiple logistic regression revealed that falls were positively associated with taking one or more medicines (adjusted Odds Ratio (aOR) 2.33, 95% CI: 1.39-3.91), consuming alcohol (aOR 1.72, 95% CI: 1.06-2.80) and having heart disease (aOR 1.95, 95% CI: 1.37-2.76). Elderly who were current smokers, having hypertension, diabetes, asthma, kidney failure and epilepsy were not statistically associated with falls.

Discussion: Falls are a common problem among older adults, with potentially serious consequences. Our study found that elderly who were on multiple-drug treatment, consumed alcohol and diagnosed with heart disease were at higher risk for falls.  A comprehensive and targeted program designed to reduce risk of falls is urgently needed.

Keywords: falls, older adults, Elderly Health Screening Form