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Fall Prevention Literacy among Thai Elderly: A Cross- Sectional Study in a Municipal Community Context

Neeranute Wontaisong MNS¹, Piyathida Kuhirunyaratn PhD², Nomjit Nualnetr PhD³ , ⁴ , ⁵, Pat Nonjui MD²

Affiliation : ¹ Department of Health Science Program, Faculty of Science and Technology, Sakon Nakhon Rajabhat University, Sakon Nakhon, Thailand ² Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ³ School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand ⁴ Research and Training Center for Enhancing Quality of Life of Working-Age People, Khon Kaen University, Khon Kaen, Thailand ⁵ North-Eastern Stroke Research Group, Khon Kaen University, Khon Kaen, Thailand


Objective : To assess the proportion of fall prevention literacy and identify factors related to fall prevention literacy among Thai elderly in the municipal community context.

Materials and Methods :
A cross-sectional study was conducted among the elderly aged 60 to 69 years in the Sakon Nakhon Municipality, Sakon Nakhon Province, Thailand. The sample size based on a simple random sampling. One hundred forty-five older persons were interviewed using a fall prevention literacy questionnaire. The data were analyzed with descriptive statistics such as frequency, percentage, mean, standard deviation, and 95% confidence interval (CI). Chi-squared, crude odds ratio, adjusted odds ratio (AOR), and multiple logistic regression statistics were used to evaluate the factors related to fall prevention literacy.
Results : The response rate was 97.22%. Most elderly were female, married, had chronic morbidity, and had a caregiver. The proportion of fall prevention literacy in respondents was inadequate at 50.70%, 95% CI 42.46 to 58.94. Multiple logistic regression analysis showed that chronic morbidity (AOR 2.24, 95% CI 1.04 to 4.48) and health education by village health volunteers (AOR 3.17, 95% CI 1.12 to 9.00) were statistically related to adequate fall prevention literacy.
Conclusion : Half of the elderly had inadequate fall prevention literacy. Therefore, to improve the fall prevention literacy among the elderly, it is important to consider elderly targets without chronic morbidity, and the village health volunteers are the key persons to educate and enhance fall prevention literacy among community-dwelling elderly.

Received 2 September 2020 | Revised 30 November 2020 | Accepted 3 December 2020
doi.org/10.35755/jmedassocthai.2021.03.11940

Keywords : Keywords : Fall prevention literacy, Elderly, Municipal


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