Surveillance for injuries and violence among older adults.

摘要: PROBLEM/CONDITION: Injuries and violence are major causes of disability death among adults aged > or =65 years in the United States. impair older adults' quality life result billions dollars health-care expenditures each year. REPORTING PERIOD: This report reviews 1987-1996 data regarding fall-related deaths, 1988-1996 on hospitalizations for hip fracture, 1990-1997 motor vehicle-related injuries, 1990-1996 suicides, homicides. DESCRIPTION OF SYSTEMS: Data homicides from National Center Health Statistics annual mortality tapes 1987-1996. Homicide supplemented with information Federal Bureau Investigation's Supplemental Reports fracture Hospital Discharge Surveys. Information injuries is Highway Traffic Safety Administration's Fatality Analysis Reporting System General Estimates System. RESULTS: Rates deaths increased sharply advancing age were consistently higher men all categories. Men 22% more likely than women to sustain fatal falls. A trend increasing rates was observed 1987 through 1996 States, although lower throughout this period. differed by white other groups. both sexes but U.S. hospitalization 1988 while remained stable. slightly 1990 1997, marked variations state-specific observed; most states, had approximately twice those women. Although suicide remain any group, decreased 16% during study Suicide varied sex group. declined 36% adults. highest black men, followed men; homicide risk blacks relative whites 4.8 3.9 per 100,000 persons, indicating that gap between closing. Half victims killed someone they knew. INTERPRETATION: The increase might reflect a change proportion =85 compared 65-84 - results, part, reduced cardiovascular chronic diseases. Fall-related be because often have prevalence comorbid conditions similar age. Racial differences some underlying biologic basis; osteoporosis, condition contributes bone mass fragility, greatest Compared years, comparable ages greater less fractures. Additional studies needed determine why injury these vary state. Declining related changes effect type factors traditionally Research identify reasons persons. Homicides olde