Earticle

초록

영어

Introduction: Age-related co-morbidities are common among persons living with chronic Human Immunodeficiency Virus (HIV). However, data are largely absent on the relationship between frailty and incontinence as related to falls—common age-related co-morbidities—among people living with chronic HIV (PLWH). Methods: To inform hospital-based Occupational Therapy (OT) services for PLWH, we performed a case-control study using extracted data from the electronic medical records of PLWH who had received OT at a large academic hospital. Two-hundred-and-four subjects were included in the final dataset; sixty-eight were cases that reported a fall within the last 12 months, while 136 were controls which were PLWH who had not sustained a fall. Results: The association between falls and frailty indicated that persons categorized as ‘pre-frail’ with balance deficits were more likely to fall (OR=2.77 [1.18-6.52]). Women who lacked insurance were less likely to fall (OR=0.38 [0.18-0.82]) and (OR=0.29 [0.09-0.88]) respectively. The association between incontinence and falls among PLWH were not statistically significant in a multivariate adjusted regression model (OR=1.38 [.59-3.22]). Conclusion: Our findings suggest further examination of the person factors of PLWH who are categorized clinically as ‘pre-frail’ or ‘frail’ may improve health outcomes and reduce falls when paired with occupation-based interventions.

목차

Abstract
Ⅰ. Introduction
Ⅱ. Methods
1. Study Design
2. Measures
3. Data Analysis
Ⅲ. Results
Ⅳ. Discussion
Ⅴ. Conclusions
References

키워드

저자

• Amber B. Armstead [ University of Texas Medical Branch, Assistant Professor ] Corresponding Author
• J. Michael Wilkerson [ University of Texas Health Science Center (UTHealth) School of Public Health, Assistant Professor ]
• Gretchen Gemeinhardt [ University of Texas Health Science Center (UTHealth) School of Public Health, Associate Professor ]
• Alan Nyitray [ Medical College of Wilsconsin, Associate Professor ]
• Diane M. Collins [ University of Texas Medical Branch, Associate Professor ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  대한작업치료학회지 [The Journal of Korean Society of Occupational Therapy]

• 간기

  계간

• pISSN

  1226-0134

• 수록기간

  1993~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617