Resumo

RUELAS GONZALEZ, Ma. Guadalupe  e  SALGADO DE SNYDER, V Nelly. Accidental injuries in older adults: a challenge for the health systems. Salud pública Méx [online]. 2008, vol.50, n.6, pp. 463-471. ISSN 0036-3634.  http://dx.doi.org/10.1590/S0036-36342008000600007.

OBJECTIVE: To identify factors (sociodemographic, health, and social support) associated with the presence of accidental injuries in older adults living in deprived urban neighborhoods in four Mexican municipalities. MATERIAL AND METHODS: Cross-sectional survey carried out in 2004-2005, with a non-probabilistic, intentional sample of 799 male and female elderly living in deprived urban areas in four Mexican municipalities. For the statistical analysis, non-parametric tests and multivariate logistic regression models were used. RESULTS: More than a third (37%) of the sample reported injuries; with falls being the main cause. Home was the venue where most accidents took place (52%). Risk factors for accidental injuries were: advanced age, working, greater number of illnesses, consumption of more medicines and remedies, self-perception of "poor" health , consumption of alcoholic beverages, inadequate family support and being a caretaker of others. CONCLUSIONS: The multi-causality of accidental injuries in older adults demands the participation of all sectors of society, and particularly public health interventions.

Palavras-chave : elderly; injuries; accidents; poverty; Mexico.