Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study

BackgroundThe aging population presents a significant public health challenge, particularly concerning mental health and injury prevention. Anxiety and depression are common among the older adult, affecting their quality of life and increasing the risk of unintentional injuries (UI). This study aims...

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Main Authors: Li Niu, Jie Zhang, Chun-liu Lu, Yong Zhang, Xin-xin Mo, Rong Xu, Hong-ye Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1466083/full
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author Li Niu
Jie Zhang
Chun-liu Lu
Yong Zhang
Xin-xin Mo
Rong Xu
Hong-ye Luo
author_facet Li Niu
Jie Zhang
Chun-liu Lu
Yong Zhang
Xin-xin Mo
Rong Xu
Hong-ye Luo
author_sort Li Niu
collection DOAJ
description BackgroundThe aging population presents a significant public health challenge, particularly concerning mental health and injury prevention. Anxiety and depression are common among the older adult, affecting their quality of life and increasing the risk of unintentional injuries (UI). This study aims to explore the association between anxiety and depression and UI risk among the older adult in Guangxi, China, using data from the 2023 National Health Service Survey.MethodsA cross-sectional design was employed, analyzing data from 2,894 participants aged 60 and above in Guangxi. The primary variables were anxiety and depression, assessed via validated scales, with UI as the dependent variable. Logistic regression was used to estimate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI), adjusting for potential confounders such as age, gender, socioeconomic status, and lifestyle factors.ResultsSignificant findings indicate that individuals with anxiety and depression had nearly double the risk of UI compared to those without these conditions (adj. OR = 1.92, 95% CI: 1.42–2.6, p < 0.001). Alcohol consumption was also associated with higher UI risk (adj. OR = 1.46, 95% CI: 1.05–2.03, p = 0.023). Females had a significantly higher adjusted odds of UI compared to males (adj. OR = 1.38, 95% CI: 1.03–1.84, p = 0.029), and rural residents were more likely to experience UI than urban dwellers (adj. OR = 1.38, 95% CI: 1.05–1.82, p = 0.02). Exercise frequency was inversely related to UI risk, with those exercising 1–2 times per week having reduced odds (adj. OR = 0.46, 95% CI: 0.22–0.98, p = 0.044). Other factors such as age, marital status, hypertension, diabetes, and main caregiver showed no significant associations with UI.ConclusionAddressing mental health issues and promoting moderate exercise may help reduce UI risk in the older adult. Policies should focus on enhancing mental health services and injury prevention programs, particularly in rural settings, to improve the overall health and safety of the aging population in Guangxi.
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spelling doaj-art-a458753b48db4d598ee376308687ed862025-01-14T05:10:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14660831466083Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional studyLi Niu0Jie Zhang1Chun-liu Lu2Yong Zhang3Xin-xin Mo4Rong Xu5Hong-ye Luo6Department of Preventive Medicine, School of Basic Medical Sciences, Jiujiang University, Jiujiang, Jiangxi, ChinaCenter for Health Statistics and Information, Health Commission of Guangxi, Nanning, Guangxi, ChinaHealth Management Center, Jiangbin Hospital, Nanning, Guangxi, ChinaDepartment of Gastroenterology, The Eighth People's Hospital of Nanning, Nanning, Guangxi, ChinaResearch Centre for Regenerative Medicine, Guangxi Medical University, Nanning, Guangxi, ChinaOrganization Department of the Party Committee, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Health Care Management, School of Information and Management, Guangxi Medical University, Nanning, Guangxi, ChinaBackgroundThe aging population presents a significant public health challenge, particularly concerning mental health and injury prevention. Anxiety and depression are common among the older adult, affecting their quality of life and increasing the risk of unintentional injuries (UI). This study aims to explore the association between anxiety and depression and UI risk among the older adult in Guangxi, China, using data from the 2023 National Health Service Survey.MethodsA cross-sectional design was employed, analyzing data from 2,894 participants aged 60 and above in Guangxi. The primary variables were anxiety and depression, assessed via validated scales, with UI as the dependent variable. Logistic regression was used to estimate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI), adjusting for potential confounders such as age, gender, socioeconomic status, and lifestyle factors.ResultsSignificant findings indicate that individuals with anxiety and depression had nearly double the risk of UI compared to those without these conditions (adj. OR = 1.92, 95% CI: 1.42–2.6, p < 0.001). Alcohol consumption was also associated with higher UI risk (adj. OR = 1.46, 95% CI: 1.05–2.03, p = 0.023). Females had a significantly higher adjusted odds of UI compared to males (adj. OR = 1.38, 95% CI: 1.03–1.84, p = 0.029), and rural residents were more likely to experience UI than urban dwellers (adj. OR = 1.38, 95% CI: 1.05–1.82, p = 0.02). Exercise frequency was inversely related to UI risk, with those exercising 1–2 times per week having reduced odds (adj. OR = 0.46, 95% CI: 0.22–0.98, p = 0.044). Other factors such as age, marital status, hypertension, diabetes, and main caregiver showed no significant associations with UI.ConclusionAddressing mental health issues and promoting moderate exercise may help reduce UI risk in the older adult. Policies should focus on enhancing mental health services and injury prevention programs, particularly in rural settings, to improve the overall health and safety of the aging population in Guangxi.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1466083/fullunintentional injuriesolder adult populationmental healthanxiety and depressionrural health disparities
spellingShingle Li Niu
Jie Zhang
Chun-liu Lu
Yong Zhang
Xin-xin Mo
Rong Xu
Hong-ye Luo
Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
Frontiers in Public Health
unintentional injuries
older adult population
mental health
anxiety and depression
rural health disparities
title Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
title_full Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
title_fullStr Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
title_full_unstemmed Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
title_short Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study
title_sort anxiety depression and their association with unintentional injury risk among older adult populations in guangxi china a cross sectional study
topic unintentional injuries
older adult population
mental health
anxiety and depression
rural health disparities
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1466083/full
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