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End of the spectacular decrease in fall-related mortality rate: Men are catching up

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Listed:
  • Hartholt, K.A.
  • Polinder, S.
  • Van Beeck, F.
  • Van Der Velde, N.
  • Van Lieshout, E.M.M.
  • Patka, P.
  • Van Der Cammen, T.J.M.

Abstract

Objectives: We determined time trends in numbers and rates of fall-related mortality in an aging population, for men and women. Methods. We performed secular trend analysis of fall-related deaths in the older Dutch population (persons aged 65 years or older) from 1969 to 2008, using the national Official-Cause-of-Death-Statistics. Results. Between 1969 and 2008, the age-adjusted fall-related mortality rate decreased from 202.1 to 66.7 per 100 000 older persons (decrease of 67%). However, the annual percentage change (change per year) in mortality rates was not constant, and could be divided into 3 phases: (1) a rapid decrease until the mid-1980s (men -4.1%; 95% confidence interval [CI] = -4.9, -3.2; women -6.5%; 95% CI, -7.1, -5.9), (2) flattening of the decrease until the mid-1990s (men -1.4%; 95% CI = -2.4, -0.4; women -2.0%; 95% CI = -3.4, -0.6), and (3) stable mortality rates for women (0.0%; 95% CI = -1.2, 1.3) and rising rates for men (1.9%; 95% CI = 0.6, 3.2) over the last decade. Conclusions. The spectacular decrease in fall-related mortality ended in the mid-1990s and is currently increasing in older men at similar rates to those seen in women. Because of the aging society, absolute numbers in fall-related deaths are increasing rapidly.

Suggested Citation

  • Hartholt, K.A. & Polinder, S. & Van Beeck, F. & Van Der Velde, N. & Van Lieshout, E.M.M. & Patka, P. & Van Der Cammen, T.J.M., 2012. "End of the spectacular decrease in fall-related mortality rate: Men are catching up," American Journal of Public Health, American Public Health Association, vol. 102(S2), pages 207-211.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300288_3
    DOI: 10.2105/AJPH.2011.300288
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