1University of Texas Medical Branch 2University of Texas Health Science Center (UTHealth) School of Public Health 3University of Texas Health Science Center (UTHealth) School of Public Health 4Medical College of Wilsconsin 5University of Texas Medical Branch
Introduction: Age-related co-morbidities are common among persons living with chronic Human ImmunodeficiencyVirus (HIV). However, data are largely absent on the relationship between frailty and incontinence as related tofalls—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-controlstudy using extracted data from the electronic medical records of PLWH who had received OT at a large academichospital. Two-hundred-and-four subjects were included in the final dataset; sixty-eight were cases that reporteda 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 deficitswere 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 amongPLWH 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 clinicallyas ‘pre-frail’ or ‘frail’ may improve health outcomes and reduce falls when paired with occupation-basedinterventions.