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Falls and balance confidence in persons with and without injection-related venous ulcers.

Pieper, Barbara, Templin, Thomas N., Goldberg, Allon, DiNardo, Ellen, Wells, Margaret·2013·Journal of Addiction Medicine
DOI 10.1097/adm.0b013e31827ea882
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Abstract

Objectives With aging of injection users and the high occurrence of venous disease in their legs, falls are a potential health problem. We examined falls and balance confidence in persons with (VU+) and without (VU-) injection-related venous ulcers (VUs). Methods This study used a cross-sectional, retrospective, comparative design with 31 participants VU+ and 30 VU- recruited in a medical clinic. Participants' legs were assessed for clinical manifestations of venous disease. Participants completed background and fall questionnaires and the Activities-specific Balance Confidence (ABC) Scale. Results Participants included 35 men and 26 women (mean age = 54 years); 93% were African American. Falling in the past year was reported by 65% of patients VU+ and 40% VU- (P = 0.048); 29 of these patients fell 2 or more times in the past year. Higher scores on the ABC Scale (N = 61) were significantly related to fewer falls (r = -0.68). Activities-specific Balance Confidence scores were lower/worse for the patients VU+ (P = 0.039). Area under the receiver operating curve for patients VU+ was significant; we found area under the curve of 0.84 and a cutoff score of 80.3% for ABC predictive of recurrent fallers with sensitivity of 84% and specificity of 83%. The ABC test had an internal consistency reliability of 0.97. Conclusions Persons VU+ reported worse balance confidence and more falls than those without these ulcers. The ABC test was related to falls. With aging of injection users and…

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Metadata

Authors
Pieper, B., Templin, T. N., Goldberg, A., DiNardo, E., & Wells, M.
Venue
Journal of Addiction Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2013-01
Volume
7
Issue
1
Pages
73-78
ISSN
1932-0620
DOI
10.1097/adm.0b013e31827ea882
Cited by
6
References
0
Language
en

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CoChat. (2026). Citation check: Falls and balance confidence in persons with and without injection-related venous ulcers. https://app.cochat.ai/papers/10.1097/adm.0b013e31827ea882
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Pieper, B., Templin, T. N., Goldberg, A., DiNardo, E., & Wells, M. (2013). Falls and balance confidence in persons with and without injection-related venous ulcers. Journal of Addiction Medicine. https://doi.org/10.1097/adm.0b013e31827ea882