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AJPH First Look, published online ahead of print Feb 28, 2007
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April 2007, Vol 97, No. 4 | American Journal of Public Health 676-678
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.091140

RESEARCH AND PRACTICE

Improving Access to Comprehensive Injury Risk Assessment and Risk Factor Reduction in Older Adult Populations

Joyce C. Pressley, PhD, MPH, Barbara Barlow, MD, Lodze Quitel, MD and Aisha Jafri, MPH

At the time of the study, Joyce C. Pressley was with the Mailman School of Public Health, Columbia University, New York, NY, and the Injury Free Coalition, New York. Barbara Barlow was with Columbia University, Harlem Hospital, and the Injury Free Coalition, New York. Lodze Quitel was with Harlem Hospital, New York. Aisha Jafri was a summer research assistant and an MPH student at the Mailman School of Public Health, Columbia University, New York.

Correspondence: Requests for reprints should be sent to Joyce C. Pressley, PhD, MPH, Departments of Epidemiology and Health Policy and Management, Mailman School of Public Health, Columbia University, 722 W 168 St, Room 17-12, New York, NY 10032 (e-mail: jp376{at}columbia.edu).

Preventing injuries in older populations (aged 50–86 years) is more complex than in younger populations because of frailty, comorbidities, polypharmacy, and physical and cognitive functional limitations. To improve accessibility and delivery of comprehensive, focused injury prevention, we developed a model incorporating applicable features of our national children’s program with additional elements to address challenges of older populations. The older adult injury prevention model addresses gaps in prevention by improving access to risk factor screening, safety devices, education, counseling, medical care, and referrals.






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