{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:55:46Z","timestamp":1761710146964,"version":"3.41.2"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T00:00:00Z","timestamp":1736812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant findings indicate that individuals with anxiety and depression had nearly double the risk of UI compared to those without these conditions (adj. OR\u202f=\u202f1.92, 95% CI: 1.42\u20132.6, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001). Alcohol consumption was also associated with higher UI risk (adj. OR\u202f=\u202f1.46, 95% CI: 1.05\u20132.03, <jats:italic>p<\/jats:italic>\u202f=\u202f0.023). Females had a significantly higher adjusted odds of UI compared to males (adj. OR\u202f=\u202f1.38, 95% CI: 1.03\u20131.84, <jats:italic>p<\/jats:italic>\u202f=\u202f0.029), and rural residents were more likely to experience UI than urban dwellers (adj. OR\u202f=\u202f1.38, 95% CI: 1.05\u20131.82, <jats:italic>p<\/jats:italic>\u202f=\u202f0.02). Exercise frequency was inversely related to UI risk, with those exercising 1\u20132 times per week having reduced odds (adj. OR\u202f=\u202f0.46, 95% CI: 0.22\u20130.98, <jats:italic>p<\/jats:italic>\u202f=\u202f0.044). Other factors such as age, marital status, hypertension, diabetes, and main caregiver showed no significant associations with UI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Addressing 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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1466083","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T05:11:19Z","timestamp":1736831479000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional 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risk of unintentional injuries in adults with disabilities: a systematic review and meta-analysis","volume":"8","author":"Shi","year":"2015","journal-title":"Disabil Health J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"9817","DOI":"10.1001\/jamanetworkopen.2022.9817","article-title":"Association of depression and anxiety with the accumulation of chronic conditions","volume":"5","author":"Bobo","year":"2022","journal-title":"JAMA Netw Open"},{"key":"ref3","first-page":"407","article-title":"Unintentional injuries and violence","volume":"407","author":"Norton","year":"2012","journal-title":"Glob Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"105688","DOI":"10.1016\/j.aap.2020.105688","article-title":"Systematic review of unintentional injury prevention economic evaluations 2010\u20132019 and comparison to 1998\u20132009","volume":"146","author":"Mahalingam","year":"2020","journal-title":"Accid Anal Prev"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"12533","DOI":"10.1038\/s41598-017-12991-3","article-title":"Risk factors for unintentional injuries among the rural elderly: a county-based cross-sectional survey","volume":"7","author":"Zhang","year":"2017","journal-title":"Sci Rep"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1111\/nhs.12426","article-title":"Cognitive and physical factors affecting daily function in Alzheimer's disease: a cross-sectional analysis","volume":"21","author":"Yu","year":"2019","journal-title":"Nurs Health Sci"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1093\/heapol\/czx137","article-title":"Integrated mental health services in China: challenges and planning for the future","volume":"33","author":"Liang","year":"2018","journal-title":"Health Policy Plan"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1177\/0898264315591003","article-title":"Understanding rural\u2013urban differences in depressive symptoms among older adults in China","volume":"28","author":"Li","year":"2016","journal-title":"J Aging Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.gerinurse.2022.11.017","article-title":"Association of unmet long-term care needs with depression and anxiety among older adults in urban and rural China","volume":"49","author":"Song","year":"2023","journal-title":"Geriatr Nurs"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-021-06113-z","article-title":"Rural-urban and gender differences in the association between community care services and elderly individuals\u2019 mental health: a case from Shaanxi Province, China","volume":"21","author":"Yang","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1016\/j.jad.2021.06.050","article-title":"Prevalence of depressive symptoms among older 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evidence from Hangzhou, China","volume":"10","author":"Zhou","year":"2022","journal-title":"Front Public Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1136\/ip.2004.005835","article-title":"Gender differences for non-fatal unintentional fall related injuries among older adults","volume":"11","author":"Stevens","year":"2005","journal-title":"Inj Prev"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1093\/acprof:oso\/9780199655786.003.0019","article-title":"Alcohol consumption and injury. 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Indian","volume":"43","author":"Rangarajan","year":"2021","journal-title":"J Psychol Med"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/S2215-0366(18)30511-X","article-title":"Prevalence of mental disorders in China: a cross-sectional epidemiological study","volume":"6","author":"Huang","year":"2019","journal-title":"Lancet Psychiatry"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1111\/j.1447-0594.2009.00563.x","article-title":"Health and aging in a Chinese population: urban and rural disparities","volume":"10","author":"Dong","year":"2010","journal-title":"Geriatr Gerontol Int"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"221209","DOI":"10.3389\/fpubh.2017.00038","article-title":"An integrated approach to falls prevention: a model for linking clinical and community interventions through the Massachusetts prevention and wellness trust fund","volume":"5","author":"Coe","year":"2017","journal-title":"Front Public Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s10389-017-0840-1","article-title":"The use of routine health check-ups and psychological factors\u2014a neglected link. 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