Race and sex differences in hip fracture incidence

Incidence rates for hip fracture in the United States were estimated using non-federal hospital discharges from the National Hospital Discharge Survey for the years 1974-1979. Age-specific incidence curves for women and for men showed similar patterns of increase in risk with age, with risks approxi...

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Bibliographic Details
Published in:American journal of public health (1971) 1984-12, Vol.74 (12), p.1374-1380
Main Authors: Farmer, M E, White, L R, Brody, J A, Bailey, K R
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Biological and medical sciences
Black or African American
Black People
Female
Health Surveys
Hip Fractures - epidemiology
Hospital Records
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Risk
Sex Factors
Traumas. Diseases due to physical agents
United States
White People
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Summary:Incidence rates for hip fracture in the United States were estimated using non-federal hospital discharges from the National Hospital Discharge Survey for the years 1974-1979. Age-specific incidence curves for women and for men showed similar patterns of increase in risk with age, with risks approximately doubling every five years after age 50. Age-specific rates by five-year age groups were compared among the four race-sex groups. No significant differences were observed between Black females, Black males, and White males. In contrast, rates for White females were one and one-half to four times those for Black females after age 40 and were approximately double those for White males after age 50. Analysis based on an independent data source of non-federal hospital discharges in Washington, DC confirmed these relationships. In the Washington study, White women were at twice the risk for hip fracture (controlled for age) compared with Black women and at 2.7 times the risk for hip fracture (controlled for age) compared to White men. No significant differences were observed between Black women and Black men.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.74.12.1374