Marked socioeconomic inequalities in hip fracture incidence rates during the Bone and Joint Decade (2000–2010) in Portugal
Age and sex temporal trends in a population based study
Bibliographic Data
| ID | 11175808 |
|---|---|
| Authors | Carla Maria Oliveira (0000-0002-4594-1723, Universidade do Porto), Sandra Maria Alves (0000-0002-2318-7491, Universidade do Porto), Maria De Fátima De Pina (0000-0002-1521-7865, Universidade do Porto), Maria Fátima Pina (Universidade do Porto) |
| Year | 2016 |
| Volume | 70 |
| Issue | 8 |
| Pages | 755-763 |
| Publication date | 2016-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Epidemiology and Community Health (JOURNAL) |
| Journal identifiers | ISSN: 0143-005X • E-ISSN: 1470-2738 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/jech-2015-206508 |
| PMID | 26787200 |
| OpenAlex | W2311621864 |
| Language | EN |
| Citations received | 1 |
| References cited | 34 |
BACKGROUND: Socioeconomic factors may influence changes in hip fracture (HF) incidence over time. We analysed HF temporal trends during the Bone and Joint Decade in Portugal (BJD-Portugal), 2000-2010, by regional socioeconomic status (SES), sex and age. METHODS: We selected registers of patients aged 50+ years with HF (International Classification of Diseases, V.9-Clinical Modification, ICD9-CM) caused by traumas of low/moderate energy, from the National Hospital Discharge Database. Annual time series of age-specific incidence rates were calculated by sex and regional SES (deprived, medium, affluent). Generalised additive models were fitted to identify shape/turning points in temporal trends. RESULTS: We selected 96 905 HF (77.3% in women). Women were older than men at admission (81.2±8.5 vs 78.2±10.1 years-old, p<0.001). For women 65-79 years, a continuously decreasing trend (1.7%/year) only in affluent and increasing trends (3.3-3.4%/year) after 2006/2007 in medium and deprived was observed. For men, trends were stable or increased in almost all age/SES groups (only two decreasing periods). For the oldest women, all SES present similar trends: turning points around 2003 (initiating decreasing periods: 1.8-2.9%/year) and around 2007 (initiating increasing periods: 3.7-3.3%/year). CONCLUSIONS: There were SES-sex-age inequalities in temporal trends during BJD-Portugal: marked SES inequalities among women aged 65-79 years (a persistent, decreasing trend only in the affluent) vanished among the oldest women; the same was not observed in men, for them, there were almost no declining periods; women aged ≥80 years, presented increasing trends around 2007, as in most deprived/age/sex groups. Despite some successful periods of decreasing trends, incidence rates did not improve overall in almost all age groups and both sexes
Environmental health · Hip fracture · Incidence (geometry) · Inequality · Osteoporosis · Population · Socioeconomic status · Bone health and osteoporosis research · Demography · Hip and Femur Fractures · Internal Medicine · Medicine · Trauma and Emergency Care Studies · Gerontology · Pediatrics
| Citations per year | 0.14 |
|---|---|
| Citation span | 2019 - 2019 (1) |
| Highly cited | No |