Hip fractures and area level socioeconomic conditions: a population-based study

Icks, Andrea; Haastert, Burkhard; Wildner, Manfred; Becker, Clemens; Rapp, Kilian; Dragano, Nico; Meyer, Gabriele; Rosenbauer, Joachim
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p1
Academic Journal
Background: Only a limited number of studies have analyzed the association between hip fracture incidence and socioeconomic conditions. Most, but not all found an association, and results are in part conflicting. The aim of our study was to evaluate the association between hip fractures and socioeconomic conditions in Germany, from 1995 to 2004, on a census tract area level. Methods: We used data from the national hospital discharge diagnosis register and data on socioeconomic and demographic characteristics of 131 census tracts from official statistics. Associations between the hip fracture incidence and socioeconomic conditions were analyzed by multiple Poisson regression models, taking overdispersion into account. Results: The risk of hip fracture decreased by 4% with a 7% increase (about one interquartile range) of non-German nationals. It decreased by 10% with a 6% increased rate of unemployment, increased by 7% with a 2% increase of the proportion of welfare recipients, and also increased by 3% with an increase of the proportion of single parent families of 1.9%. Conclusion: Our results showed weak associations between indicators of socioeconomic conditions at area level and hip fracture risk; the varied by type of indicator. We conclude that hip fracture incidence might be influenced by the socioeconomic context of a region, but further analysis using more specific markers for deprivation on a smaller scale and individual-level data are needed.


Related Articles

  • Socio-economic status, ethnicity and geographical variations in acceptance rates for renal replacement therapy in England and Wales: an ecological study. Udayaraj, Udaya P.; Ben-Shlomo, Yoav; Roderick, Paul; Casula, Anna; Ansell, David; Tomson, Charles R. V.; Caskey, Fergus J. // Journal of Epidemiology & Community Health;Jun2010, Vol. 64 Issue 6, p16 

    Background It is not known to what extent the reported regional variations in renal replacement therapy (RRT) acceptance rates in England and Wales are due to differences in the socio-demographic characteristics of the population. Methods The authors calculated age-gender indirectly standardised...

  • Social inequalities in mortality: changes in the relative importance of income, education and household size over a 27-year period. Rognerud, Marit A.; Zahl, Per-Henrik // European Journal of Public Health;Feb2006, Vol. 16 Issue 1, p62 

    Background: The aim of this paper was to measure socio-economic inequalities in mortality over a 27-year period, and estimate the simultaneous effects of education and income adjusted for changing proportions and potential confounders. Methods: Census data in 1970, 1980 and 1990 with information...

  • Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change. Vandenheede, Hadewijch; Deboosere, Patrick; Stirbu, Irina; Agyemang, Charles; Harding, Seeromanie; Juel, Knud; Rafnsson, Snorri; Regidor, Enrique; Rey, Grégoire; Rosato, Michael; Mackenbach, Johan; Kunst, Anton // European Journal of Epidemiology;Feb2012, Vol. 27 Issue 2, p109 

    The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR)...

  • Relationship between socio-economic factors and tuberculosis using negative binomial and Poisson regression models. Sarvi, F.; Mehrabi, Y.; Abadi, A. R.; Nasehi, M.; Payandeh, A. // Journal of Gorgan University of Medical Sciences;Winter2014, Vol. 16 Issue 4, p87 

    Background and Objective: Tuberculosis (TB) is the most important cause of death worldwide. The main reason for the increasing global burden of TB are severe poverty and class distinctions between rich and poor population groups in various communities. This study was performed to determine the...

  • Research of Propagation Behavior on Tibetan Network Public Sentiment. Yingxing LI; WU, Ailan; Yani E // Advanced Materials Research;7/24/2014, Vol. 989-994, p1590 

    In the past some of the social and economic system of the study, often simplified to a single person's behavior can be described using the Poisson process stationary random process. However, since 2005, and reply by email, mail Propagations, human behavior, the actual statistics of time...

  • An interdisciplinary perspective on social and physical determinants of seismic risk. Lin, K.-H.; Chang, Y.-C.; Liu, G.-Y.; Chan, C.-H.; Lin, T.-H.; Yeh, C.-H. // Natural Hazards & Earth System Sciences Discussions;2015, Vol. 3 Issue 1, p761 

    While disaster studies researchers usually view risk as a function of hazard, exposure, and vulnerability, few studies have systematically examined the relationships among the various physical and socioeconomic determinants underlying disasters, and fewer have done so through seismic risk...

  • Factors Associated With Physical Inactivity in Transportation in Brazilian Adults Living in a Low Socioeconomic Area. Thiago Herick Sa; Salvador, Emanuel Péricles; Florindo, Alex Antonio // Journal of Physical Activity & Health;Aug2013, Vol. 10 Issue 6, p856 

    Background: Physical inactivity in transportation is negatively related to many health outcomes. However, little is known about the correlates of this condition among people living in regions of low socioeconomic level. Methods: Cross-sectional study aimed to assess factors associated with...

  • Leisure-Time Physical Activity and Social Support Among Brazilian Adults. Mohnsam da Silva, Inacio Crochemore; Azevedo, Mario Renato; Gonçalves, Helen // Journal of Physical Activity & Health;Aug2013, Vol. 10 Issue 6, p871 

    Objective: To explore the association between family and friends' social support and leisure-time physical activity (PA) in adults. Methods: Cross-sectional population-based study, conducted in Pelotas, Brazil. Leisure-time PA was measured with the long version of the International Physical...

  • Elderly pelvic fractures: the incidence is increasing and patient demographics can be used to predict the outcome. Clement, Nicholas; Court-Brown, Charles // European Journal of Orthopaedic Surgery & Traumatology;Dec2014, Vol. 24 Issue 8, p1431 

    Objectives: To (1) to determine the incidence of elderly pelvic fractures over the last decade, (2) describe the epidemiology and outcome of patients with pubic rami fractures and compare these to those patients sustaining all other pelvic fractures, and (3) identify independent predictors of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics