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

  • External Hip Protectors for Prevention of Hip Fracture.  // American Family Physician;7/1/1993, Vol. 48 Issue 1, p130 

    Summarizes the article `External Hip Protectors for Prevention of Hip Fracture,' by Lauritzen and colleagues from the journal `Lancet,' dated January 2, 1993. Description of the external hip protector; Control versus treatment groups; Recommendation.

  • Hip fracture: How to lessen injuries when patients fall.  // Geriatrics;Feb94, Vol. 49 Issue 2, p18 

    Reports on a study done on reducing the risk of hip fractures in older adults. Preventing falls and lessening their impact as an important way to avoid injury; Maintenance of bone mineral density (BMD).

  • CNE/CME Questions.  // Pediatric Emergency Medicine Reports;May2007, Vol. 12 Issue 5, p12 

    A quiz concerning hip fractures is presented.

  • Hip fracture in India is associated with high rates of mortality and disability.  // Medical Device Daily;4/25/2013, Vol. 17 Issue 80, Special section p2 

    The article presents the results of a study conducted by researchers at Maulana Azad Medical College in India showing the link of hip fracture to high level of mortality and disability in India.

  • Hip fractures occur earlier in men than women and can lead to earlier mortality. Press, Robert // Orthopedics Today;Nov2009, Vol. 29 Issue 11, p45 

    This article discusses research being done on long-term survival and fracture risk of men and women after hip fracture.

  • Hip database shows drop in number of deaths after fracture.  // Emergency Nurse;Oct2014, Vol. 22 Issue 6, p6 

    The article reports on the decline in deaths due to hip fracture in Great Britain as reported on the National Hip Fracture Database.

  • Home exercise benefits hip fracture recovery.  // Geriatrics;Jan98, Vol. 53 Issue 1, p28 

    Focuses on hip fractures, with emphasis on the benefits of exercise to aid proper recovery. Comments from Mary E. Tinetti, M.D., a professor of medicine and public health and epidemiology at Yale University; Details on a study conducted by Tinetti and colleagues; Discussion on findings.

  • Proximal femur fracture in older patients--rehabilitation and clinical outcome. Roder, Frank; Schwab, Matthias; Aleker, Thomas; Morike, Klaus; Thon, Klaus-Peter; Klotz, Ulrich // Age & Ageing;Jan2003, Vol. 32 Issue 1, p74 

    Examines the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Projections on the annual number of hip fracture cases by 2050; Risk factors for fall-induced hip fractures among elderly people; Information on hip fracture treatment; Factors...

  • Hip Fracture: A Complex Illness Among Complex Patients. Lynn, Joanne; Dixit, Rajiv K.; Hung, William W.; Morrison, R. Sean // Annals of Internal Medicine;1/3/2012, Vol. 156 Issue 1, p70 

    A letter to the article and a reply are presented in response to the article "Hip fracture: a complex illness among complex patients" in the 2011 issue of "Annals of Internal Medicine."


Read the Article


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

Try another library?
Sign out of this library

Other Topics