Fulltext

Socioeconomic and living conditions are determinants of hip fracture incidence and age occurrence among community-dwelling elderly

Guilley, E. ; Herrmann, F. ; Rapin, C.-H ; Hoffmeyer, P. ; Rizzoli, R. ; Chevalley, T.

In: Osteoporosis International, 2011, vol. 22, no. 2, p. 647-653

Ajouter à la liste personnelle
    Titre
    • Socioeconomic and living conditions are determinants of hip fracture incidence and age occurrence among community-dwelling elderly
    Auteur
    • Guilley, E.. Centre for Interdisciplinary Gerontology, University of Geneva, Geneva, Switzerland
    • Herrmann, F.. Service of Bone Diseases, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland
    • Rapin, C.-H. Centre for Interdisciplinary Gerontology, University of Geneva, Geneva, Switzerland
    • Hoffmeyer, P.. Service of Orthopaedic Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland
    • Rizzoli, R.. Service of Bone Diseases, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland
    • Chevalley, T.. Service of Bone Diseases, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Osteoporosis International, 2011, vol. 22, no. 2, p. 647-653. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:310445
    Summary
    Summary: In this prospective, 10-year study in community-dwelling elderly aged 50years and over, hip fracture incidence and accordingly age at hip fracture were inversely associated with the area-level income, independently of the geographical area. Age at hip fracture also depended of marital status but in a gender-specific way. Purpose: The purpose of this study is to investigate the impact of socioeconomic and living conditions on hip fracture incidence and age occurrence among community-dwelling elderly. Method: Between January 1991 and December 2000, 2,454 hip fractures were recorded in community-dwelling adults aged 50years and over in the Geneva University Hospital, State of Geneva, Switzerland. Median annual household income by postal code of residence (referred to as area-level income) based on the 1990 Census was used as a measure of socioeconomic condition and was stratified into tertiles (<53,170; 53,170-58,678; and ≥58,678 CHF). Hip fracture incidence and age occurrence were calculated according to area-level income categories and adjusted for confounding factors among community-dwelling elderly. Results: Independently of the geographical area (urban versus rural), community-dwelling persons residing in areas with the medium income category presented a lower hip fracture incidence [OR 0.91 (0.82-0.99), p = 0.049] compared to those from the lowest income category. Those in the highest income category had a hip fracture at a significant older age [+1.58 (0.55-2.61) year, p = 0.003] as compared to those in the lowest income category. Age at hip fracture also depended on marital status but in a gender-specific way, with married women fracturing earlier. Conclusions: These results indicate that incidence and age occurrence of hip fracture are influenced by area-level income and living conditions among community-dwelling elderly. Prevention programs may be encouraged in priority in communities with low income