RACIAL-DIFFERENCES IN FRACTURE RISK

被引：130

作者：

BARON, JA

BARRETT, J

MALENKA, D

FISHER, E

KNIFFIN, W

BUBOLZ, T

TOSTESON, T

机构：

[1] Department of Medicine, Dartmouth Medical School, Hanover, NH

[2] Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH

来源：

EPIDEMIOLOGY | 1994年 / 5卷 / 01期

关键词：

OSTEOPOROSIS; FRACTURES; RACE; AGE; GENDER;

D O I：

10.1097/00001648-199401000-00008

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Blacks appear to have a lower risk of fractures than whites, but there has been little research regarding racial differences in the risk of fractures at sites other than the hip. We used Medicare claims to investigate the risks of fractures of the hip, distal forearm, proximal humerus, and ankle among American whites and blacks over 65 years old. Each of these fractures occurred more frequently in women than in men and (except for ankle fracture) displayed an increase in risk with age. Blacks had a lower risk than whites, although these differences were smaller for fractures of the ankle and were less pronounced among men. The most likely explanation for this is a constitutional or metabolic factor prevalent in blacks that particularly influences the fisk of osteoporotic fractures in women.

引用

页码：42 / 47

页数：6

共 29 条

[1]

Cummings S.R., Kelsey J.L., Nevitt M.C., O'Dowd K.J., Epidemiology of osteoporosis and osteoporotic fractures, Epidemiol Rev, 7, pp. 178-208, (1985)

[2]

Riggs B.L., Melton L.J., Involutional osteoporosis, N Engl J Med, 314, pp. 1676-1686, (1986)

[3]

Griffin M.R., Ray W.A., Fought R.L., Melton L.J., Black-white differences in fracture rates, Am J Epidemiol, 136, pp. 1378-1385, (1992)

[4]

Fisher E.S., Baron J.A., Malenka D.J., Barrett J.A., Kniffin W.D., Whaley F.S., Bubolz T.A., Hip fracture incidence and mortality in New England, Epidemiology, 2, pp. 116-122, (1991)

[5]

Ray W.A., Griffin M.R., Fought R.L., Adams M.L., Identification of fractures from computerized Medicare files, J Clin Epidemiol, 45, pp. 703-714, (1992)

[6]

Rothman K.J., Modem Epidemiology, (1986)

[7]

McCullagh P., Neider J.A., Generalized Linear Models, (1989)

[8]

Ray W.A., Griffin M.R., West R., Strand L., Melton L.J., Incidence of hip fracture in Saskatchewan, Canada, 1976–1985, Am J Epidemiol, 131, pp. 502-509, (1990)

[9]

Bengner U., Johnell O., Increasing incidence of forearm fractures: A comparison of epidemiologic patterns 25 years apart, Acta Orthop Scand, 56, pp. 158-160, (1985)

[10]

Falch J.A., Epidemiology of fractures of the distal forearm in Oslo, Norway, Acta Orthop Scand, 54, pp. 291-295, (1983)

← 1 2 3 →