Is geographic variation in hip fracture rates related to current or former region of residence?

Is geographic variation in hip fracture rates related to current or former region of residence?
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DOI:
10.1097/00001648-199809000-00019
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发表时间:
1998-09-01
期刊:
影响因子:
5.4
通讯作者:
Goldberg, J
Goldberg, J
中科院分区:
医学2区
文献类型:
--
作者:
Lauderdale, DS;Thisted, RA;Goldberg, J

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本研究考察了白人老年医保参保者中男性和女性经年龄调整髋骨骨折率的地理差异。我们收集了一个超过200万1992年入组者的队列,并通过记录链接对他们进行了为期2年的被动随访,其中包括髋部骨折的诊断代码。我们同时估计了早期(从社会安全号码推断)和晚年居住地区的比率。生命早期居住区域与髋部骨折发生率的显著差异有关。相反,当前区域与髋部骨折风险关系不大。
This study examines geographic variation in male and female age-adjusted hip fracture rates in white elderly Medicare enrollees. We assembled a cohort of more than 2 million 1992 enrollees and followed them passively through record linkage for 2 years for a hospitalization containing a diagnostic code indicating hip fracture. We simultaneously estimated rate raties by region of residence early (inferred from the Social Security number) and late in life. Residence region early in life is associated with substantial variation in hip fracture rates. Conversely, current region has little relation with hip fracture risk.