LOW-RISK OF VERTEBRAL FRACTURE IN MEXICAN-AMERICAN WOMEN
LOW-RISK OF VERTEBRAL FRACTURE IN MEXICAN-AMERICAN WOMEN
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DOI：
10.1001/archinte.147.8.1437
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发表时间：
1987-08-01
影响因子：
--
通讯作者：
DEYO, RA
中科院分区：
文献类型：
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作者：
BAUER, RL;DEYO, RA
种族在评估骨质疏松性骨折的风险中很重要，在决定是否使用预防性治疗时应予以考虑。然而，关于西班牙裔患者骨折风险的数据很少。为了评估墨西哥裔美国人椎体骨折的风险，我们确定了822例患者椎体骨折的患病率，年龄在15至86岁之间，他们在一项腰痛研究中接受了脊柱X线摄影。在调整了年龄，类固醇使用，药物或酒精滥用和近期创伤后，墨西哥裔美国妇女与非西班牙裔白人相比的优势比为0.55（95%置信区间为0.32至0.95），表明风险显著降低。这些结果与早期的数据一致，这些数据记录了墨西哥裔美国妇女髋部骨折的风险降低。因此，建议预防性治疗骨质疏松症可能是不同的墨西哥裔美国人比非西班牙裔白人。
Ethnicity is important in assessing risk for osteoporotic fractures, and should be considered in decision-making about the use of prophylactic treatments. Few data are available, however, on fracture risks among Hispanic patients. To assess the risk of vertebral fracture in Mexican Americans, we determined the prevalence of vertebral fracture among 822 patients, aged 15 to 86 years, who underwent spinal roentgenography in a study of low-back pain. After adjusting for age, use of steroids, drug or alcohol abuse, and recent trauma, the odds ratio for Mexican American women compared with non-Hispanic whites was 0.55 (95% confidence interval, 0.32 to 0.95), indicating a substantially lower risk. These results are concordant with earlier data documenting a reduced risk of hip fracture among Mexican American women. Thus, recommendations for prophylactic treatments for osteoporosis may be different for Mexican Americans than for non-Hispanic whites.