Occurrence of hip fractures and socioeconomic position
Occurrence of hip fractures and socioeconomic position
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DOI：
10.1177/089826430001200203
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发表时间：
2000-05-01
影响因子：
2.8
通讯作者：
Hadden, WC
中科院分区：
文献类型：
--
作者：
Bacon, WE;Hadden, WC
目的：本研究的目的是确定老年美国白人人群中髋部骨折的发生率与他们的社会经济地位有关。方法：选择5,161例50岁及以上的白色髋部骨折患者为研究对象，采用《全国医院出院调查-91》中的数据。根据1990年人口普查按邮政编码计算的家庭年收入中位数被用作社会经济地位的衡量标准。骨折发生率按年龄、性别和收入群体计算，范围从20,000美元到40,000美元或更多。结果：加权最小二乘分析发现，在控制了年龄和性别后，随着收入的增加，发病率呈显著的线性下降。结论：研究结果表明，髋部骨折的发生率与人口所在的邮政编码地区的收入水平有关。讨论了在低收入地区开展针对性预防项目的意义。
Objectives: The purpose of this study was to determine hip fracture incidence in the older U.S. White population as a function of their socioeconomic position. Methods: A sample of 5,161 White, hip fracture cases, 50 years and older, was selected using data from the National Hospital Discharge Survey for 1989-91. Median annual household income by ZIP Code of residence based on the 1990 Census was used as the measure of socioeconomic position. Fracture rates were calculated by age, sex, and income groups ranging from under $20,000 to $40,000 and more. Results: A weighted, least squares analysis found a significant linear decrease in rates with increasing income after controlling for age and sex. Conclusions: The results indicate that hip fracture incidence varies as a function of the income level of the ZIP Code area where the population resides. Implications for targeting prevention programs within local areas with low median income are discussed.