Racial Differences in Fracture Risk
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 amo...
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| Veröffentlicht in: | Epidemiology (Cambridge, Mass.) Mass.), 1994-01, Vol.5 (1), p.42-47 |
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| container_title | Epidemiology (Cambridge, Mass.) |
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| creator | Baron, John A. Barrett, Jane Malenka, David Fisher, Elliott Kniffin, Wayne Bubolz, Thomas Tosteson, Tor |
| description | 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 risk of osteoporotic fractures in women. |
| doi_str_mv | 10.1097/00001648-199401000-00008 |
| format | Article |
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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 risk of osteoporotic fractures in women.</description><identifier>ISSN: 1044-3983</identifier><identifier>EISSN: 1531-5487</identifier><identifier>DOI: 10.1097/00001648-199401000-00008</identifier><identifier>PMID: 8117781</identifier><language>eng</language><publisher>United States: Williams & Wilkins and Epidemiology Resources Inc</publisher><subject>African Americans ; Aged ; Aged, 80 and over ; Ankle ; Black or African American ; Black People ; Epidemiology ; Female ; Femoral fractures ; Forearm ; Fractures, Bone - ethnology ; Fractures, Bone - etiology ; Hip fractures ; Humans ; Humeral fractures ; Humerus ; Incidence ; Male ; Medicare ; Osteoporosis - ethnology ; Osteoporotic fractures ; Poisson Distribution ; Risk Factors ; United States - epidemiology ; White People</subject><ispartof>Epidemiology (Cambridge, Mass.), 1994-01, Vol.5 (1), p.42-47</ispartof><rights>Copyright 1994 Epidemiology Resources Inc.</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4578-5871f3acebccdd26ddb544d3e9d66dd7301b7e58b47e24185c71cae7591c00ae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3703002$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3703002$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27923,27924,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8117781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baron, John A.</creatorcontrib><creatorcontrib>Barrett, Jane</creatorcontrib><creatorcontrib>Malenka, David</creatorcontrib><creatorcontrib>Fisher, Elliott</creatorcontrib><creatorcontrib>Kniffin, Wayne</creatorcontrib><creatorcontrib>Bubolz, Thomas</creatorcontrib><creatorcontrib>Tosteson, Tor</creatorcontrib><title>Racial Differences in Fracture Risk</title><title>Epidemiology (Cambridge, Mass.)</title><addtitle>Epidemiology</addtitle><description>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 risk of osteoporotic fractures in women.</description><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle</subject><subject>Black or African American</subject><subject>Black People</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Femoral fractures</subject><subject>Forearm</subject><subject>Fractures, Bone - ethnology</subject><subject>Fractures, Bone - etiology</subject><subject>Hip fractures</subject><subject>Humans</subject><subject>Humeral fractures</subject><subject>Humerus</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicare</subject><subject>Osteoporosis - ethnology</subject><subject>Osteoporotic fractures</subject><subject>Poisson Distribution</subject><subject>Risk Factors</subject><subject>United States - epidemiology</subject><subject>White People</subject><issn>1044-3983</issn><issn>1531-5487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVFLwzAQx4Moc06_gUJB8K2aa5ImfZTNqTAQhj6HNL2ybt06k5bhtzezc29iXi539__dwf8IiYDeA83kAw0PUq5iyDJOIWTxvqROyBAEg1hwJU_Dn3Ies0yxc3Lh_TIwkoEYkIECkFLBkNzOja1MHU2qskSHG4s-qjbR1Bnbdg6jeeVXl-SsNLXHq0MckY_p0_v4JZ69Pb-OH2ex5UKqWCgJJTMWc2uLIkmLIhecFwyzIg2JZBRyiULlXGLCQQkrwRqUIgNLqUE2Inf93K1rPjv0rV5X3mJdmw02ndcyZQoSAf8KIVVSpKkKQtULrWu8d1jqravWxn1poHpvpP41Uh-N_Cnt0ZvDji5fY3EED86FPu_7u6Zu0flV3e3Q6QWaul3ov-4TsOseW_q2ccepTFJGacK-AcP2hOs</recordid><startdate>19940101</startdate><enddate>19940101</enddate><creator>Baron, John A.</creator><creator>Barrett, Jane</creator><creator>Malenka, David</creator><creator>Fisher, Elliott</creator><creator>Kniffin, Wayne</creator><creator>Bubolz, Thomas</creator><creator>Tosteson, Tor</creator><general>Williams & Wilkins and Epidemiology Resources Inc</general><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19940101</creationdate><title>Racial Differences in Fracture Risk</title><author>Baron, John A. ; Barrett, Jane ; Malenka, David ; Fisher, Elliott ; Kniffin, Wayne ; Bubolz, Thomas ; Tosteson, Tor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4578-5871f3acebccdd26ddb544d3e9d66dd7301b7e58b47e24185c71cae7591c00ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>African Americans</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle</topic><topic>Black or African American</topic><topic>Black People</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Femoral fractures</topic><topic>Forearm</topic><topic>Fractures, Bone - ethnology</topic><topic>Fractures, Bone - etiology</topic><topic>Hip fractures</topic><topic>Humans</topic><topic>Humeral fractures</topic><topic>Humerus</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicare</topic><topic>Osteoporosis - ethnology</topic><topic>Osteoporotic fractures</topic><topic>Poisson Distribution</topic><topic>Risk Factors</topic><topic>United States - epidemiology</topic><topic>White People</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baron, John A.</creatorcontrib><creatorcontrib>Barrett, Jane</creatorcontrib><creatorcontrib>Malenka, David</creatorcontrib><creatorcontrib>Fisher, Elliott</creatorcontrib><creatorcontrib>Kniffin, Wayne</creatorcontrib><creatorcontrib>Bubolz, Thomas</creatorcontrib><creatorcontrib>Tosteson, Tor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Epidemiology (Cambridge, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baron, John A.</au><au>Barrett, Jane</au><au>Malenka, David</au><au>Fisher, Elliott</au><au>Kniffin, Wayne</au><au>Bubolz, Thomas</au><au>Tosteson, Tor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial Differences in Fracture Risk</atitle><jtitle>Epidemiology (Cambridge, Mass.)</jtitle><addtitle>Epidemiology</addtitle><date>1994-01-01</date><risdate>1994</risdate><volume>5</volume><issue>1</issue><spage>42</spage><epage>47</epage><pages>42-47</pages><issn>1044-3983</issn><eissn>1531-5487</eissn><abstract>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 risk of osteoporotic fractures in women.</abstract><cop>United States</cop><pub>Williams & Wilkins and Epidemiology Resources Inc</pub><pmid>8117781</pmid><doi>10.1097/00001648-199401000-00008</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1044-3983 |
| ispartof | Epidemiology (Cambridge, Mass.), 1994-01, Vol.5 (1), p.42-47 |
| issn | 1044-3983 1531-5487 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; JSTOR Archive Collection A-Z Listing |
| subjects | African Americans Aged Aged, 80 and over Ankle Black or African American Black People Epidemiology Female Femoral fractures Forearm Fractures, Bone - ethnology Fractures, Bone - etiology Hip fractures Humans Humeral fractures Humerus Incidence Male Medicare Osteoporosis - ethnology Osteoporotic fractures Poisson Distribution Risk Factors United States - epidemiology White People |
| title | Racial Differences in Fracture Risk |
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