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Lower prevalence of hip fractures in foreign-born individuals than in Swedish-born individuals during the period 1987-1999
School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
2010 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 11, 203- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: This is the first longitudinal study with a 22-year follow-up, based on a national and complete sample, to determine whether the prevalence of hip fracture and the age when it occurs are influenced by migration and by being foreign-born. Cultural background and environmental factors such as UV-radiation and lifestyle during childhood and adolescence may influence the risk of a hip fracture event later in life. Differences in prevalence might occur between the indigenous population and those who have migrated to a country.

METHODS: The study was based on national population data. The study population consisted of 321,407 Swedish-born and 307,174 foreign-born persons living in Sweden during the period 1987-1999.

RESULTS: Foreign-born individuals had a reduced risk of hip fracture, with odds ratios (ORs) of 0.47-0.77 for men and 0.42-0.88 for women. Foreign-born women had the hip fracture event at a higher age on average, but a longer time spent in Sweden was associated with a small but significant increase in risk.

CONCLUSIONS: We found that there was a reduced risk of hip fracture in all foreign-born individuals, and that the hip fracture event generally happened at a higher age in foreign-born women. Migration must therefore be considered in relation to the prevalence and risk of hip fracture. Migration can therefore have a positive effect on one aspect of the health of a population, and can influence and lower the total cost of healthcare due to reduced risk and prevalence of hip fracture.

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2010. Vol. 11, 203- p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-101470DOI: 10.1186/1471-2474-11-203ISI: 000283234700002PubMedID: 20831791OAI: oai:DiVA.org:liu-101470DiVA: diva2:666351
Available from: 2013-11-22 Created: 2013-11-22 Last updated: 2017-12-06Bibliographically approved

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