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Regional Variation in the Incidence of Hip FractureUS White Women Aged 65 Years and Older
Steven J. Jacobsen, PhD;
Jack Goldberg, PhD;
Toni P. Miles, MD, PhD;
Jacob A. Brody, MD;
William Stiers, PhD;
Alfred A. Rimm, PhD
JAMA. 1990;264(4):500-502.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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FRACTURE of the hip is a major cause of morbidity and mortality in persons 65 years of age and older. Incidence rates for hip fracture are known to vary by both sex and race.1-4 There is also marked variability in hip fracture incidence by geographic region, with the highest rates found in Scandinavia, followed by the United States, Western Europe, Asia, and Africa.5,6
Within the United States, relatively little is known about the geographic pattern of hip fracture. Most studies have described the incidence of hip fracture for the country as a whole,2,3 for limited geographic regions,4,7,8 or by broadly defined Census divisions.9 This study examines the geographic distribution of hip fracture incidence in the United States at the county level. To this end, data are obtained from the Health Care Financing Administration (HCFA) and the Department of Veterans Affairs (VA) that identify all hospital
. . . [Full Text PDF of this Article]
Author Affiliations
From the Epidemiology Program, School of Public Health, University of Illinois at Chicago (Drs Jacobsen, Goldberg, Miles, and Brody); Division of Biostatistics/ Clinical Epidemiology, Medical College of Wisconsin, Milwaukee (Drs Jacobsen and Rimm); and the Center for Health Services Research and Development, Hines Hospital, Cooperative Studies Program (Dr Goldberg), and the Department of Veterans Affairs (Dr Stiers), Hines, Ill.
Footnotes
Reprint requests to Division of Biostatistics/Clinical Epidemiology, Medical College of Wisconsin, PO Box 26509, Milwaukee, WI 53226 (Dr Jacobsen).
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