Table 1.
The incidence, prevalence, and YLD of hip fractures in 2019 and the estimated annual percentage change from 1990 to 2019 in 21 regionsa
| Region | Incidence number in 1990 (× 1000) | Incidence number in 2019 (× 1000) | ASIR per 100,000 in 2019 | EAPC of ASIR from 1990 to 2019 | YLD number in 1990 (× 1000) | YLD number in 2019 (× 1000) | ASYR per 100,000 in 2019 | EAPC of ASYR from 1990 to 2019 |
| Global | 7393 (5916 to 9261) | 14,244 (11,095 to 18,064) | 182 (142 to 231) | 0.01 (-0.08 to 0.11) | 1817 (1244 to 2484) | 2936 (2030 to 3955) | 37 (25 to 50) | -0.66 (-0.67 to -0.52) |
| Global women | 3923 (3068 to 4952) | 8136 (6184 to 10619) | 190 (144 to 247) | 0.04 (-0.06 to 0.15) | 957 (666 to 1301) | 1291 (885 to 1745) | 38 (27 to 52) | -0.60 (-0.73 to -0.6) |
| Global men | 3470 (2803 to 4300) | 6108 (4916 to 7531) | 166 (133 to 206) | 0.11 (0.01 to 0.2) | 860 (585 to 1197) | 1645 (1150 to 2195) | 34 (23 to 45) | -0.68 (-0.75 to -0.62) |
| East Asia | 644 (469 to 865) | 2087 (1491 to 2831) | 116 (83 to 158) | 0.98 (0.54 to 1.43) | 154 (107 to 208) | 244 (161 to 349) | 13 (8 to 19) | -1.75 (-2.26 to -1.23) |
| Southeast Asia | 341 (271 to 433) | 639 (511 to 792) | 109 (86 to 136) | 0.04 (-0.22 to 0.31) | 120 (80 to 179) | 170 (119 to 230) | 28 (20 to 37) | -1.21 (-1.27 to -1.14) |
| Oceania | 3 (3 to 4) | 9 (7 to 11) | 115 (91 to 144) | 0.54 (0.08 to 1) | 1 (1 to 2) | 3 (2 to 4) | 39 (27 to 52) | 0.45 (0.34 to 0.57) |
| Central Asia | 79 (64 to 97) | 114 (92 to 140) | 132 (107 to 163) | -0.39 (-0.85 to 0.08) | 22 (16 to 30) | 26 (18 to 35) | 30 (21 to 41) | -1.16 (-1.23 to -1.08) |
| Central Europe | 489 (391 to 613) | 556 (439 to 701) | 318 (253 to 400) | -0.84 (-0.96 to -0.71) | 103 (73 to 137) | 77 (53 to 108) | 41 (28 to 58) | -2.31 (-2.49 to -2.13) |
| Eastern Europe | 730 (579 to 910) | 710 (561 to 891) | 259 (205 to 321) | -0.31 (-0.53 to -0.1) | 176 (125 to 234) | 112 (77 to 155) | 37 (26 to 51) | -2.2 (-2.5 to -1.89) |
| High-income Asia Pacific | 337 (266 to 427) | 674 (515 to 873) | 176 (137 to 222) | -0.21 (-0.26 to -0.16) | 48 (33 to 66) | 89 (60 to 127) | 22 (15 to 31) | -0.45 (-0.56 to -0.33) |
| Australia | 76 (60 to 95) | 205 (162 to 254) | 433 (346 to 537) | 0.88 (0.82 to 0.94) | 9 (6 to 12) | 25 (17 to 35) | 51 (35 to 72) | 1.08 (1.03 to 1.14) |
| Western Europe | 1450 (1128 to 1857) | 2441 (1877 to 3148) | 268 (209 to 342) | -0.24 (-0.31 to -0.17) | 186 (126 to 261) | 324 (222 to 458) | 35 (23 to 49) | -0.03 (-0.08 to 0.03) |
| Southern Latin America | 81 (65 to 101) | 138 (111 to 172) | 179 (144 to 224) | -0.05 (-0.1 to 0) | 20 (14 to 26) | 22 (16 to 31) | 28 (20 to 39) | -1.54 (-1.61 to -1.47) |
| High-income North America | 602 (446 to 791) | 1373 (991 to 1849) | 225 (165 to 300) | 0.87 (0.82 to 0.93) | 62 (41 to 91) | 139 (91 to 203) | 23 (15 to 33) | 0.82 (0.78 to 0.87) |
| Caribbean | 38 (31 to 46) | 94 (76 to 116) | 184 (149 to 227) | 1.28 (0.46 to 2.11) | 9 (7 to 12) | 22 (14 to 33) | 43 (28 to 66) | 1.25 (0.77 to 1.73) |
| Andean Latin America | 38 (28 to 56) | 63 (51 to 76) | 106 (87 to 129) | -0.18 (-0.4 to 0.05) | 12 (8 to 18) | 15 (11 to 20) | 26 (18 to 35) | -1.87 (-1.92 to -1.82) |
| Central Latin America | 154 (123 to 196) | 266 (214 to 337) | 111 (89 to 141) | -0.61 (-0.75 to -0.47) | 49 (32 to 77) | 53 (36 to 72) | 22 (15 to 30) | -2.09 (-2.25 to -1.94) |
| Tropical Latin America | 117 (88 to 154) | 252 (183 to 336) | 107 (78 to 144) | -0.06 (-0.14 to 0.02) | 26 (18 to 35) | 39 (27 to 53) | 16 (11 to 22) | -1.34 (-1.56 to -1.13) |
| North Africa and Middle East | 328 (257 to 443) | 752 (577 to 1044) | 148 (113 to 200) | 1.8 (1.33 to 2.27) | 152 (74 to 352) | 203 (114 to 370) | 38 (22 to 66) | -1.49 (-1.63 to -1.35) |
| South Asia | 1316 (1058 to 1637) | 3389 (2648 to 4254) | 242 (188 to 307) | 0.62 (0.52 to 0.72) | 521 (362 to 693) | 1122 (784 to 1486) | 80 (56 to 106) | -0.09 (-0.2 to 0.01) |
| Central Sub-Saharan Africa | 39 (27 to 62) | 69 (55 to 91) | 92 (74 to 113) | -1.53 (-2.89 to -0.15) | 19 (11 to 36) | 43 (24 to 83) | 53 (32 to 92) | -0.07 (-0.52 to 0.38) |
| Eastern Sub-Saharan Africa | 426 (191 to 996) | 198 (159 to 246) | 88 (71 to 107) | -2.14 (-3.11 to -1.16) | 88 (47 to 169) | 122 (69 to 232) | 50 (31 to 86) | -0.93 (-1.2 to -0.67) |
| Southern Sub-Saharan Africa | 21 (16 to 26) | 32 (25 to 40) | 49 (39 to 62) | -0.42 (-0.54 to -0.3) | 9 (6 to 12) | 11 (8 to 14) | 17 (12 to 23) | -1.16 (-1.37 to -0.94) |
| Western Sub-Saharan Africa | 85 (63 to 126) | 183 (140 to 242) | 74 (58 to 94) | 0.13 (-0.17 to 0.43) | 32 (22 to 43) | 74 (50 to 103) | 30 (21 to 40) | 0.1 (-0.03 to 0.22) |
a
The number of hip fractures and the YLDs in 1990 and 2019 for all regions were directly downloaded from the official website (https://vizhub.healthdata.org/gbd-results/) of the GBD study 2019. The ASIR and ASYR of hip fractures in 2019 for all regions were directly downloaded from the official website (https://vizhub.healthdata.org/gbd-results/) of the GBD study 2019. The EAPC of ASIR and ASYR were additional calculations in this study.
YLD = years lived with disability; ASIR = age-standardized incidence rate; EAPC = estimated annual percentage change; ASYR = age-standardized YLD rate.