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. 1993 May;83(5):694–697. doi: 10.2105/ajph.83.5.694

Hip fracture rates in Hong Kong and the United States, 1988 through 1989.

S C Ho 1, W E Bacon 1, T Harris 1, A Looker 1, S Maggi 1
PMCID: PMC1694675  PMID: 8484451

Abstract

OBJECTIVES. Prior studies have suggested that hip fracture rates are substantially lower in Asian countries than in the United States. However, comparisons have been limited by unavailability of recent data, differences in case definition, lack of data from similar time periods, and small sample sizes. This study sought to examine trends by age and sex, with separate statistics for those aged 85 or older. METHODS. Hospital discharge data were used to obtain hip fracture incidence in Hong Kong and the United States from 1988 through 1989. RESULTS. Within each population, women had higher hip fracture rates than men. Fracture rates in the United States were significantly higher for both sexes than rates in Hong Kong. For persons over the age of 80, rates of hip fracture among White US males exceeded those for Hong Kong women. Inclusion of transferred cases in hip fracture rates minimized differences between the countries. CONCLUSIONS. Despite increasing hip fracture rates in Hong Kong, those rates are still substantially lower than the rates in the United States. Identifying factors responsible for this variation may prove useful in the search for preventive strategies.

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Selected References

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  1. Bonar S. K., Tinetti M. E., Speechley M., Cooney L. M. Factors associated with short- versus long-term skilled nursing facility placement among community-living hip fracture patients. J Am Geriatr Soc. 1990 Oct;38(10):1139–1144. doi: 10.1111/j.1532-5415.1990.tb01378.x. [DOI] [PubMed] [Google Scholar]
  2. Chalmers J., Ho K. C. Geographical variations in senile osteoporosis. The association with physical activity. J Bone Joint Surg Br. 1970 Nov;52(4):667–675. [PubMed] [Google Scholar]
  3. Cummings S. R., Kelsey J. L., Nevitt M. C., O'Dowd K. J. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev. 1985;7:178–208. doi: 10.1093/oxfordjournals.epirev.a036281. [DOI] [PubMed] [Google Scholar]
  4. Farmer M. E., White L. R., Brody J. A., Bailey K. R. Race and sex differences in hip fracture incidence. Am J Public Health. 1984 Dec;74(12):1374–1380. doi: 10.2105/ajph.74.12.1374. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hagino H., Yamamoto K., Teshima R., Kishimoto H., Kuranobu K., Nakamura T. The incidence of fractures of the proximal femur and the distal radius in Tottori prefecture, Japan. Arch Orthop Trauma Surg. 1990;109(1):43–44. doi: 10.1007/BF00441909. [DOI] [PubMed] [Google Scholar]
  6. Jacobsen S. J., Goldberg J., Miles T. P., Brody J. A., Stiers W., Rimm A. A. Hip fracture incidence among the old and very old: a population-based study of 745,435 cases. Am J Public Health. 1990 Jul;80(7):871–873. doi: 10.2105/ajph.80.7.871. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lewis A. F. Fracture of neck of the femur: changing incidence. Br Med J (Clin Res Ed) 1981 Nov 7;283(6301):1217–1220. doi: 10.1136/bmj.283.6301.1217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Magaziner J., Simonsick E. M., Kashner T. M., Hebel J. R., Kenzora J. E. Survival experience of aged hip fracture patients. Am J Public Health. 1989 Mar;79(3):274–278. doi: 10.2105/ajph.79.3.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Maggi S., Kelsey J. L., Litvak J., Heyse S. P. Incidence of hip fractures in the elderly: a cross-national analysis. Osteoporos Int. 1991 Sep;1(4):232–241. doi: 10.1007/BF03187467. [DOI] [PubMed] [Google Scholar]
  10. Melton L. J., 3rd, Ilstrup D. M., Beckenbaugh R. D., Riggs B. L. Hip fracture recurrence. A population-based study. Clin Orthop Relat Res. 1982 Jul;(167):131–138. [PubMed] [Google Scholar]
  11. Nomura A., Wasnich R. D., Heilbrun L. K., Ross P. D., Davis J. W. Comparison of bone mineral content between Japan-born and US-born Japanese subjects in Hawaii. Bone Miner. 1989 May;6(2):213–223. doi: 10.1016/0169-6009(89)90052-4. [DOI] [PubMed] [Google Scholar]
  12. Resnick N. M., Greenspan S. L. 'Senile' osteoporosis reconsidered. JAMA. 1989 Feb 17;261(7):1025–1029. doi: 10.1001/jama.261.7.1025. [DOI] [PubMed] [Google Scholar]
  13. Roos L. L., Fisher E. S., Sharp S. M., Newhouse J. P., Anderson G., Bubolz T. A. Postsurgical mortality in Manitoba and New England. JAMA. 1990 May 9;263(18):2453–2458. [PubMed] [Google Scholar]
  14. Ross P. D., Norimatsu H., Davis J. W., Yano K., Wasnich R. D., Fujiwara S., Hosoda Y., Melton L. J., 3rd A comparison of hip fracture incidence among native Japanese, Japanese Americans, and American Caucasians. Am J Epidemiol. 1991 Apr 15;133(8):801–809. doi: 10.1093/oxfordjournals.aje.a115959. [DOI] [PubMed] [Google Scholar]
  15. Ross P. D., Orimo H., Wasnich R. D., Vogel J. M., MacLean C. J., Davis J. W., Nomura A. Methodological issues in comparing genetic and environmental influences on bone mass. Bone Miner. 1989 Aug;7(1):67–77. doi: 10.1016/0169-6009(89)90063-9. [DOI] [PubMed] [Google Scholar]
  16. Silverman S. L., Madison R. E. Decreased incidence of hip fracture in Hispanics, Asians, and blacks: California Hospital Discharge Data. Am J Public Health. 1988 Nov;78(11):1482–1483. doi: 10.2105/ajph.78.11.1482. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. WONG P. C. FEMORAL NECK FRACTURES AMONG THE MAJOR RACIAL GROUPS IN SINGAPORE. INCIDENCE PATTERNS COMPARED WITH NON-ASIAN COMMUNITIES. II. Singapore Med J. 1964 Dec;4:150–157. [PubMed] [Google Scholar]
  18. Wong P. C. Fracture epidemiology in a mixed southeastern Asian community (Singapore). Clin Orthop Relat Res. 1966 Mar-Apr;45:55–61. [PubMed] [Google Scholar]
  19. Yano K., Wasnich R. D., Vogel J. M., Heilbrun L. K. Bone mineral measurements among middle-aged and elderly Japanese residents in Hawaii. Am J Epidemiol. 1984 May;119(5):751–764. doi: 10.1093/oxfordjournals.aje.a113796. [DOI] [PubMed] [Google Scholar]

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