BACKGROUND: Social deprivation is associated with many diseases. To our knowledge, there has been no previous investigation of its role in the epidemiology and incidence of fractures in adults. METHODS: We analyzed 6872 consecutive fractures in patients fifteen years of age or older over a one-year period. Social deprivation was analyzed using the Carstairs score, which is derived from patients' postal codes and accurately defines social deprivation in our population. RESULTS: Social deprivation is associated with an increasing fracture incidence. The effect is not linear, and the most deprived 10% of society are affected. The odds ratios of the most deprived 10% of society having an increased incidence of fractures are 3.7 in males and 3.1 in females. CONCLUSIONS: Social deprivation is associated with a significant increase in the incidence of fractures in the most deprived 10% of the population. Most fracture types are affected.
BACKGROUND: Social deprivation is associated with many diseases. To our knowledge, there has been no previous investigation of its role in the epidemiology and incidence of fractures in adults. METHODS: We analyzed 6872 consecutive fractures in patients fifteen years of age or older over a one-year period. Social deprivation was analyzed using the Carstairs score, which is derived from patients' postal codes and accurately defines social deprivation in our population. RESULTS: Social deprivation is associated with an increasing fracture incidence. The effect is not linear, and the most deprived 10% of society are affected. The odds ratios of the most deprived 10% of society having an increased incidence of fractures are 3.7 in males and 3.1 in females. CONCLUSIONS: Social deprivation is associated with a significant increase in the incidence of fractures in the most deprived 10% of the population. Most fracture types are affected.
Authors: Patrick Tighe; François Modave; MaryBeth Horodyski; Matthew Marsik; G Lipori; Roger Fillingim; Hui Hu; Jennifer Hagen Journal: Pain Med Date: 2020-08-01 Impact factor: 3.750
Authors: S L Brennan; K L Holloway; L J Williams; M A Kotowicz; G Bucki-Smith; D J Moloney; A G Dobbins; E N Timney; J A Pasco Journal: Osteoporos Int Date: 2015-01-09 Impact factor: 4.507
Authors: Christopher J Dy; Joseph M Lane; Ting Jung Pan; Michael L Parks; Stephen Lyman Journal: J Bone Joint Surg Am Date: 2016-05-18 Impact factor: 5.284