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Regional differences in hip fracture risk in Turkey
1Istanbul University, Istanbul Medical Faculty, Division of Physical Medicine and Rehabilitation, Capa, Turkey.
Bone
|January 1, 1993
Summary
Hip fracture risk is higher in rural Turkey, mainly due to high-energy injuries, not low-energy fractures. Education may reduce urban-rural disparities in hip fracture incidence.
Area of Science:
- Orthopedics
- Epidemiology
- Public Health
Background:
- Hip fractures represent a significant public health concern, particularly in aging populations.
- Geographic variations in hip fracture incidence suggest the influence of environmental and lifestyle factors.
Purpose of the Study:
- To compare hip fracture incidence across diverse Turkish regions (urban vs. rural).
- To identify factors contributing to observed differences in hip fracture risk.
Main Methods:
- Case-control study comparing hip fracture patients with controls from urban (Istanbul, Ankara) and rural (Samsun, Erzurum, Diyarbakir) areas.
- Statistical analysis included relative risk (RR) calculations and adjustments for age, body mass index (BMI), exercise, and gonadal status.
Main Results:
- Rural populations exhibited a significantly higher risk of hip fracture (RR=3.2 men, RR=2.3 women).
- Adjustments for age and BMI did not alter this finding.
- Education level appeared to mitigate the urban-rural risk difference.
- No difference in low-energy hip fracture risk was observed between urban and rural areas.
Conclusions:
- The elevated hip fracture risk in rural Turkey is primarily attributed to a higher prevalence of high-energy fractures.
- Low-energy hip fracture risk appears consistent across urban and rural settings.
- Educational attainment may play a role in reducing disparities in hip fracture incidence.