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Racial differences in fracture risk

J A Baron1, J Barrett, D Malenka

  • 1Department of Medicine, Dartmouth Medical School, Hanover, NH 03755.

Epidemiology (Cambridge, Mass.)
|January 1, 1994
PubMed
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Blacks have a lower risk of fractures than whites, particularly women. This study investigated racial differences in hip, forearm, humerus, and ankle fracture risks in older adults.

Area of Science:

  • Gerontology
  • Orthopedics
  • Epidemiology

Background:

  • Racial disparities in fracture risk are not well understood beyond the hip.
  • Previous research suggests lower fracture rates in Black individuals compared to White individuals.

Purpose of the Study:

  • To investigate racial differences in the risk of hip, distal forearm, proximal humerus, and ankle fractures.
  • To examine these differences in American adults aged 65 and older.

Main Methods:

  • Utilized Medicare claims data for analysis.
  • Compared fracture incidence between White and Black populations.

Main Results:

  • All investigated fractures were more common in women than men.
  • Fracture risk generally increased with age, except for ankle fractures.

Related Experiment Videos

  • Black individuals exhibited a lower risk of fractures compared to White individuals.
  • This risk difference was less pronounced for ankle fractures and in men.

    • Conclusions:

    • A constitutional or metabolic factor prevalent in Black individuals may explain lower fracture risks.
    • This factor appears to particularly influence osteoporotic fracture risk in women.