澳大利亚妇女骨质疏松症的地理差异:在23年的纵向分析
A R Jones1,2, J Enticott3, P R Ebeling4,5
1Monash Centre for Health Research and Implementation, Monash University, Locked Bag 29, Clayton, Melbourne, Vic, 3168, Australia. Alicia.jones@monash.edu.
Archives of osteoporosis
|November 4, 2024
概括
与城市居民相比,农村地区的澳大利亚老年女性患骨质疏松症和骨折的风险较低. 这可能与风险因素分布和查访问有关.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 骨质疏松症影响超过一半的老年女性,城市和农村人口之间的风险差异不明.
- 了解骨质疏松症和骨折风险的地理差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 调查澳大利亚妇女居住在农村和城市地区之间的骨质疏松病发率,骨折发生率和双X射线吸收度 (DXA) 率的差异.
主要方法:
- 利用来自澳大利亚妇女健康纵向研究 (1996-2019) 的数据,将调查和行政健康记录联系起来.
- 将地理区域分类为主要城市,区域内,区域外或偏远地区.
- 采用了通用的估计方程和回归分析,并进行了启动,以获得强大的结果.
主要成果:
- 大城市以外的妇女显示骨质疏松症和骨折的无变风险较低.
- 多变量分析表明,这些差异可能是由不同的风险因素分布解释的.
- 与主要城市居民相比,内外区域的女性完成DXA的比例明显较低.
结论:
- 大约三分之一的澳大利亚老年女性患有骨质疏松症或骨折.
- 生活在主要城市中心之外与较低的骨质疏松症,骨折和DXA查率有关.
- 查获取和风险因素流行率的差异可能导致观察到的地理差异.
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