| dc.creator | Oliveira, Carla Maria | |
| dc.creator | Alves, Sandra Maria | |
| dc.creator | Pina, Maria Fátima | |
| dc.date | 2023-04-27T13:10:07Z | |
| dc.date | 2023-04-27T13:10:07Z | |
| dc.date | 2016 | |
| dc.date.accessioned | 2023-09-26T20:28:58Z | |
| dc.date.available | 2023-09-26T20:28:58Z | |
| dc.identifier | OLIVEIRA, Carla Maria; ALVES, Sandra Maria; PINA, Maria Fátima. Marked socioeconomic inequalities in hip fracture incidence rates during the Bone and Joint Decade (2000–2010) in Portugal: age and sex temporal trends in a population based study. Journal of Epidemiology and Community Health, v. 70, n. 8, p. 755-763, 2016. | |
| dc.identifier | 0143-005X | |
| dc.identifier | https://www.arca.fiocruz.br/handle/icict/58026 | |
| dc.identifier | 10.1136/jech-2015-206508 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8857876 | |
| dc.description | Funding This work had the financial support of Fundação para a Ciência e a Tecnologia FCT/MEC through National Funds within the framework of the project PTDC/SAU-EPI/113424/2009 and co-financed by the FEDER via the PT2020 Partnership Agreement under the 4293 Unit I&D. | |
| dc.description | Background Socioeconomic factors may influence changes in hip fracture (HF) incidence over time. We analysed HF temporal trends during the Bone and Joint Decade in Portugal (BJD-Portugal), 2000–2010, by regional socioeconomic status (SES), sex and age. Methods We selected registers of patients aged 50+ years with HF (International Classification of Diseases, V.9—Clinical Modification, ICD9-CM) caused by traumas of low/moderate energy, from the National Hospital Discharge Database. Annual time series of age-specific incidence rates were calculated by sex and regional SES (deprived, medium, affluent). Generalised additive models were fitted to identify shape/turning points in temporal trends. Results We selected 96 905 HF (77.3% in women). Women were older than men at admission (81.2±8.5 vs 78.2±10.1 years-old, p<0.001). For women 65– 79 years, a continuously decreasing trend (1.7%/year) only in affluent and increasing trends (3.3–3.4%/year) after 2006/2007 in medium and deprived was observed. For men, trends were stable or increased in almost all age/SES groups (only two decreasing periods). For the oldest women, all SES present similar trends: turning points around 2003 (initiating decreasing periods: 1.8–2.9%/year) and around 2007 (initiating increasing periods: 3.7–3.3%/year). Conclusions There were SES-sex-age inequalities in temporal trends during BJD-Portugal: marked SES inequalities among women aged 65–79 years (a persistent, decreasing trend only in the affluent) vanished among the oldest women; the same was not observed in men, for them, there were almost no declining periods; women aged ≥80 years, presented increasing trends around 2007, as in most deprived/age/sex groups. Despite some successful periods of decreasing trends, incidence rates did not improve overall in almost all age groups and both sexes. | |
| dc.format | application/pdf | |
| dc.language | eng | |
| dc.publisher | British Medical Association | |
| dc.rights | open access | |
| dc.subject | Hip fracture | |
| dc.subject | Portuguese population | |
| dc.subject | Temporal trends of agespecific incidence | |
| dc.title | Marked socioeconomic inequalities in hip fracture incidence rates during the Bone and Joint Decade (2000–2010) in Portugal: age and sex temporal trends in a population based study | |
| dc.type | Article | |
