Social inequalities in osteoporosis and fracture among community-dwelling older men and women: findings from the Hertfordshire cohort study
Social inequalities in osteoporosis and fracture among community-dwelling older men and women: findings from the Hertfordshire cohort study
It is unknown whether osteoporosis is socially patterned. Using data from the Hertfordshire Cohort Study we found no consistent evidence for social inequalities in prevalent or incident fracture, bone mineral density or loss rates, or bone strength. Public health strategies for prevention of osteoporosis should focus on the whole population.
INTRODUCTION: Osteoporosis and osteoporotic fracture are major public health issues for society; the burden for the affected individual is also high. It is unclear whether osteoporosis and osteoporotic fracture are socially patterned.
OBJECTIVE: This study aims to analyse social inequalities in osteoporosis and osteoporotic fracture among the 3,225 community-dwelling men and women, aged 59-73 years, who participated in the Hertfordshire Cohort Study (HCS), UK.
METHODS: A panel of markers of bone health (fracture since 45 years of age; DXA bone mineral density and loss rate at the total femur; pQCT strength strain indices for the radius and tibia; and incident fracture) were analysed in relation to the social circumstances of the HCS participants (characterised at the individual level by: age left full time education; current social class; housing tenure and car availability).
RESULTS: We found little strong or consistent evidence among men, or women, for social inequalities in prevalent or incident fracture, DXA bone mineral density, bone loss rates, or pQCT bone strength, with or without adjustment for age, anthropometry, lifestyle and clinical characteristics. Reduced car availability at baseline was associated with lower pQCT radius and tibia strength strain indices at follow-up among men only (p?=?0.02 radius and p?<?0.01 tibia unadjusted; p?=?0.05 radius and p?=?0.01 tibia, adjusted for age, anthropometry, lifestyle and clinical characteristics).
CONCLUSIONS: Our results suggest that fracture and osteoporosis do not have a strong direct social gradient and that public health strategies for prevention and treatment of osteoporosis should continue to focus on the whole population.
37-48
Syddall, H.E.
a0181a93-8fc3-4998-a996-7963f0128328
Evandrou, M.
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Dennison, E.M.
ee647287-edb4-4392-8361-e59fd505b1d1
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Sayer, A.A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
December 2012
Syddall, H.E.
a0181a93-8fc3-4998-a996-7963f0128328
Evandrou, M.
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Dennison, E.M.
ee647287-edb4-4392-8361-e59fd505b1d1
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Sayer, A.A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Syddall, H.E., Evandrou, M., Dennison, E.M., Cooper, C. and Sayer, A.A.
(2012)
Social inequalities in osteoporosis and fracture among community-dwelling older men and women: findings from the Hertfordshire cohort study.
Archives of Osteoporosis, 7 (1-2), .
(doi:10.1007/s11657-012-0069-0).
(PMID:23225280)
Abstract
It is unknown whether osteoporosis is socially patterned. Using data from the Hertfordshire Cohort Study we found no consistent evidence for social inequalities in prevalent or incident fracture, bone mineral density or loss rates, or bone strength. Public health strategies for prevention of osteoporosis should focus on the whole population.
INTRODUCTION: Osteoporosis and osteoporotic fracture are major public health issues for society; the burden for the affected individual is also high. It is unclear whether osteoporosis and osteoporotic fracture are socially patterned.
OBJECTIVE: This study aims to analyse social inequalities in osteoporosis and osteoporotic fracture among the 3,225 community-dwelling men and women, aged 59-73 years, who participated in the Hertfordshire Cohort Study (HCS), UK.
METHODS: A panel of markers of bone health (fracture since 45 years of age; DXA bone mineral density and loss rate at the total femur; pQCT strength strain indices for the radius and tibia; and incident fracture) were analysed in relation to the social circumstances of the HCS participants (characterised at the individual level by: age left full time education; current social class; housing tenure and car availability).
RESULTS: We found little strong or consistent evidence among men, or women, for social inequalities in prevalent or incident fracture, DXA bone mineral density, bone loss rates, or pQCT bone strength, with or without adjustment for age, anthropometry, lifestyle and clinical characteristics. Reduced car availability at baseline was associated with lower pQCT radius and tibia strength strain indices at follow-up among men only (p?=?0.02 radius and p?<?0.01 tibia unadjusted; p?=?0.05 radius and p?=?0.01 tibia, adjusted for age, anthropometry, lifestyle and clinical characteristics).
CONCLUSIONS: Our results suggest that fracture and osteoporosis do not have a strong direct social gradient and that public health strategies for prevention and treatment of osteoporosis should continue to focus on the whole population.
This record has no associated files available for download.
More information
e-pub ahead of print date: 14 February 2012
Published date: December 2012
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 350474
URI: http://eprints.soton.ac.uk/id/eprint/350474
ISSN: 1862-3522
PURE UUID: c8d4c0d1-a8f6-443b-b2e5-e90d0eff7947
Catalogue record
Date deposited: 26 Mar 2013 10:34
Last modified: 18 Mar 2024 03:02
Export record
Altmetrics
Contributors
Author:
A.A. Sayer
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
