dc.contributor.author | Holvik, Kristin | |
dc.contributor.author | Dahl, Cecilie | |
dc.contributor.author | Samuelsen, Sven Ove | |
dc.contributor.author | Søgaard, Anne-Johanne | |
dc.contributor.author | Solbakken, Siri Marie | |
dc.contributor.author | Tell, Grethe Seppola | |
dc.contributor.author | Hoff, Mari | |
dc.contributor.author | Schei, Berit | |
dc.contributor.author | Kjeldgaard, Helena Kames | |
dc.contributor.author | Apalset, Ellen Margrete | |
dc.contributor.author | Morseth, Bente | |
dc.contributor.author | Grimnes, Guri | |
dc.contributor.author | Meyer, Haakon Eduard | |
dc.contributor.author | Omsland, Tone Kristin | |
dc.date.accessioned | 2024-10-03T08:16:16Z | |
dc.date.available | 2024-10-03T08:16:16Z | |
dc.date.issued | 2024-06-25 | |
dc.description.abstract | Summary Examining fracture dynamics by socioeconomic status may inform healthcare and prevention. We found a higher
risk of hip fracture in men and women with lower educational level in Norway. However, by age 90+years, the cumulative
incidence was higher in those with higher education, due to their higher life expectancy.<p>
<p>Purpose Socioeconomic gradients are seen for several health outcomes in high-income countries. We aimed to examine
possible educational gradients in risk of hip fracture in Norway and to describe the cumulative incidence of hip fracture by
educational level.
<p>Methods In a population-wide cohort of Norwegians aged≥50 years, information on attained education from Statistics
Norway was linked to hospital-treated hip fractures and deaths during 2002–2019. We estimated relative fracture risk by
educational level (primary, secondary or tertiary) in Cox proportional hazards regression. We also examined the cumulative
incidence over attained age by gender and educational level in competing risk regression.
<p>Results The population included N=1,389,858 individuals with 135,938 incident hip fractures. Compared with men who
had attained tertiary education, hazard ratios (95% confidence intervals) for hip fracture were 1.44 (1.40, 1.49) in men with
primary education only and 1.26 (1.22, 1.29) in men with secondary education. In women, the corresponding estimates were
1.28 (1.25, 1.31) and 1.16 (1.13, 1.19). In the age range 50 to 90 years, the highest cumulative incidence of hip fracture was
seen in those with primary education. The gradient gradually diminished with advancing age and was reversed in the oldest
(>90 years) in both genders.
<p>Conclusions There was a clear educational gradient in hip fracture incidence in both men and women in Norway, with a
higher risk in people with lower education. Despite this, the cumulative incidence of hip fracture in old age was highest
among people with higher education, due to their higher life expectancy. | en_US |
dc.identifier.citation | Holvik, Dahl, Samuelsen, Søgaard, Solbakken, Tell, Hoff, Schei, Kjeldgaard, Apalset, Morseth, Grimnes, Meyer, Omsland. Educational gradient in hip fracture incidence in Norway. The Norwegian Epidemiologic Osteoporosis Studies (NOREPOS). Osteoporosis International. 2024 | en_US |
dc.identifier.cristinID | FRIDAID 2278981 | |
dc.identifier.doi | 10.1007/s00198-024-07133-1 | |
dc.identifier.issn | 0937-941X | |
dc.identifier.issn | 1433-2965 | |
dc.identifier.uri | https://hdl.handle.net/10037/34991 | |
dc.language.iso | eng | en_US |
dc.publisher | Springer Nature | en_US |
dc.relation.journal | Osteoporosis International | |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2024 The Author(s) | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0 | en_US |
dc.rights | Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) | en_US |
dc.title | Educational gradient in hip fracture incidence in Norway. The Norwegian Epidemiologic Osteoporosis Studies (NOREPOS) | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |