Publication
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.contributor.author | Oliveira, Carla Maria | |
| dc.contributor.author | Alves, Sandra Maria | |
| dc.contributor.author | Pina, Maria De Fátima | |
| dc.date.accessioned | 2017-01-27T12:45:06Z | |
| dc.date.available | 2017-01-27T12:45:06Z | |
| dc.date.issued | 2016-01 | |
| dc.description.abstract | 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. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Oliveira, C. M., Alves, S. M., & Pina, M. F. (2016). 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. J Epidemiol Community Health, 70(8), 755–763. https://doi.org/10.1136/jech-2015-206508 | pt_PT |
| dc.identifier.doi | 10.1136/jech-2015-206508 | pt_PT |
| dc.identifier.issn | 1470-2738 | |
| dc.identifier.uri | http://hdl.handle.net/10400.22/9468 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | BMJ Publishing Group | pt_PT |
| dc.relation | PT2020 | pt_PT |
| dc.subject | Hip fractures | pt_PT |
| dc.subject | Incidence rates | pt_PT |
| dc.subject | Regional socioeconomic status | pt_PT |
| dc.subject | Temporal trends | pt_PT |
| dc.subject | Time series analysis | pt_PT |
| dc.subject | Bone and Joint Decade | pt_PT |
| 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 | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.awardURI | info:eu-repo/grantAgreement/FCT/5876-PPCDTI/PTDC%2FSAU-EPI%2F113424%2F2009/PT | |
| oaire.citation.endPage | 763 | pt_PT |
| oaire.citation.issue | 8 | pt_PT |
| oaire.citation.startPage | 755 | pt_PT |
| oaire.citation.title | Journal of Epidemiology and Community Health | pt_PT |
| oaire.citation.volume | 70 | pt_PT |
| oaire.fundingStream | 5876-PPCDTI | |
| person.familyName | Oliveira | |
| person.familyName | Alves | |
| person.givenName | Carla Maria | |
| person.givenName | Sandra Maria | |
| person.identifier | 2571691 | |
| person.identifier.ciencia-id | 291F-1C8B-BBC7 | |
| person.identifier.ciencia-id | CF1F-D1D5-6BC1 | |
| person.identifier.orcid | 0000-0002-4594-1723 | |
| person.identifier.orcid | 0000-0002-2318-7491 | |
| project.funder.identifier | http://doi.org/10.13039/501100001871 | |
| project.funder.name | Fundação para a Ciência e a Tecnologia | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
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