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

Detalhes bibliográficos
Autor(a) principal: Oliveira, Carla Maria
Data de Publicação: 2016
Outros Autores: Alves, Sandra Maria, Pina, Maria Fátima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/58026
Resumo: 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.
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spelling Oliveira, Carla MariaAlves, Sandra MariaPina, Maria Fátima2023-04-27T13:10:07Z2023-04-27T13:10:07Z2016OLIVEIRA, 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, 2016.0143-005Xhttps://www.arca.fiocruz.br/handle/icict/5802610.1136/jech-2015-206508Funding 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.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal. Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal. Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto. Vila Nova de Gaia, Portugal. Faculdade de Medicina da Universidade do Porto, Porto, Portugal. Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal. Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal. Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto. Vila Nova de Gaia, Portugal.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal. Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal. Faculdade de Medicina da Universidade do Porto, Porto, Portugal. Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. Faculdade de Engenharia da Universidade do Estado do Rio de Janeiro. Departamento de Engenharia Cartográfica. Rio de Janeiro, RJ, Brasil.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto. Vila Nova de Gaia, Portugal / Universidade do Porto. Faculdade de Medicina. Porto, Portugal / Universidade do Porto. Instituto de Saúde Pública. Porto, Portugal.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto. Vila Nova de Gaia, Portugal.Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Faculdade de Medicina. Porto, Portugal / Fundação Oswaldo Cruz. Instituto de Comunicação e Informação em Saúde. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Faculdade de Engenharia. Departamento de Engenharia Cartográfica. Rio de Janeiro, RJ, Brasil.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.engBritish Medical AssociationMarked 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 studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHip fracturePortuguese populationTemporal trends of agespecific incidenceinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/58026/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALva_Oliveira_Carla Maria_etal_ICICT_2016.pdfva_Oliveira_Carla 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dc.title.en_US.fl_str_mv 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
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
spellingShingle 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
Oliveira, Carla Maria
Hip fracture
Portuguese population
Temporal trends of agespecific incidence
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
author Oliveira, Carla Maria
author_facet Oliveira, Carla Maria
Alves, Sandra Maria
Pina, Maria Fátima
author_role author
author2 Alves, Sandra Maria
Pina, Maria Fátima
author2_role author
author
dc.contributor.author.fl_str_mv Oliveira, Carla Maria
Alves, Sandra Maria
Pina, Maria Fátima
dc.subject.en.en_US.fl_str_mv Hip fracture
Portuguese population
Temporal trends of agespecific incidence
topic Hip fracture
Portuguese population
Temporal trends of agespecific incidence
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.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2023-04-27T13:10:07Z
dc.date.available.fl_str_mv 2023-04-27T13:10:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv 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.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58026
dc.identifier.issn.en_US.fl_str_mv 0143-005X
dc.identifier.doi.none.fl_str_mv 10.1136/jech-2015-206508
identifier_str_mv 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.
0143-005X
10.1136/jech-2015-206508
url https://www.arca.fiocruz.br/handle/icict/58026
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv British Medical Association
publisher.none.fl_str_mv British Medical Association
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/58026/1/license.txt
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