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Incidence of hip fracture among middle-aged and older Chinese from 2013 to 2015: results from a nationally representative study

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Abstract

Summary

China is experiencing remarkable changes in people aging and migration. Therefore, the incidence and associated factors for hip fracture might differ from previous results. A nationally representative study of hip fracture enables policymakers to formulate preventive strategies and provide information on resource allocation.

Purpose

To estimate the incidence of hip fracture, between 2013 and 2015, among the middle-aged and older Chinese population.

Methods

Individuals with hip fractures between 2013 and 2015 were identified from the China Health and Retirement Longitudinal Study. The sex-specific incidence and the associated factors of hip fracture were assessed.

Results

Among 19,112 individuals (51.4% women; mean age 60.5 years) included in the analysis, 408 (2.13%) had a hip fracture between 2013 and 2015. Moreover, the annual incidence of hip fracture for men and women were 1065 and 1069 per 100,000, respectively. The incidence of hip fracture increased with age (p < 0.001). A history of chronic disease, being unmarried, and individuals without insurance were associated with a higher incidence of hip fracture. Interestingly, the incidence of hip fracture was higher among individuals with fewer years of education (p = 0.002). The North-East regions of China had the lowest incidence of hip fracture (1022 per 100,000) between 2013 and 2015, followed by the North (1602 per 100,000), South-Central (2055 per 100,000), East (2173 per 100,000), and South-West (2537 per 100,000) regions. Finally, the incidence was highest among participants living in the North-West region (3244 per 100,000).

Conclusion

Between 2013 and 2015, the incidence of hip fracture is high among the middle-aged and older Chinese population. Furthermore, it varied significantly according to sociodemographic and geographic factors. Therefore, the support of targeted health policies and cost-effective preventive strategies are warranted in China.

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Data availability

Details of how to access the CHARLS data and details of the data release schedule are available from http://charls.pku.edu.cn/index/zh-cn.html.

Code availability

Not applicable.

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Acknowledgements

We would like to acknowledge the China Health and Retirement Longitudinal Study (CHARLS) team for providing high quality, nationally representative data.

Funding

This work was supported by the Beijing Postdoctoral Research Foundation of China (Grant Number: 2021-ZZ-010),the funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Author information

Authors and Affiliations

  1. Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong An Road, 100050, Beijing, China

    Huibin Long, Ruiqi Cao, Hongrui Zhang, Heyong Yin, Haomian Yu, Lifeng Ma, Naicheng Diao, Fei Yu & Ai Guo

  2. Department of Orthopedics, Beijing Hospital, National Center of Gerontology, Beijing, China

    Yudian Qiu

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  1. Huibin Long
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  2. Ruiqi Cao
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Contributions

AG, HL, and FY designed the study. HL, RC, HZ, and YQ analyzed the data. HL and RC wrote the manuscript. HL, RC, HZ, YQ, HYY, HMY, LM, and ND participated in the data collection, analysis, and interpretation. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Fei Yu or Ai Guo.

Ethics declarations

Ethics approval and consent to participate

CHARLS has been approved by the Ethical Review Committee of Peking University, and all participants signed informed consent at the time of participation. Therefore, no separate ethical approval was required for our study.

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Not applicable.

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Long, H., Cao, R., Zhang, H. et al. Incidence of hip fracture among middle-aged and older Chinese from 2013 to 2015: results from a nationally representative study. Arch Osteoporos 17, 48 (2022). https://doi.org/10.1007/s11657-022-01082-0

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