The epidemiology of fractures in adolescents with reference to social deprivation

被引:33
作者
Menon, M. R. G. [1 ]
Walker, J. L. [1 ]
Court-Brown, C. M. [1 ]
机构
[1] New Royal Infirm Edinburgh, Edinburgh, Midlothian, Scotland
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2008年 / 90B卷 / 11期
关键词
D O I
10.1302/0301-620X.90B11.21163
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A relationship between social deprivation and the incidence of fracture in adolescents has not previously been shown. We have used a complete fracture database to identify adolescents who sustained fractures in 2000. The 2001 Scottish census was used to obtain age-specific population and deprivation data according to the Carstairs score. Regression analysis determined the relationship between the incidence of fractures and social deprivation. We analysed 1574 adolescents with fractures (1083 male, 491 female). The incidence of fractures in this group was 21.8 per thousand (31.0 male, 13.1 female). Social deprivation predicted the incidence in adolescent males and females. The incidence of fractures of the proximal upper limb and distal radius in females was overwhelmingly influenced by socioeconomic factors. Males of 15 to 20 years of age were more likely to sustain fractures of the hand and carpus if they lived in economically depressed neighbourhoods.
引用
收藏
页码:1482 / 1486
页数:5
相关论文
共 16 条
[1]   The association between deprivation levels, attendance rate and triage category of children attending a children's accident and emergency department [J].
Beattie, TF ;
Gorman, DR ;
Walker, JJ .
EMERGENCY MEDICINE JOURNAL, 2001, 18 (02) :110-111
[2]  
CARSTAIRS V R M, 1990, Health Bulletin (Edinburgh), V48, P162
[3]   Epidemiology of childhood fractures in Britain: A study using the General Practice Research Database [J].
Cooper, C ;
Dennison, EM ;
Leufkens, HGM ;
Bishop, N ;
van Staa, TP .
JOURNAL OF BONE AND MINERAL RESEARCH, 2004, 19 (12) :1976-1981
[4]   Social deprivation and adult tibial diaphyseal fractures [J].
Court-Brown, Charles M. ;
Brydone, Alistair .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 (07) :750-754
[5]   Epidemiology of adult fractures: A review [J].
Court-Brown, Charles M. ;
Caesar, Ben .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2006, 37 (08) :691-697
[6]   Social deprivation and hand injury [J].
Horton, T. C. ;
Dias, J. J. ;
Burke, F. D. .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2007, 32E (03) :256-261
[7]   Fracture incidence in England and Wales: a study based on the population of Cardiff [J].
Johansen, A ;
Evans, RJ ;
Stone, MD ;
Richmond, PW ;
Lo, SV ;
Woodhouse, KW .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1997, 28 (9-10) :655-660
[8]   The characteristics of fractures in Polish adolescents aged 16-20 years [J].
Konstantynowicz, J ;
Bialokoz-Kalinowska, I ;
Motkowski, R ;
Abramowicz, P ;
Piotrowska-Jastrzebska, J ;
Sienkiewicz, J ;
Seeman, E .
OSTEOPOROSIS INTERNATIONAL, 2005, 16 (11) :1397-1403
[9]  
Lyons R A, 1999, Inj Prev, V5, P129
[10]   Incidence and cause of fractures in European districts [J].
Lyons, RA ;
Sellstrom, E ;
Delahunty, AM ;
Loeb, M ;
Varilo, S .
ARCHIVES OF DISEASE IN CHILDHOOD, 2000, 82 (06) :452-455