Cristin-resultat-ID: 1313990
Sist endret: 12. februar 2016 14:54
NVI-rapporteringsår: 2015
Resultat
Vitenskapelig artikkel
2015

Educational inequalities in post-hip fracture mortality: a NOREPOS studys

Bidragsytere:
  • Tone Kristin Omsland
  • John A. Eisman
  • Øyvind Næss
  • Jacqueline R Center
  • Clara Gram Gjesdal
  • Grethe Seppola Tell
  • mfl.

Tidsskrift

Journal of Bone and Mineral Research
ISSN 0884-0431
e-ISSN 1523-4681
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2015
Volum: 30
Hefte: 12
Sider: 2221 - 2228

Importkilder

Scopus-ID: 2-s2.0-84954073716

Klassifisering

Vitenskapsdisipliner

Medisinske fag

Emneord

Dødelighet • Hoftebrudd • Sosioøkonomisk status • Utdanning

HRCS

  • Helsekategori: 12 - Muskulatur og skjelett
    Aktivitet: 2.5 - Forskningsdesign og metodologi (årsaksforhold)

Beskrivelse Beskrivelse

Tittel

Educational inequalities in post-hip fracture mortality: a NOREPOS studys

Sammendrag

Hip fractures are associated with high excess mortality. Education is an important determinant of health, but little is known about educational inequalities in post-hip fracture mortality. Our objective was to investigate educational inequalities in post-hip fracture mortality and to examine whether comorbidity or family composition could explain any association. We conducted a register-based population study of Norwegians aged 50 years and older from 2002 to 2010. We measured total mortality according to educational attainment in 56,269 hip fracture patients (NORHip) and in the general Norwegian population. Both absolute and relative educational inequalities in mortality in people with and without hip fracture were compared. There was an educational gradient in post-hip fracture mortality in both sexes. Compared with those with primary education only, the age-adjusted relative risk (RR) of mortality in hip fracture patients with tertiary education was 0.82 (95% confidence interval [CI] 0.77-0.87) in men and 0.79 (95% CI 0.75-0.84) in women. Additional adjustments for Charlson comorbidity index, marital status, and number of children did not materially change the estimates. Regardless of educational attainment, the 1-year age-adjusted mortality was three- to fivefold higher in hip fracture patients compared with peers in the general population without fracture. The absolute differences in 1-year mortality according to educational attainment were considerably larger in hip fracture patients than in the population without hip fracture. Absolute educational inequalities in mortality were higher after hip fracture compared with the general population without hip fracture and were not mediated by comorbidity or family composition. Investigation of other possible mediating factors might help to identify new targets for interventions, based on lower educational attainment, to reduce post-hip fracture mortality.

Bidragsytere

Tone Kristin Omsland

  • Tilknyttet:
    Forfatter
    ved Avdeling for samfunnsmedisin og global helse ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Folkehelseinstituttet

John A. Eisman

  • Tilknyttet:
    Forfatter
    ved Garvan Institute of Medical Research
  • Tilknyttet:
    Forfatter
    ved St Vincent's Health Australia
  • Tilknyttet:
    Forfatter
    ved University of New South Wales
  • Tilknyttet:
    Forfatter
    ved University of Notre Dame Australia

Øyvind Næss

  • Tilknyttet:
    Forfatter
    ved Avdeling for samfunnsmedisin og global helse ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Avdeling for kroniske sykdommer og aldring ved Folkehelseinstituttet

Jacqueline R Center

  • Tilknyttet:
    Forfatter
    ved Garvan Institute of Medical Research
  • Tilknyttet:
    Forfatter
    ved University of New South Wales
  • Tilknyttet:
    Forfatter
    ved St Vincent's Health Australia

Clara Gram Gjesdal

  • Tilknyttet:
    Forfatter
    ved Klinisk institutt 2 ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved Revmatologisk avdeling ved Helse Bergen HF - Haukeland universitetssykehus
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