61303 20230421130005.0 doi 10.1016/j.maturitas.2016.12.009 sideral 97878 ART-2017-97878 eng Lobo, E. Universidad de Zaragoza (orcid)0000-0002-1252-2397 Gender differences in the incidence of and risk factors for hip fracture: A 16-year longitudinal study in a southern European population 2017 Access copy available to the general public Unrestricted Objectives To analyze independently in men and women the incidence rate of and risk factors for hip fracture in a southern European population. Illiteracy, dementia, clinically significant depression and disability were factors to receive special emphasis. Study design A community sample of 4803 individuals aged over 55 years was assessed in a two-phase case-finding study in Zaragoza, Spain, and was followed up for 16 years. Medical history and psychiatric history were collected with standardized instruments, including the History and Aetiology Schedule, the Geriatric Mental State (GMS) scale, and a Risk Factors Questionnaire. Operational criteria were used to define covariates, including diagnostic criteria for both dementia and depression. The statistical analysis included calculations of incidence rate, IR; women/men incidence rate ratio (IRR); and Hazard Ratios (HR) in multivariate Cox proportional hazards regression models. Main outcome measures Cases of hip fracture (International Classification of Diseases, WHO) identified in the treating hospitals, validated by blinded researchers. Results Hip fractures were more frequent among women than men (IRR = 3.1). Illiteracy (HR = 1.55) and depression (HR = 1.44) increased the risk in women, and smoking (HR = 2.13) and disability in basic activities of daily living (HR = 3.14) increased the risk in men. Dementia was associated with an increased risk in an univariate analysis, but the association disappeared (power = 85% in men, 95% in women) when disability was included in the multivariate models. Conclusions The IR of hip fractures was three times higher among women. Illiteracy and clinically significant depression among women and active smoking and disability (HR = 3.14) among men independently increased the risk, but dementia did not. info:eu-repo/grantAgreement/ES/DGA/B35 info:eu-repo/grantAgreement/ES/ISCIII/FIS/01-0255 info:eu-repo/grantAgreement/ES/ISCIII/FIS/94-1562 info:eu-repo/grantAgreement/ES/ISCIII/FIS/97-1321E info:eu-repo/grantAgreement/ES/ISCIII/FIS/98-0103 info:eu-repo/grantAgreement/ES/ISCIII/PI10-01132 info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.315 2017 OBSTETRICS & GYNECOLOGY 12 / 81 = 0.148 2017 Q1 T1 GERIATRICS & GERONTOLOGY 18 / 53 = 0.34 2017 Q2 T2 1.061 2017 Obstetrics and Gynecology 2017 Q1 Biochemistry, Genetics and Molecular Biology (miscellaneous) 2017 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Marcos, G. Universidad de Zaragoza (orcid)0000-0001-6836-1222 Santabárbara, J. Universidad de Zaragoza (orcid)0000-0002-7297-6104 Salvador-Rosés, H. Lobo-Escolar, L. De la Camara, C. Universidad de Zaragoza (orcid)0000-0003-2284-7862 Aso, A. Lobo-Escolar, A. Universidad de Zaragoza (orcid)0000-0003-3025-8048 Saz, P. Universidad de Zaragoza (orcid)0000-0002-6427-6845 Ventura, T. Universidad de Zaragoza Quintanilla, M.A. Universidad de Zaragoza (orcid)0000-0002-4677-8809 Día, J.L. Universidad de Zaragoza (orcid)0000-0002-7781-9773 Campayo, A. (orcid)0000-0002-5122-7542 López-Antón, R. Universidad de Zaragoza (orcid)0000-0002-3360-7015 Gracia-García, P. Universidad de Zaragoza (orcid)0000-0001-9822-6312 Roy, F. (orcid)0000-0003-4013-1315 Montañés, J.A. Aznar, S. Lobo, A. Universidad de Zaragoza (orcid)0000-0002-9098-655X 4009 730 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Básica 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 5004 X Universidad de Zaragoza Dpto. Ingeniería Mecánica Proy. investigacion HJA 1008 615 Universidad de Zaragoza Dpto. Microb.Med.Pr.,Sal.Públ. Área Medic.Prevent.Salud Públ. 97 (2017), 38-43 Maturitas Maturitas 0378-5122 602204 http://zaguan.unizar.es/record/61303/files/texto_completo.pdf Postprint 71080 http://zaguan.unizar.es/record/61303/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:61303 articulos driver 2023-04-21-12:39:00 ARTICLE