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Socioeconomic status and risk of osteoporotic fractures and the use of DXA scans: data from the Danish population-based ROSE study: data from the Danish population-based ROSE study

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Název: Socioeconomic status and risk of osteoporotic fractures and the use of DXA scans: data from the Danish population-based ROSE study: data from the Danish population-based ROSE study
Autoři: Jeppe Gram, Mikkel Høiberg, Janne Schurmann Tolstrup, Sören Möller, Teresa Holmberg, Mette Juel Rothmann, A P Herman, Kim Brixen, Mickael Bech, Katrine Hass Rubin
Zdroj: Holmberg, T, Möller, S, Rothmann, M J, Gram, J, Herman, A P, Brixen, K, Tolstrup, J S, Høiberg, M, Bech, M & Rubin, K H 2019, ' Socioeconomic status and risk of osteoporotic fractures and the use of DXA scans : data from the Danish population-based ROSE study ', Osteoporosis International, vol. 30, no. 2, pp. 343-353 . https://doi.org/10.1007/s00198-018-4768-2
Friis-Holmberg, T, Möller, S, Rothmann, M J, Gram, J, Herman, A P, Brixen, K, Tolstrup, J S, Høiberg, M, Bech, M & Rubin, K H 2019, 'Socioeconomic status and risk of osteoporotic fractures and the use of DXA scans: data from the Danish population-based ROSE study', Osteoporosis International, vol. 30, no. 2, pp. 343-353. https://doi.org/10.1007/s00198-018-4768-2
Informace o vydavateli: Springer Science and Business Media LLC, 2018.
Rok vydání: 2018
Témata: INDICATORS, Photon/statistics & numerical data, Denmark, Osteoporotic fractures, Comorbidity, Health Services Accessibility, DXA scan, 03 medical and health sciences, Absorptiometry, Photon, 0302 clinical medicine, DISPARITIES, Risk Factors, 80 and over, Humans, Women, Income/statistics & numerical data, POSITION, Absorptiometry, Healthcare Disparities, Osteoporosis, Postmenopausal, Aged, OLDER, Aged, 80 and over, Incidence, 4. Education, Health Services Accessibility/statistics & numerical data, Postmenopausal/complications, MEN, Healthcare Disparities/statistics & numerical data, ASSOCIATION, Osteoporotic Fractures/epidemiology, Denmark/epidemiology, 3. Good health, POSTMENOPAUSAL WOMEN, Social Class, Socioeconomic inequality in health, Socioeconomic status, Income, Osteoporosis, Educational Status, TRIAL, Female, HEALTH, INEQUALITY, Osteoporotic Fractures, Follow-Up Studies
Popis: There is a need of studies exploring the link between socioeconomic status and DXA scans and osteoporotic fracture, which was the aim of the present study. No differences in socioeconomic status and risk of osteoporotic fractures were found. However, women with further/higher education and higher income are more often DXA-scanned.Lower socioeconomic status is known to be associated with a range of chronic conditions and with access to health care services. The link between socioeconomic status and the use of DXA scans and osteoporotic fracture, however, needs to be explored more closely. Therefore, the aim of this study was to examine the relationship between socioeconomic status and both DXA scan utilization and major osteoporotic fractures (MOF) using a population-based cohort of Danish women and national registers.The study included 17,155 women (65-81 years) sampled from the Risk-stratified Osteoporosis Strategy Evaluation study (ROSE). Information on socioeconomic background, DXA scans, and MOFs was retrieved from national registers. Competing-risk regression analyses were performed. Mean follow-up was 4.8 years.A total of 4245 women had a DXA scan (24.7%) and 1719 (10.0%) had an incident MOF during follow-up. Analyses showed that women with basic education had a lower probability of undergoing DXA scans than women with further or higher education (greater than upper secondary education and vocational training education) (subhazard ratio (SHR) = 0.82; 95% CI 0.75-0.89, adjusted for age and comorbidity). Moreover, women with disposable income in the low and medium tertiles had a lower probability of undergoing DXA scans than women in the high-income tertile (SHR = 0.90; 95% CI 0.84-0.97 and SHR = 0.88, 95% CI 0.82-0.95, respectively, adjusted for age and comorbidity). No association between socioeconomic background and probability of DXA was found in adjusted analyses.The study found no differences in risk of osteoporotic fractures depending on socioeconomic status. However, women with further or higher education as well as higher income are more often DXA-scanned.
Druh dokumentu: Article
Popis souboru: application/pdf
Jazyk: English
ISSN: 1433-2965
0937-941X
DOI: 10.1007/s00198-018-4768-2
Přístupová URL adresa: https://findresearcher.sdu.dk:8443/ws/files/157638627/SES_DXA_Fracture_resubmission_november_clean.pdf
https://pubmed.ncbi.nlm.nih.gov/30465216
https://www.cabdirect.org/cabdirect/abstract/20193398946
https://link.springer.com/article/10.1007/s00198-018-4768-2
https://portal.findresearcher.sdu.dk/da/publications/socioeconomic-status-and-risk-of-osteoporotic-fractures-and-the-u
https://pubmed.ncbi.nlm.nih.gov/30465216/
https://www.ncbi.nlm.nih.gov/pubmed/30465216
https://findresearcher.sdu.dk:8443/ws/files/157638627/SES_DXA_Fracture_resubmission_november_clean.pdf
Rights: Springer TDM
Přístupové číslo: edsair.doi.dedup.....57bffbb62a0c7f29df14cdeefcef9689
Databáze: OpenAIRE
Popis
Abstrakt:There is a need of studies exploring the link between socioeconomic status and DXA scans and osteoporotic fracture, which was the aim of the present study. No differences in socioeconomic status and risk of osteoporotic fractures were found. However, women with further/higher education and higher income are more often DXA-scanned.Lower socioeconomic status is known to be associated with a range of chronic conditions and with access to health care services. The link between socioeconomic status and the use of DXA scans and osteoporotic fracture, however, needs to be explored more closely. Therefore, the aim of this study was to examine the relationship between socioeconomic status and both DXA scan utilization and major osteoporotic fractures (MOF) using a population-based cohort of Danish women and national registers.The study included 17,155 women (65-81 years) sampled from the Risk-stratified Osteoporosis Strategy Evaluation study (ROSE). Information on socioeconomic background, DXA scans, and MOFs was retrieved from national registers. Competing-risk regression analyses were performed. Mean follow-up was 4.8 years.A total of 4245 women had a DXA scan (24.7%) and 1719 (10.0%) had an incident MOF during follow-up. Analyses showed that women with basic education had a lower probability of undergoing DXA scans than women with further or higher education (greater than upper secondary education and vocational training education) (subhazard ratio (SHR) = 0.82; 95% CI 0.75-0.89, adjusted for age and comorbidity). Moreover, women with disposable income in the low and medium tertiles had a lower probability of undergoing DXA scans than women in the high-income tertile (SHR = 0.90; 95% CI 0.84-0.97 and SHR = 0.88, 95% CI 0.82-0.95, respectively, adjusted for age and comorbidity). No association between socioeconomic background and probability of DXA was found in adjusted analyses.The study found no differences in risk of osteoporotic fractures depending on socioeconomic status. However, women with further or higher education as well as higher income are more often DXA-scanned.
ISSN:14332965
0937941X
DOI:10.1007/s00198-018-4768-2