The association between urban or rural locality and hip fracture in community-based adults : a systematic review

Brennan, Sharon L., Pasco, Julie A., Urquhart, Donna M., Oldenburg, Brian, Hanna, Fahad S. and Wluka, Anita E. 2010, The association between urban or rural locality and hip fracture in community-based adults : a systematic review, Journal of epidemiology and community health, vol. 64, no. 8, pp. 656-665.

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Title The association between urban or rural locality and hip fracture in community-based adults : a systematic review
Author(s) Brennan, Sharon L.
Pasco, Julie A.
Urquhart, Donna M.
Oldenburg, Brian
Hanna, Fahad S.
Wluka, Anita E.
Journal name Journal of epidemiology and community health
Volume number 64
Issue number 8
Start page 656
End page 665
Total pages 10
Publisher BMJ Publishing
Place of publication London, England
Publication date 2010-08
ISSN 0143-005X
1470-2738
Keyword(s) health monitoring
health risk
health status
Summary Urban or rural locality has been suggested to influence musculoskeletal health, with lower bone mineral density (BMD) and greater prevalence of fracture identified in urban residents. A computer-aided search of Medline, EMBASE, CINAHL and PsychINFO, January 1966 to November 2007 was conducted to identify studies investigating the relationship between urban or rural locality and the occurrence of hip fracture. The methodological quality of studies was assessed, and a best-evidence synthesis was used to summarise the results. Fourteen cohort studies and one case-control study were identified for inclusion in this review, indicating a lack of literature in the field. Best-evidence analysis identified moderate evidence for residents of rural regions to have lower risk of hip fracture compared to urban residents. Examining principal mechanisms for the observed relationship between urban/rural locality and hip fracture, such as factors at the person or area level, may help to identify modifiable risk factors and inform appropriate prevention strategies.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, BMJ Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30042766

Document type: Journal Article
Collection: School of Medicine
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