Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden
Objectives: Previous studies have investigated the association between socioeconomic characteristics and fractures among children, producing different results. In a population-based study, we previously found an increased risk of fractures among children living in an urban municipality compared with...
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Umeå universitet, Ortopedi
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ftumeauniv:oai:DiVA.org:umu-188866 2023-10-09T21:54:31+02:00 Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden Hedström, Erik Crnalic, Sead Kullström, Antonia Waernbaum, Ingeborg 2021 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188866 https://doi.org/10.1136/bmjopen-2021-053179 eng eng Umeå universitet, Ortopedi Department of Statistics, Uppsala University, Uppsala, Sweden BMJ Open, 2021, 11:10, orcid:0000-0002-1700-8223 orcid:0000-0001-5875-4946 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188866 doi:10.1136/bmjopen-2021-053179 PMID 34635530 ISI:000706766500025 Scopus 2-s2.0-85117121159 info:eu-repo/semantics/openAccess community child health epidemiology paediatric orthopaedics Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Orthopaedics Ortopedi Article in journal info:eu-repo/semantics/article text 2021 ftumeauniv https://doi.org/10.1136/bmjopen-2021-053179 2023-09-22T14:01:03Z Objectives: Previous studies have investigated the association between socioeconomic characteristics and fractures among children, producing different results. In a population-based study, we previously found an increased risk of fractures among children living in an urban municipality compared with rural municipalities. This study aimed to evaluate the importance of socioeconomic variables for the incidence of fractures among 0-17 year olds. Setting, design and outcome measure: We present a longitudinal, observational study of a population 0-17 years of age. Data from an injury database were linked with additional socioeconomic data for the population at risk. These were 55 758 individuals residing within the primary catchment area of a regional hospital in northern Sweden. Using the number of fractures as the outcome, we fitted a generalised linear mixed model for a Poisson response with socioeconomic variables at the family level as independent variables while controlling for age, sex and place of residence. Results: We found a significant association between higher levels of family income and the risk of fracture, rate ratio 1.40 (1.28-1.52) p<0.001 when comparing the highest income quintile to the lowest as well as the number of siblings and the risk of fracture. Children with one or two siblings had a rate ratio of 1.28 (1.19-1.38) p<0.001 when compared with children with no siblings. Parents' educational level and having a single parent showed no significant association with fractures. The previously observed association between municipalities and fracture risk was less pronounced when taking family-level socioeconomic variables into account. Conclusion: Our results indicate that children from families with higher income and with siblings are at greater risk of sustaining fractures. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMJ Open 11 10 e053179 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
community child health epidemiology paediatric orthopaedics Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Orthopaedics Ortopedi |
spellingShingle |
community child health epidemiology paediatric orthopaedics Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Orthopaedics Ortopedi Hedström, Erik Crnalic, Sead Kullström, Antonia Waernbaum, Ingeborg Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
topic_facet |
community child health epidemiology paediatric orthopaedics Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Orthopaedics Ortopedi |
description |
Objectives: Previous studies have investigated the association between socioeconomic characteristics and fractures among children, producing different results. In a population-based study, we previously found an increased risk of fractures among children living in an urban municipality compared with rural municipalities. This study aimed to evaluate the importance of socioeconomic variables for the incidence of fractures among 0-17 year olds. Setting, design and outcome measure: We present a longitudinal, observational study of a population 0-17 years of age. Data from an injury database were linked with additional socioeconomic data for the population at risk. These were 55 758 individuals residing within the primary catchment area of a regional hospital in northern Sweden. Using the number of fractures as the outcome, we fitted a generalised linear mixed model for a Poisson response with socioeconomic variables at the family level as independent variables while controlling for age, sex and place of residence. Results: We found a significant association between higher levels of family income and the risk of fracture, rate ratio 1.40 (1.28-1.52) p<0.001 when comparing the highest income quintile to the lowest as well as the number of siblings and the risk of fracture. Children with one or two siblings had a rate ratio of 1.28 (1.19-1.38) p<0.001 when compared with children with no siblings. Parents' educational level and having a single parent showed no significant association with fractures. The previously observed association between municipalities and fracture risk was less pronounced when taking family-level socioeconomic variables into account. Conclusion: Our results indicate that children from families with higher income and with siblings are at greater risk of sustaining fractures. |
format |
Article in Journal/Newspaper |
author |
Hedström, Erik Crnalic, Sead Kullström, Antonia Waernbaum, Ingeborg |
author_facet |
Hedström, Erik Crnalic, Sead Kullström, Antonia Waernbaum, Ingeborg |
author_sort |
Hedström, Erik |
title |
Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
title_short |
Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
title_full |
Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
title_fullStr |
Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
title_full_unstemmed |
Socioeconomic variables and fracture risk in children and adolescents : A population-based study from northern Sweden |
title_sort |
socioeconomic variables and fracture risk in children and adolescents : a population-based study from northern sweden |
publisher |
Umeå universitet, Ortopedi |
publishDate |
2021 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188866 https://doi.org/10.1136/bmjopen-2021-053179 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMJ Open, 2021, 11:10, orcid:0000-0002-1700-8223 orcid:0000-0001-5875-4946 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188866 doi:10.1136/bmjopen-2021-053179 PMID 34635530 ISI:000706766500025 Scopus 2-s2.0-85117121159 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1136/bmjopen-2021-053179 |
container_title |
BMJ Open |
container_volume |
11 |
container_issue |
10 |
container_start_page |
e053179 |
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1779318111526191104 |