@article{ref1,
title="Hip fractures among Indigenous people in Western Australia from 1999-2009",
journal="Internal medicine journal",
year="2013",
author="Wong, Yuen Yee Elizabeth and Flicker, Leon and Draper, Glenn and Lai, Michelle Mei Yee and Waldron, Nicholas",
volume="43",
number="12",
pages="1287-1292",
abstract="BACKGROUND: Minimal trauma hip fractures are prevalent in Australia. The incidence rate and trend of hip fractures in Indigenous Western Australians have not been formally reported. AIMS: To evaluate incidence rates and trend of minimal trauma hip fractures in Indigenous and other Western Australians aged 40 years and over in 1999-2009 METHODS: Hip fracture data were obtained from an administrative database for all hospitalisations in Western Australia. Age-standardised incidence rates were calculated using direct standardisation, and standardised rate ratios calculated using indirect method. Trend in incidence rates were calculated using Poisson regression. RESULTS: In 1999-2009, 11,844 admissions for minimal trauma hip fractures were reported among Western Australians aged 40 years and over, of which 201 were recorded as Indigenous. The age-standardised hip fracture rate was 273.0 (95% CI 230.7 to 315.4) per 100,000 person-years for Indigenous adults and 148.8 (95% CI 146.1 to 151.5) per 100,000 person-years for non-Indigenous adults. The standardised morbidity ratio was 2.2 (95% CI 1.9 to 2.5). Over this period, age-standardised rates increased by an average of 7.2% per year among Indigenous adults (p=0.006), whereas non-Indigenous rates fell by an average of 3.4% per year (p<0.001). The relatively higher rates among Indigenous adults were more evident in the younger age groups. CONCLUSION: There is a widening gap in minimal trauma hip fracture rates between Indigenous and other Western Australians. This study demonstrates a need for public health review and management strategies to reduce falls and hip fracture in the Indigenous community.<p /> <p>Language: en</p>",
language="en",
issn="1444-0903",
doi="10.1111/imj.12040",
url="http://dx.doi.org/10.1111/imj.12040"
}