TY - JOUR
T1 - Reporting of lifetime fractures
T2 - Methodological considerations and results from the Thai Cohort Study
AU - Berecki-Gisolf, Janneke
AU - McClure, Rod
AU - Seubsman, Sam Ang
AU - Sleigh, Adrian
AU - Chokhanapitak, Jaruwan
AU - Churewong, Chaiyun
AU - Hounthasarn, Suttanit
AU - Khamman, Suwanee
AU - Pandee, Daoruang
AU - Pangsap, Suttinan
AU - Prapamontol, Tippawan
AU - Puengson, Janya
AU - Sangrattanakul, Yodyiam
AU - Somboonsook, Boonchai
AU - Sripaiboonkij, Nintita
AU - Somsamai, Pathumvadee
AU - Vilainerun, Duangkae
AU - Wimonwattanaphan, Wanee
AU - Bain, Chris
AU - Banks, Emily
AU - Banwell, Cathy
AU - Caldwell, Bruce
AU - Carmichael, Gordon
AU - Dellora, Tarie
AU - Dixon, Jane
AU - Friel, Sharon
AU - Harley, David
AU - Kelly, Matthew
AU - Kjellstrom, Tord
AU - Lim, Lynette
AU - McMichael, Anthony
AU - Mark, Tanya
AU - Strazdins, Lyndall
AU - Yiengprugsawan, Vasoontara
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.
AB - Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.
UR - http://www.scopus.com/inward/record.url?scp=84865977030&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2012-001000
DO - 10.1136/bmjopen-2012-001000
M3 - Article
SN - 2044-6055
VL - 2
JO - BMJ Open
JF - BMJ Open
IS - 4
M1 - e001000
ER -