Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P. R. China.
Key laboratory of biomechanics of Hebei Province, Shijiazhuang, Hebei, 050051, P. R. China.
Sci Rep. 2019 Feb 13;9(1):1965. doi: 10.1038/s41598-018-38035-y.
As a sub-study of the China National Fracture Study, this study aimed to better determine the incidence and risk factors of humeral shaft fracture in mainland China. We obtained all the data on humeral shaft fracture from the China National Fracture Study reported in 2017. Trained research teams personally interviewed all qualifying household members using a standardised questionnaire. A total of 512,187 (259649 boys and men, 252538 girls and women) questionnaires were collected and analysed from 112 neighbourhood communities and 223 administrative villages using stratified random sampling and the probability proportional to size method. The population-weighted incidence rate of humeral shaft fracture was 7.22 (95% confidence interval 4.90, 9.55) per 100,000 populations in 2014. Previous fracture history was an independent risk factor in adults of both sexes. Smoking was identified as an independent risk factor for humeral shaft fracture for men. Alcohol consumption and menstruation ceasing before the age of 46 years were considered as independent risk factors for women. Given the above data, specific public-health policies focusing on promoting a smoke-free environment and reducing alcohol intake should be encouraged. People who have had a fracture and women whose menstruation had ceased before the age of 46 should be vigilant against humeral shaft fracture.
作为中国国家骨折研究的一个子研究，本研究旨在更好地确定中国大陆肱骨干骨折的发病率和危险因素。我们从 2017 年报告的中国国家骨折研究中获取了所有肱骨干骨折的数据。经过培训的研究团队使用标准化问卷亲自采访了所有符合条件的家庭成员。采用分层随机抽样和比例概率规模方法，从 112 个社区和 223 个行政村共收集和分析了 512187 份（男 259649 份，女 252538 份）问卷。2014 年，肱骨干骨折的人群加权发病率为 7.22（95%置信区间 4.90，9.55）/100000 人。既往骨折史是男女成年人的独立危险因素。吸烟被确定为男性肱骨干骨折的独立危险因素。饮酒和 46 岁前绝经被认为是女性的独立危险因素。鉴于上述数据，应鼓励制定具体的公共卫生政策，重点营造无烟环境和减少饮酒。有过骨折史和 46 岁前绝经的女性应警惕肱骨干骨折。
