Al-Algawy Alaa A Hussein, Baiee Hasan Alwan, Hasan Sahar, Jassim Ismail, Razaq Maryam, Kamel Fatma, Ali Athraa, Khudhair Eitaa
College of Medicine, University of Babylon, Hillah, Iraq.
Hammurabi College of Medicine, University of Babylon, Hillah, Iraq.
Open Access Maced J Med Sci. 2019 Oct 15;7(21):3608-3614. doi: 10.3889/oamjms.2019.734. eCollection 2019 Nov 15.
The fractures of hip joint considered as a serious problem in public health in the medical and socioeconomic issues, the incidence of the fracture neck femur is significantly increased with the increment of general population life span.
The goal of this study is to highlight and focus on the most important risk factor for the hip fractures in our Babylon society, and to improve our understanding of the medical and social aspects of these predisposing factors.
A case-control study of older adults (above 60 years old). The study was done on tow samples. First, one consisting of 75 cases those having fracture neck femur considered as cases, and second sample as a control group, consisting of 150 people as a healthy control group having no fracture. A pre-tested questionnaire was prepared to collect data from both samples; the questionnaire included demographic data and information about potential risk factors of hip fracture.
Most of the people in the study samples in both groups were, married women, housekeepers, illiterate and from urban dwellers. There was highly significant association between case-control groups regarding, Continuous using of medication such as cortisone which was found to be a potential risk factor of hip fracture (Unadjusted OR = 3.636), low income was positively associated risk factor of hip fracture in this study (OR = 2.377), low milk intake, low sun exposure, tobacco smoking were positively associated with this health problem (OR = 1.794), while physical exercise was protective factor (OR = 0.489).
The highest risk factors associated with increased occurrence of hip fracture were using cortisone, Osteoporosis, tobacco smoking, consuming soft drinks, and less exposure to sunlight.
髋关节骨折在医学和社会经济问题上被视为一个严重的公共卫生问题,随着总人口寿命的增加,股骨颈骨折的发生率显著上升。
本研究的目的是突出并关注我们巴比伦社会中髋部骨折最重要的风险因素,并增进我们对这些诱发因素的医学和社会方面的理解。
一项针对老年人(60岁以上)的病例对照研究。该研究对两个样本进行。首先,一个样本由75例股骨颈骨折患者组成,作为病例组;第二个样本作为对照组,由150名无骨折的健康人组成。准备了一份预先测试的问卷以从两个样本中收集数据;问卷包括人口统计学数据以及有关髋部骨折潜在风险因素的信息。
两组研究样本中的大多数人是已婚女性、家庭主妇、文盲且来自城市居民。病例组与对照组之间在以下方面存在高度显著关联:持续使用诸如可的松之类的药物,其被发现是髋部骨折的一个潜在风险因素(未调整的比值比=3.636);低收入在本研究中是髋部骨折的正相关风险因素(比值比=2.377);低牛奶摄入量、低日照、吸烟与该健康问题呈正相关(比值比=1.794),而体育锻炼是保护因素(比值比=0.489)。
与髋部骨折发生率增加相关的最高风险因素是使用可的松、骨质疏松症、吸烟、饮用软饮料以及日照较少。