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American Journal of Epidemiology Vol. 136, No. 11: 1378-1385
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Black-White Differences in Fracture Rates

Marie R. Griffin1,, Wayne A. Ray1, Randy L. Fought1 and L. Joseph Melton, III2

1Department of Preventive Medicine, Vanderbilt University School of Medicine Nashville, TN
2Section of Clinical Epidemiology, Mayo Clinic and Mayo Foundation Rochester, MN

Reprint requests to Dr. Marie R. Griffin, Department of Preventive Medicine, Vanderbilt University School of Medicine, A-1124 MCN, 1161 21st Avenue, Nashville, TN 37232-2637.

To compare the incidence of all nonvertebral fractures between elderly blacks and whites, the authors conducted a retrospective cohort study among Tennessee Medicaid enrollees aged 65 years or more from 1987 through 1989. A previously validated computer algorithm identified 6, 802 persons of black or white race with 7, 645 new nonvertebral fractures. The incidence of all nonvertebral fractures in blacks was only half of that in whites. This finding persisted after the authors controlled for sex, age, and nursing home residence (relative risk = 0.4, 95% confidence interval 0.4–0.5). Rates were consistently lower among blacks within subgroups defined by these factors and for each of the 13 different fracture sites examined. The magnitude of the difference between blacks and whites in rates of all fractures combined and most site-specific fractures is similar to that previously reported for hip fractures. These consistent racial differences suggest a common underlying factor(s). Am J Epidemiol 1992; 136: 1378–85.

aged; blacks; fractures; incidence; racial stocks; retrospective studies; whites


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