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American Journal of Epidemiology Vol. 133, No. 8: 801-809
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health

research-article

A Comparison of Hip Fracture Incidence among Native Japanese, Japanese Americans, and American Caucasians

Philip D. Ross1,, Hiromichi Norimatsu2, James W. Davis1, Katsuhiko Yano3, Richard D. Wasnich1, Saeko Fujiwara4, Yutaka Hosoda4 and L. Joseph Melton, III5

1Epidemiology Section, Hawan Osteoporosis Center Honolulu, HI.
2Department of Orthopedic Surgery, Kagawa Medical School Kagawa, Japan.
3Honolulu Heart Program, Kuakini Medical Center Hon-olulu, HI.
4Radiation Effects Research Foundation, Hiroshima Japan.
5Department of Health Sciences Research, Mayo Clinic Rochester, MN.

Reprint requests to Dr. Phillip D. Ross, Hawawii Osteo-porosis Center, 932 Ward Avenue, Suite 400, Honolulu, HI 96814.

Hip fracture incidence rates among men and women of Japanese ancestry living on Oahu, Hawaii, from 1979 to 1981 were compared with rates for Japanese living on Okinawa, Japan, from 1984 to 1985. Both rates were further compared with those for various American Caucasian populations, including that of Rochester, Minnesota, from 1978 to 1982. Age-specific and cumulative (age 50–84 years) hip fracture rates among persons of Japanese ancestry were approximately half that of Caucasians for both sexes. Although diet and other cultural attributes of the Oahu group have become more westernized than the Okinawan population, there were no detectable differences in hip fracture rates between Oahu and Okinawa Japanese. Additional studies are needed to determine whether the observed differences in fracture rates between Caucasians and Japanese might be related to differences in bone mass, body size, frequency of falls, or other factors. Am J Epidemiol 1991 ;133:801–9.

aged; hip fractures; osteoporosis


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