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American Journal of Epidemiology Vol. 143, No. 12: 1191-1194
Copyright © 1996 by The Johns Hopkins University School of Hygiene and Public Health

other

Nursing Home Residence and Risk of Hip Fracture

Robert G. Cumming

From the Department of Public Health and Community Medicine, University of Sydney Sydney, Australia

Reprint requests to Dr. Robert G. Cumming, Department of Public Health and Community Medicine, Building A27, University of Sydney, Sydney NSW 2006, Australia.

This population-based case-control study was performed to determine whether the high incidence of hip fractures in people living in nursing homes is explained by the generally poor physical and mental health status of institutionalized older people. The study, which was conducted between 1990 and 1991, involved 209 hip fracture cases and 207 controls randomly selected from the same population in Sydney, Australia. Data on potential confounders were collected by using an interviewer-administered questionnaire. The age- and sex-adjusted odds ratio for the association between nursing home residence and risk of hip fracture was 2.4 (95% confidence interval 1.4–4.3). However, after adjustment for multiple confounders, the odds ratio was 0.6 (95% confidence interval 0.2–1.6). It appears that living in a nursing home is not an independent risk factor for hip fracture. Am J Epidemiol 1996; 143: 1191–4.

case-control studies; hip fractures; nursing homes


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