Epidemiology of Hip Fractures among Ethiopian-born Israelis over the Age of 50: A Preliminary Survey from the Israel National Trauma Registry (INTR) Database between 2011-2020
2Medicine, Tel Aviv University Sackler Faculty of Medicine
3Epidemiology and Public Health, Tel Aviv University Sackler Faculty of Medicine
4Endocrinology and Diabetes Unit, Hillel Yaffe Medical Center
5Israel National Center for Trauma and Emergency Medicine Research, Sheba Medical Center, the Gertner Institute for Epidemiology and Health Policy Research
Background:
Of the 160,000-member of the Ethiopian community in Israel, about 25,000 are 50 years or older, virtually all Ethiopian-born. Despite this substantial aging population (15.6% of the Ethiopian community), there is essentially no knowledge regarding osteoporosis in this unique ethnic group. This study aimed to generate preliminary data regarding the incidence of hip fractures in this agegroup of Ethiopian-born subjects, between 2011-2020.
Methods:
Data were retrieved from the INTR hip fracture registry, stratified by gender and age, and compared to those of the Israeli population of different ethnicity.
Results:
Ethiopian-born subjects≥50 yr-old comprised 0.6% of the INTR reports, while their representation in this age group in Israel was 1.24% (P<0.0001). The INTR included trauma events reports on 966 Ethiopian-born subjects≥50 yr, or 3.9% of this specific age group within the Ethiopian community, while it included reports on 7.4% of people of this age group of different ethnicity (P<0.0001).
Between 2011-2020, there were 194 reports of hip fractures among Ethiopian-born subjects≥50 yr (20.1% of all reports for this group). While hip fractures represented 32.3% of injuries reported for other people in this age group, P<0.0001.
Among Ethiopian-born subjects who suffered a hip fracture 81/194 (41.8%) were men compared to 16175/48130 (33.6%) among people of other origin ( P<0.05).
Conclusions:
Older Ethiopian-born Israelis, particularly women, appear to be less prone to hip fractures than the rest of the population. Hip fracture being only a proxy for osteoporosis, a study linking fracture data with BMD is planned to further examine this question.
