The 130th Annual Meeting of APHA

Abstract #47930

Masood Ali Shaikh, MD, MPH¹, Irshad A. Shaikh, MD, MPH, PhD¹, and Greg Pappas, MD, PhD². (1) Health Dept., City of Chester, 5th & Welsh Streets, Municipal Building, Chester, PA 19013, (610) 447-7824, masoodshaikh1@yahoo.com, (2) Demographic and Health Surveys (Measure DHS +), MACRO International Inc., 11785 Beltsville Drive, Calverton, MD 20705

This study estimates the life-time prevalence of bone fractures and examines its relationship using logistic relationship with gender, age, economic and residential status in terms of rural/urban, using data from the National Health Survey of Pakistan (NHSP) 1990-94. A two-stage stratified sample design was adopted for NHSP. The survey population comprised of 10568 individuals aged 15 and above. STATA-7 was used to conduct a design-based analysis. Individuals who reported ever being told by an expert that they had a broken/fracture bone, were defined as ones with fractured bone. Overall prevalence of bone fractures was 11.2% and 95% confidence interval (CI) was 10.2 – 12.2. In men prevalence was 15.8% (95% CI 14.1 – 17.6), while in women it was 7.1% (95% CI 6.0 – 8.1). Odds Ratios (OR) was calculated for association of bone fractures with various demographic variables. Men were more likely to report bone fractures (OR=2.3, 95% CI=1.9 – 2.9). The OR for the association with residential and economic status was not statistically significant. However having ever had a bone fracture was significantly associated with age, as compared to reference age group of 15 – 24 years, OR was 1.4 (95% CI=1.1 – 1.7) in the age group 45 – 64 and OR was1.5 (95% CI=1.2 – 2.0) in the 65+ age group, while no significant association was present with the age group 25 – 44. Bone fractures predominantly occur in 45+ men. Health education efforts need to be focused on this segment of population, to lessen related morbidity.

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