Risk Factors Associated With Hip Fractures among Adult People in Babylon City, Iraq

Alaa A. Hussein Al-algawy; Hasan Alwan Baiee; Sahar Hasan; Ismail Jassim; Maryam Razaq; Fatma Kamel; Athraa Ali; Eitaa Khudhair

doi:10.3889/oamjms.2019.734

Authors

Alaa A. Hussein Al-algawy College of Medicine, University of Babylon, Hillah, Iraq
Hasan Alwan Baiee Hammurabi College of Medicine, University of Babylon, Hillah, Iraq
Sahar Hasan College of Nursing, University of Babylon, Hillah, Iraq
Ismail Jassim College of Nursing, University of Babylon, Hillah, Iraq
Maryam Razaq Students at College of Nursing, University of Babylon, Hillah, Iraq
Fatma Kamel Students at College of Nursing, University of Babylon, Hillah, Iraq
Athraa Ali Students at College of Nursing, University of Babylon, Hillah, Iraq
Eitaa Khudhair Students at College of Nursing, University of Babylon, Hillah, Iraq

DOI:

https://doi.org/10.3889/oamjms.2019.734

Keywords:

Risk factor, Hip fracture, Elderly adult, Case-Control study, Osteoporosis

Abstract

BACKGROUND: The fractures of hip joint considered as a serious problem in public health in the medical and socioeconomic issues, the incidence of the fracture neck femur is significantly increased with the increment of general population life span.

AIM: The goal of this study is to highlight and focus on the most important risk factor for the hip fractures in our Babylon society, and to improve our understanding of the medical and social aspects of these predisposing factors.

PATIENTS AND METHODS: A case-control study of older adults (above 60 years old). The study was done on tow samples. First, one consisting of 75 cases those having fracture neck femur considered as cases, and second sample as a control group, consisting of 150 people as a healthy control group having no fracture. A pre-tested questionnaire was prepared to collect data from both samples; the questionnaire included demographic data and information about potential risk factors of hip fracture.

RESULTS: Most of the people in the study samples in both groups were, married women, housekeepers, illiterate and from urban dwellers. There was highly significant association between case-control groups regarding, Continuous using of medication such as cortisone which was found to be a potential risk factor of hip fracture (Unadjusted OR = 3.636), low income was positively associated risk factor of hip fracture in this study (OR = 2.377), low milk intake, low sun exposure, tobacco smoking were positively associated with this health problem (OR = 1.794), while physical exercise was protective factor (OR = 0.489).

CONCLUSION: The highest risk factors associated with increased occurrence of hip fracture were using cortisone, Osteoporosis, tobacco smoking, consuming soft drinks, and less exposure to sunlight.