Prevalence of fractures among 10 000 women from the 1900 to 1940 birth cohorts resident in Gothenburg

Abstract

The prevalence of fractures in women aged 45–86 years resident in the city of Gothenburg, Sweden, was investigated by means of a postal questionnaire. A sample of 10 000 women from seven birth cohorts (1900–1940) was obtained at random from the population register. The response rate was 70.1% in the 1900–1920 and 81.0% in the 1930 and 1940 birth cohorts. When the prevalence of fractures sustained between 25 and 46 years of age was analyzed a higher figure emerged for women from the 1930 and 1940 birth cohorts than for those from the 1900–1920 cohorts, indicating an increasing incidence of fractures over time. There was a significant independent correlation between early menopausal age and a high rate of fractures. Menopausal age decreased with increasing tobacco consumption. There was also a significant independent correlation between tobacco-smoking and a high fracture rate. The prevalence of tobacco-smoking increased from 30.0 to 38.1% between the 1930 and 1940 birth cohorts, which may further increase the fracture risk in future years. Despite increasing vitality and longevity among the elderly in Gothenburg, there are indications that the number of fractures will increase in the future.