Abstract:
OBJECTIVE:Mental distress may entail increased risk of hip fracture, but it is uncertain whether the effect consists solely of an indirect effect through use of medication, or whether it is also mediated through other mechanism. The purpose of this study was to examine the association between mental distress and risk of hip fracture in women, adjusted for medication (that is, use of tranquillisers/sedatives or hypnotics). DESIGN:A three year follow up of hip fracture was conducted on 18,612 women, consisting of 92.5% of all women aged 50 years or older in a Norwegian county. Three hundred and twenty nine suffered a hip fracture. A mental distress index was based on questions about life dissatisfaction, nervousness, loneliness, sleep disorders, troubled and uneasy feelings, depression and impairment attributable to psychological complaints. Relative risk with 95% confidence intervals (CI) of hip fracture with respect to mental distress were controlled for medication, age, body mass index (BMI), smoking, physical inactivity, and physical illness by means of Cox regression. RESULTS:The 10% of women with the highest mental distress had more than twofold increased risk of hip fracture compared with the 10% of women with the lowest mental distress, after adjustment for age and medication. The relative risk was 1.95 (95% CI 1.2, 3.3) after additional control for BMI, smoking, physical inactivity, and physical illness. The relative risk of hip fracture for daily users of medication compared with never users was 2.1 (95% CI 1.6, 2.9). After adjusting for mental distress it was 1.5 (95% CI 1.0, 2.2). CONCLUSIONS:Risk of hip fracture was positively related to mental distress, also after adjustment for medication use. The effect of tranquillisers/sedatives or hypnotics on hip fracture risk may be overestimated in studies with no adjustments for mental distress.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Forsén L,Meyer HE,Søgaard AJ,Naess S,Schei B,Edna THdoi
10.1136/jech.53.6.343keywords:
subject
Has Abstractpub_date
1999-06-01 00:00:00pages
343-7issue
6eissn
0143-005Xissn
1470-2738journal_volume
53pub_type
杂志文章abstract:STUDY OBJECTIVE:To explore the relationship between self reported environmental tobacco smoke exposure (or passive smoking), the serum cotinine concentration, and evidence of respiratory or coronary disease in men and women who have never smoked. DESIGN:Cross sectional random population survey identifying disease mark...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.2.139
更新日期:1995-04-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the performance of breast cancer screening in different age categories over two decades. DESIGN:Important determinants of reduced breast cancer mortality such as attendance, mammography performance, cancer detection, and disease stage were recorded. SETTING:Nijmegen, The Netherlands, 1975-92...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.3.353
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:Differences in health, lifestyles, and use of health care between groups of varying ethnic origin can have important implications for preventive and curative health care. This paper studies whether socioeconomic factors explain ethnic differences in these outcomes. DESIGN:Data on health status, lifestyles, a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.5.298
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVE:To quantify the eventual extra loss of life incurred to cancer patients in Estonia compared with those in Sweden that was possibly attributable to differences in society. DESIGN:Population based survival of cancer patients in Estonia was compared with that of Estonian immigrants to Sweden and that of all can...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.4.418
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:The prevalence of diagnosed diabetes among different ethnic groups and the influence of deprivation on the prevalence of diabetes among Māori and New Zealand Europeans was investigated. METHODS:This was a cross-sectional survey on all patients registered with 10 practices in the Rotorua General Practice Gro...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078873
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:In 1998, highly active antiretroviral therapy (HAART) was widespread, but the diffusion of these life-saving treatments was not uniform. As half of all AIDS patients in the USA have Medicaid coverage, this study of a multistate Medicaid claims dataset was undertaken to assess disparities in the rates of HAAR...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2005.045567
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Although exposure to peer and family violence is a documented risk factor for adolescent dating violence, less is known about the relationship between violent crime exposure and dating violence victimisation. METHODS:Participants in the National Longitudinal Study of Adolescent Health (n = 4794) aged 13-17 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078592
更新日期:2009-09-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the completeness and accuracy of notification of cancers by the National Health Service Central Register (NHSCR) for England and Wales. DESIGN:Comparison of 720 cancer registrations ascertained from NHSCR up to May 1999 with those ascertained for the same cohort from six other sources and a p...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.6.414
更新日期:2001-06-01 00:00:00
abstract::The volume and velocity of data are growing rapidly and big data analytics are being applied to these data in many fields. Population and public health researchers may be unfamiliar with the terminology and statistical methods used in big data. This creates a barrier to the application of big data analytics. The purpo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209608
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Longitudinal data were used to explore relations between teenage pregnancy, sexual behaviour, and family type. The study examined whether students from lone parent and/or teenage mother initiated families more commonly report sex, lack of contraception at first sex, and/or conceptions by age 15/16, and wheth...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.042838
更新日期:2006-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky's life orientation questionnaire/sense of coherence scale (SOC). DESIGN:The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2003.018085
更新日期:2005-06-01 00:00:00
abstract::A cohort of 6168 schizophrenic patients was followed from 1957 to 1984 to determine the incidence of cancer in these patients. In the male schizophrenic patients the incidence of cancer was found to be significantly reduced in comparison with the general Danish population. This reduction was especially marked for canc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.1.43
更新日期:1989-03-01 00:00:00
abstract:STUDY OBJECTIVE:To clarify concepts and methodological problems in existing multidimensional health status measures for children. DESIGN:Thematic review of instruments found by computerised and manual searches, 1979-95. SUBJECTS:Nine health status instruments. MAIN RESULTS:Many instruments did not satisfy criteria o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.50.4.391
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND:Innovative strategies beyond the health system are required to reduce the prevalence of smoking. Early child development interventions are examples of interventions that can help set children on positive social and educational trajectories, which in turn may also reduce the prevalence of smoking. The aim of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.101840
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:In observational studies, mainly from Western Caucasian populations, moderate alcohol use has been shown to be associated with a lower risk of diabetes. However, whether the protection is due to the attributes of alcohol or to those of moderate alcohol users is difficult to disentangle. A population with a d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.077602
更新日期:2009-02-01 00:00:00
abstract::An exponential model based on the infectious disease model of Kermack and McKendrick has been simplified to illustrate how the use of heroin spreads in epidemic fashion. A numerical simulation is arranged to show how the dynamics of spread are influenced by the original number of users, rates of conversion, and time o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.33.4.299
更新日期:1979-12-01 00:00:00
abstract:OBJECTIVE:To estimate variation between small areas in the levels of walking, cycling, jogging, and swimming and overall physical activity and the importance of area level socioeconomic disadvantage in predicting physical activity participation. METHODS:All census collector districts (CCDs) in the 20 innermost local g...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.035931
更新日期:2005-11-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the characteristics of elderly populations associated with variations in their use of community health and personal social services and to test the hypotheses that the variations are related to: (a) the age structure of an elderly population; (b) the population's socioeconomic composition...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.6.722
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:Resource allocation and integration of services have been of interest recently to achieve health-related Millennium Development Goals. This paper analyses the extent to which countries receiving funding in HIV were able to invest in activities in the area of sexual and reproductive health (SRH). METHODS:The...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.092940
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:To determine the extent of commercial tobacco imagery in the lesbian, gay, and bisexual (LGB) press. METHODS:Content analysis of all advertising containing tobacco related text or imagery in 20 LGB community periodicals, published between January 1990 and December 2000. RESULTS:3428 ads were found: 689 tob...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.038760
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Socioeconomic status (SES) is an important determinant of health, but SES measures are frequently unavailable in commonly used datasets. Area-level SES measures are used as proxy measures of individual SES when the individual measures are lacking. Little is known about the agreement between individual-level ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201742
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:To assess the effects of neighbourhood level socioeconomic status (SES) and convenience store concentration on individual level smoking, after consideration of individual level characteristics. DESIGN:Individual sociodemographic characteristics and smoking were obtained from five cross sectional surveys (19...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2004.029041
更新日期:2005-07-01 00:00:00
abstract::A study of 150 hotel prostitutes in Lagos was undertaken to determine their socioeconomic identity and, through an assessment of their health knowledge, attitude, and practice, their probable impact on public health. The subjects were selected from 15 hotels, representing 20% of the estimated hotel universe in Lagos a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.312
更新日期:1980-12-01 00:00:00
abstract:STUDY OBJECTIVES:To examine whether psychosocial factors at work are related to self rated health in post-communist countries. DESIGN AND SETTINGS:Random samples of men and women in five communities in four countries were sent a postal questionnaire (Poland, Czech Republic and Lithuania) or were invited to an intervie...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.9.624
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:The Wales National Exercise Referral Scheme (NERS) is a 16-week programme including motivational interviewing, goal setting and relapse prevention. METHOD:A pragmatic randomised controlled trial with nested economic evaluation of 2160 inactive participants with coronary heart disease risk (CHD, 1559, 72%), ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech-2011-200689
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To explore attitudes to quitting smoking and experience of smoking cessation among Bangladeshi and Pakistani ethnic minority communities. DESIGN:Qualitative study using community participatory methods, purposeful sampling, interviews and focus groups, and a grounded approach to data generation and analysis. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.040345
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:This study investigated the impact of the Healthy Housing Programme in reducing acute hospitalisations in South Auckland, New Zealand. The programme involved house modifications to reduce overcrowding, insulation and ventilation improvements, and health and social service assessments, referrals and linkages....
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.107441
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:To assess comprehensively the validity of the data in the Finnish Medical Birth Registry (MBR) by the combined use of several controls and internal analysis of the data. DESIGN:The MBR data were individually linked to a medical record sample (n = 775) and to all perinatal death certificates in 1987. The data...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.3.242
更新日期:1993-06-01 00:00:00
abstract:AIM:To systematically review the association between intergenerational social mobility and leisure-time physical activity (LTPA) in adulthood, in order to assess all published evidence relating to the hypothesis that adults socially mobile between childhood and adulthood will have different levels of LTPA than those in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2016-208052
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Although being employed during midlife is positively associated with cognitive function in later life, little is known with respect to cumulative trajectories or durations of time spent in different kinds of work. METHODS:We investigated the relationships between employment trajectory from ages 31 years to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211153
更新日期:2019-03-01 00:00:00