We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Regional Variation in the Incidence of Hip Fracture:  US White Women Aged 65 Years and Older

Steven J. Jacobsen, PhD; Jack Goldberg, PhD; Toni P. Miles, MD, PhD; Jacob A. Brody, MD; William Stiers, PhD; Alfred A. Rimm, PhD
JAMA. 1990;264(4):500-502. doi:10.1001/jama.1990.03450040096038.
Text Size: A A A
Published online

FRACTURE of the hip is a major cause of morbidity and mortality in persons 65 years of age and older. Incidence rates for hip fracture are known to vary by both sex and race.1-4 There is also marked variability in hip fracture incidence by geographic region, with the highest rates found in Scandinavia, followed by the United States, Western Europe, Asia, and Africa.5,6

Within the United States, relatively little is known about the geographic pattern of hip fracture. Most studies have described the incidence of hip fracture for the country as a whole,2,3 for limited geographic regions,4,7,8 or by broadly defined Census divisions.9 This study examines the geographic distribution of hip fracture incidence in the United States at the county level. To this end, data are obtained from the Health Care Financing Administration (HCFA) and the Department of Veterans Affairs (VA) that identify all hospital


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.