Systematic Review of Prevalence, Risks, and Cultural Differences of Fractures and Falls Among Hispanic Communities Public

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  • In the United States, falls are the leading cause of fractures and accidental death in the elderly; 70% of these fractures are women. Hispanic women account for a large population in the US, however data on falls and fractures for these women is lacking. The purpose of this systematic review is to synthesize the current research on risks of falls and fractures in the Hispanic communities. PubMed was searched using MeSH terms, and key words in the title and abstract such as osteoporosis, fall, or fractures. We coded study parameters as well as intrinsic, extrinsic, socioeconomic, and cultural factors. Studies that included bone health as a predictor for falls and fractures found that low bone mineral density was the greatest predicting intrinsic factor for falls and fractures. Previous falls were the greatest extrinsic predicting factor. Few studies looked at cultural factors beyond language. Risk factors were similar between Hispanic women and the general population. Hispanic women have an increasing rate of hip fracture, compared to the general population which has a decreasing rate. This trend may be caused by cultural factors. Future studies should focus on finding a link between acculturation and prevalence of falls and fractures in Hispanic women. Key Words: Hispanic, falls, hip fractures, acculturation
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