{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:11:22Z","timestamp":1784257882545,"version":"3.55.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","award":["HHSN268201600018C"],"award-info":[{"award-number":["HHSN268201600018C"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","award":["HHSN268201600001C"],"award-info":[{"award-number":["HHSN268201600001C"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","award":["HHSN268201600002C"],"award-info":[{"award-number":["HHSN268201600002C"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","award":["HHSN268201600003C"],"award-info":[{"award-number":["HHSN268201600003C"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","award":["HHSN268201600004C"],"award-info":[{"award-number":["HHSN268201600004C"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000069","name":"NIAMS","doi-asserted-by":"publisher","award":["1R01AR080868-01A1"],"award-info":[{"award-number":["1R01AR080868-01A1"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Using 1998-2022 Women\u2019s Health Initiative (WHI) data, our study provides contemporary fracture data by race and ethnicity, specifically focusing on Hispanic and Asian women. Fractures of interest included any clinical, hip, and major osteoporotic fractures (MOFs). We utilized the updated race and ethnicity information collected in 2003, which included seven Asian and five Hispanic origin groups. We computed crude and age-standardized fracture incidence rates per 10\u2009000 woman-years across race and ethnic categories and by Asian and Hispanic origin. We used Cox proportional hazards model, adjusting for age and WHI clinical trial arm, to evaluate the risk of fracture (1) by race compared to White women, (2) Asian origin compared to White women, (3) Hispanic compared to non-Hispanic women, and (4) Asian and Hispanic origins compared the most prevalent origin group. Over a median (interquartile range) follow-up of 19.4 (9.2-24.2) years, 44.2% of the 160\u2009824 women experienced any clinical fracture, including 36\u2009278 MOFs and 8962 hip fractures. Compared to White women, Black, Pacific Islander, Asian, and multiracial women had significantly lower risk of any clinical and MOFs, while only Black and Asian women had significantly lower hip fracture risk. Within Asian women, Filipina women had 24% lower risk of any clinical fracture compared to Japanese women. Hispanic women had significantly lower risk of any clinical, hip, and MOF fractures compared to non-Hispanic women, with no differences in fracture risk observed within Hispanic origin groups. In this diverse sample of postmenopausal women, we confirmed racial and ethnic differences in fracture rates and risk, with novel findings among within Asian and Hispanic subgroups. These data can aid in future longitudinal studies evaluate contributors to racial and ethnic differences in fractures.<\/jats:p>","DOI":"10.1093\/jbmr\/zjae117","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:48:13Z","timestamp":1723682893000},"page":"1296-1305","source":"Crossref","is-referenced-by-count":8,"title":["Fractures by race and ethnicity in a diverse sample of postmenopausal women: a current evaluation among Hispanic and Asian origin groups"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8414-4842","authenticated-orcid":false,"given":"Nicole C","family":"Wright","sequence":"first","affiliation":[{"name":"Department of Epidemiology , School of Public Health, , Birmingham, AL 35294, United States"},{"name":"University of Alabama at Birmingham , School of Public Health, , Birmingham, AL 35294, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawna","family":"Follis","sequence":"additional","affiliation":[{"name":"Stanford Prevention Research Center , Department of Medicine, , Palo Alto, CA 94304, United States"},{"name":"Stanford University , Department of Medicine, , Palo Alto, CA 94304, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph C","family":"Larson","sequence":"additional","affiliation":[{"name":"Fred Hutchinson Cancer Center, Seattle , WA 98109, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn J","family":"Crandall","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California Los Angeles , Los Angeles, CA 98109, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia L","family":"Stefanick","sequence":"additional","affiliation":[{"name":"Stanford Prevention Research Center , Department of Medicine, , Palo Alto, CA 94304, United States"},{"name":"Stanford University , Department of Medicine, , Palo Alto, CA 94304, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven W","family":"Ing","sequence":"additional","affiliation":[{"name":"Division of Endocrinology , Diabetes & Metabolism, Department of Internal Medicine, College of Medicine, , Columbus, OH 43203, United States"},{"name":"Ohio State University , Diabetes & Metabolism, Department of Internal Medicine, College of Medicine, , Columbus, OH 43203, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane A","family":"Cauley","sequence":"additional","affiliation":[{"name":"Department of Epidemiology , School of Public Health, , Pittsburgh, PA 15261, United States"},{"name":"University of Pittsburgh , School of Public Health, , Pittsburgh, PA 15261, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"issue":"10","key":"2024090404564788800_ref1","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1002\/jbmr.4417","article-title":"Racial and ethnic disparities in bone health and outcomes in the United States","volume":"36","author":"Noel","year":"2021","journal-title":"J Bone Miner Res"},{"issue":"8","key":"2024090404564788800_ref2","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.2105\/AJPH.88.8.1245","article-title":"Hip fracture incidence among elderly Hispanics","volume":"88","author":"Lauderdale","year":"1998","journal-title":"Am J Public Health"},{"issue":"6","key":"2024090404564788800_ref3","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1093\/oxfordjournals.aje.a009304","article-title":"Hip fracture incidence among elderly Asian-American 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