Research Article

The Impact of Fracture Incidence on Health Related Quality of Life among Community-Based Postmenopausal Women

Table 2

Impacts of incident fracture on health related quality of life measures and general health.

AssessmentSF-36 physical function scoreSF-36 vitality scaleQuality of life (EQ-index)General health (≥good)
Coefficient (95% CI)Coefficient (95% CI)Coefficient (95% CI)Odds ratio (95% CI)
All fractures includedMinor fractures excludedAll fractures includedMinor fractures excludedAll fractures includedMinor fractures excludedAll fractures includedMinor fractures excluded

Univariate analysis
Prior to incident fracture0000001.001.00
The 1st year after incident fracture−3.3
(−5.5 to −1.0)
−4.7
(−7.5 to −1.9)
−4.1
(−6.0 to −2.1)
−3.9
(−6.2 to −1.7)
−0.04
(−0.07 to −0.02)
−0.05
(−0.08 to −0.02)
0.80
(0.67 to 0.96)
0.78
(0.58 to 1.05)
The 2nd year after incident fracture−5.0
(−7.6 to −2.3)
−5.9
(−9.2 to −2.7)
−0.9
(−3.0 to 1.2)
−0.4
(−2.7 to 2.0)
−0.01
(−0.03 to 0.01)
−0.01
(−0.04 to 0.02)
0.86
(0.69 to 1.07)
0.88
(0.60 to 1.28)
The 3rd year after incident fracture−3.7
(−7.6 to 0.1)
−3.2
(−7.3 to 1.0)
−1.1
(−4.3 to 2.2)
−0.7
(−4.5 to 3.1)
−0.03
(−0.06 to 0.01)
−0.04
(−0.09 to 0.00)
0.97
(0.71 to 1.32)
0.72
(0.41 to 1.26)

Multivariable analysis
Prior to incident fracture0000001.001.00
The 1st year after incident fracture−1.6
(−4.2 to 1.0)
−2.9
(−6.1 to 0.3)
−3.0
(−5.1 to −0.8)
−2.6
(−5.2 to −0.1)
−0.03
(−0.06 to −0.00)
−0.04
(−0.07 to −0.00)
0.97
(0.78 to 1.21)
0.95
(0.66 to 1.38)
The 2nd year after incident fracture−3.0
(−5.6 to −0.5)
−3.8
(−6.8 to −0.8)
−0.8
(−3.2 to 1.6)
0.03
(−2.6 to 2.7)
−0.02
(−0.04 to 0.01)
−0.02
(−0.05 to 0.01)
0.92
(0.70 to 1.19)
1.10
(0.69 to 1.73)
The 3rd year after incident fracture0.2
(−4.1 to 4.4)
1.5
(−2.6 to 5.6)
0.6
(−3.1 to 4.3)
1.2
(−3.1 to 5.5)
−0.02
(−0.06 to 0.02)
−0.03
(−0.09 to 0.02)
1.04
(0.72 to 1.50)
0.84
(0.44 to 1.61)

Minor fractures: hand, foot, toe, and digital fractures.
Adjusted for age, private insurance, tertiary education, history of prior fracture after 45 years, body mass index, prior year weight loss ≥5 kgs, any comorbidity, current smoking, drinking ≥7 drinks/week, and number of falls in the prior year.
value ≤0.05.
value ≤0.01.
value ≤0.001.