Age- and sex-specific incidence rates and future projections for hip fractures in The Gambia, West Africa, and comparison across four countries in Africa
Authors' conclusion
In summary, fragility fractures in Gambian adults were common, indicative of age-associated osteoporosis.
Study context
- Population
- Adults aged ≥40 yr with hip fracture presenting to a hospital or traditional bone setter in the study area, The Gambia; mean (SD) age 71.2 (12.5) yr, 64.6% female
- Participants
- 226 hip fracture patients
- Exposure
- Men vs women; The Gambia vs Zimbabwe, South Africa and Botswana
- Outcome
- Age- and sex-specific hip fracture incidence per 100 000 person-years
- Follow-up
- 2-yr
Methodological details2-yr case ascertainment from hospitals and traditional bone setters, future projections to 2054
- 2-yr case ascertainment from hospitals and traditional bone setters
- Future projections to 2054
Main finding
As reported in the abstract
Hip fracture incidence, adults ≥40 yr
Observational data: associations, not effects.
Further findings
Place of presentation
- Hospital
- 184 [81.4%]
- Traditional bone setter (TBS)
- 42 [18.6%]
Fragility fracture
- Presented with a fragility fracture
- 205 [90.7%]
- High-impact trauma more common in younger men
Delays in presentation
- Delayed presentation
- 68 [30.1%]
Projected number of hip fractures in The Gambia · 2024 to 2054
- 2024
- 166
- 2054
- 621
Comparison across African countries
- Age-specific incidence rates broadly comparable between The Gambia, Zimbabwe, Botswana, and Black South Africans
Original publication
Age- and sex-specific incidence rates and future projections for hip fractures in The Gambia, West Africa, and comparison across four countries in Africa. J Bone Miner Res. Published 16 September 2025. doi:10.
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