Neighborhood Deprivation and Days Spent at Home After Fall-Related Hip Fracture
Authors' conclusion
In this cohort study of older adults with a fall-related hip fracture, residence in an economically deprived area was associated with fewer days at home in the 12 months after the fracture.
Study context
- Population
- Medicare beneficiaries with fall-related hip fracture, July 2010–Dec 2019, surgically treated (arthroplasty or internal fixation), discharged alive to nonhospice home or postacute caremean age 82.2 years
- Participants
- 52,012 beneficiaries
- Exposure
- Most and moderately deprived vs least deprived neighbourhoods
- Outcome
- Days at home
- Follow-up
- 12 months after hip fracture
Methodological detailsrandom sample of Medicare claims and assessment data, Data analysed January 2023 to September 2025
- Random sample of Medicare claims and assessment data
- Data analysed January 2023 to September 2025
Main finding
As reported in the abstract
12 months
Each group vs least deprivedIncidence rate ratio (95% CI)
Most deprived8.5% fewer days at home
0.92(0.89–0.94)
Moderately deprived5% fewer days at home
0.95(0.94–0.97)
- Most deprived · fewer days in most deprived
- absolute difference 22.8 days at home over the following year
Observational data: associations, not effects.
Original publication
Neighborhood Deprivation and Days Spent at Home After Fall-Related Hip Fracture. JAMA Netw Open. Published 1 December 2025. doi:10.
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