The recurrence of osteoporotic fractures among first- and second-generation immigrants in Sweden
Authors' conclusion
Among first- and second-generation men, the risk of a second fracture was slightly lower than that of native Swedes, while among first- and second-generation women, the risk was similar to the reference group.
Study context
- Population
- Individuals ≥ 50 years with a previous osteoporotic fracture (hip, humerus, forearm, vertebrae or pelvis), Swedish National Patient Register, 2010–2018with a previous fracture
- Participants
- 296,118 individuals
- Exposure
- First- and second-generation immigrants vs Swedish-born individuals with Swedish-born parents
- Outcome
- Second (recurrent) osteoporotic fracture
Methodological detailslogistic regression, stratified by sex, adjusted for age, comorbidities and sociodemographic status
- Logistic regression
- Stratified by sex
- Adjusted for age, comorbidities and sociodemographic status
Main finding
As reported in the abstract
Second osteoporotic fracture after a first osteoporotic fracture (fully adjusted OR)
Odds ratio (95% CI)
Foreign-born menfully adjusted; referents: Swedish-born men with Swedish-born parents
0.90(0.82–0.98)
Foreign-born womenfully adjusted; referents: Swedish-born women with Swedish-born parents
0.95(0.91–1.00)
Men with foreign-born parentsfully adjusted; referents: Swedish-born men with Swedish-born parents
0.85(0.73–0.99)
Women with foreign-born parentsfully adjusted; referents: Swedish-born women with Swedish-born parents
1.00(0.91–1.09)
Observational data: associations, not effects.
Further findings
Second fracture by region of origin
- Significantly lower odds: men from Asia; women from Eastern Europe, Baltic countries, Asia and Latin America; men with parents from the Nordic countries
Fractures registered
- First-generation study (men n = 7,428; women n = 25,744)
- 33,172
- Second-generation study (men n = 3,607; women n = 9,372)
- 12,979
Original publication
The recurrence of osteoporotic fractures among first- and second-generation immigrants in Sweden. Osteoporos Int. Published 17 February 2026. doi:10.
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