Valentin G, Ravn MB, Jensen EK, et al. - Researchers investigated the impact of socio-economic status (SES) on fragility fracture risk via performing a systematic review and meta-analysis.

• Medline, Embase, and CINAHL databases yielded a total of 61 studies from 26 different countries including more than 19 million individuals for inclusion.

• Low SES, measured at the individual level, is identified to be a risk factor for fragility fracture.

• Important mediators of the effect of SES on fracture risk include low BMI and unhealthy behaviors.

• In strategies to prevent fractures and reduce unhealthy behaviors, researchers emphasize tackling structural inequalities in society thereby lowering health inequalities in fragility fracture incidence.