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It is unknown whether osteoporosis is socially patterned. Using data from the Hertfordshire Cohort Study we found no consistent evidence for social inequalities in prevalent or incident fracture, bone mineral density or loss rates, or bone strength. Public health strategies for prevention of osteoporosis should focus on the whole population.

Social inequalities in osteoporosis and fracture among community-dwelling older men and women: findings from the Hertfordshire cohort study