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Unveiling the wealth-bone connection: How socioeconomic status influences trabecular bone health

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  • Yuan Zhang
  • Tingxiao Zhao
  • Yanlei Li
  • Kai Chen
  • Qice Sun

Abstract

Background: Currently, the relationship between socioeconomic status (SES) and trabecular bone score (TBS) remains unclear. This study uses existing data from the National Health and Nutrition Examination Survey (NHANES) to test the hypothesis that SES, measured by the poverty income ratio (PIR), is associated with TBS among adults in the United States of America. Methods: This study analyzed the relationship between SES and TBS in 7,832 adults using data from the 2005–2008 NHANES. The TBS data were obtained from pre-existing lumbar spine DXA scans collected in the NHANES database. The study employed a multivariable linear regression model, adjusting for various confounding factors, to examine the association between the PIR and TBS. Additionally, demographic characteristics were described, stratified analyses, single factor analysis, smooth curve fitting, and interaction analysis were conducted. Results: Results showed that PIR was positively correlated with TBS (β = 0.0019, 95% CI 0.0002–0.0035, P

Suggested Citation

  • Yuan Zhang & Tingxiao Zhao & Yanlei Li & Kai Chen & Qice Sun, 2025. "Unveiling the wealth-bone connection: How socioeconomic status influences trabecular bone health," PLOS ONE, Public Library of Science, vol. 20(12), pages 1-11, December.
    • Handle: RePEc:plo:pone00:0338378
    DOI: 10.1371/journal.pone.0338378
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