Objectives. This study estimated hip fracture incidence for elderly Hi
spanics in the United States. Methods. A cohort of Spanish-surnamed 19
92 Medicare enrollees was followed for 2 years. Hip fractures were ide
ntified by inpatient diagnostic code. Results. For Hispanic women, the
national age-adjusted hip fracture rate was 7.3 per 1000 person-years
; for men, the rate was 3.3. Rates varied markedly, with higher rates
for the predominantly Mexican-American southwestern states than for Pu
erto Ricans. Conclusions. Nationally, the Hispanic population is at in
termediate risk of hip fracture between Blacks and Whites, but geograp
hic variation suggests that Mexican Americans are at higher risk than
Puerto Ricans.