Osteoarthritis

Updated prevalence of radiographic and symptomatic hip osteoarthritis: Findings from the Johnston County Health Study

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

HOA remains a substantial burden, particularly among individuals with obesity and prior hip injury, with presentation differing by sex.

Study context

Population
Community-based adults aged 35–70 years in Johnston County, North Carolina, enrolled 2019–2024 (mean age 52.5 years; mean BMI 33.1 kg/m²; 55% female)analysed with sampling weights
Participants
902 adults
Outcome
Weighted prevalence of hip symptoms, radiographic hip OA (rHOA, KLG ≥ 2), severe rHOA (KLG ≥ 3) and symptomatic rHOA (sxHOA)
Methodological detailscommunity-based, population-based, weighted prevalence (2020 U.S. Census sampling weights)
  • Community-based
  • Population-based
  • Weighted prevalence (2020 U.S. Census sampling weights)

Main finding

As reported in the abstract

Weighted prevalence

Hip symptoms

43%

Radiographic hip OA (rHOA) (Kellgren-Lawrence grade (KLG) ≥ 2)

18%

Severe rHOA (KLG ≥ 3)

4%

sxHOA

8%

Observational data: associations, not effects.

Further findings

rHOA by sex (subgroup)

Males
24%
Females
13%

Hip symptoms by sex (subgroup)

Females
50%
Males
35%

All outcomes by subgroup

Prevalence of all outcomes highest among those with obesity and hip injury and lowest for younger age groups

Original publication

Updated prevalence of radiographic and symptomatic hip osteoarthritis: Findings from the Johnston County Health Study. Osteoarthritis Cartilage. Published 25 July 2026. doi:10.1016/j.joca.2026.07.009

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