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