The first national public health indicator report examining osteoporosis, fractures, prevention, health equity, and access to care across the United States.
Why This Matters
Every broken hip, spine, or wrist fracture represents more than an injury—it can mean loss of independence, hospitalization, long-term disability, or death. Yet most fractures are preventable through earlier detection, coordinated care, and evidence-based interventions.
Key Findings
Americans remain undiagnosed
Bone density screening remains far below recommended levels.
Fractures remain preventable
Many patients never receive osteoporosis treatment after their first fracture.
Geography matters
Screening, fracture rates, and access to care vary dramatically across states.
Prevention works
Healthy lifestyles, screening, and coordinated care reduce fractures and improve quality of life.
BHOF in Action
From Data to Action
Join the Movement to Improve America’s Bone Health
Whether you’re a patient, clinician, researcher, public health professional, policymaker, or advocate, you can help improve screening, prevent fractures, and advance healthier aging.
The BONEUP project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $375,000.00 with 100 percent funded by CDC/HHS during year two. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.