ORIGINAL ARTICLE Osteoporosis management and fractures in the Métis

Summary Half of Métis citizens, compared to less than 10 % of the general population of Ontario, reside in northern re-gions, with little access to bone mineral density (BMD) test-ing. Métis citizens had lower sex-specific and age-standardized rates of BMD testing, yet similar rates of fracture (both sexes) and pharmacotherapy (women only). Purpose To examine osteoporosis management and common osteoporosis-related fractures among Métis citizens compared to the general population of older adults residing in Ontario. Methods We linked healthcare (medical and pharmacy) utili-zation and administrative (demographic) databases with the Métis Nation of Ontario citizenship registry to estimate oste-oporosis management (bone mineral density [BMD] testing, pharmacotherapy) and fractures (hip, humerus, radius/ulna