OBJECTIVES: Patients with low-energy hip fracture represent a high-risk group for subsequent hip fractures. Our nationwide study focused on the effect of demographic and clinical factors on the risk of contralateral hip fractures in Hungarian men over 60 years. METHODS: The retrospective observational cohort study based on data of the Hungarian National Health Insurance Fund. Men aged 60 years and over diagnosed with primary femoral neck fracture in year 2000 were included in the study. The incidence of contralateral fractures was investigated between 01 January 2000 and 31 December 2008. Occurrence of secondary hip fractures was analyzed in relation to patients’ age, place of living, hospital providing treatment for primary hip fracture, type of primary fracture, comorbidities, type of surgical intervention for primary fracture and survival time. To evaluate the prognostic factors multivariate Cox proportional hazard regression and Kaplan-Meier survival analysis were used. RESULTS: