Cardona-Arango Doris, Segura-Cardona Ángela, Espinosa-López Adriana M
Universidad CES, Medellín, Colombia.
Rev Salud Publica (Bogota). 2012 Aug;14(4):584-95.
Comparing mortality in adults aged 65 years or older caused by nutritional deficiency in Colombia, according to department of usual residence in 2008.
A cross-sectional study of 989 death certificates from 2008 was conducted adopting an empirical-analytic approach; underlying cause of death was due to nutritional deficiency (International Classification of Diseases:E40-E64, tenth revision). The distribution of death according to demographic variables was analyzed and mortality rates calculated by age, gender and place of residence. SPSS (version 10) and ArcGIS (10.0) software packages were used.
The mortality rate was 34.5 nutritional deficiency-related deaths per hundred thousand inhabitants; 16 departments reported a higher risk than the national average, this being higher in Vaupés, Guaviare, Guainía, Bolívar and Atlántico. It should be noted that women accounted for more deaths and a slightly higher risk was also recorded for them (35.4) than for men (33.4).
Deaths from nutritional deficiency were more common in females aged over 80 years old and people belonging to the subsidized regime(not many of the deceased were insured). The Colombian department having the highest mortality rate was Vaupés (658.8 risk for men and 456.6 for women), surpassing all others by a wide margin.
根据2008年常住部门，比较哥伦比亚65岁及以上成年人因营养缺乏导致的死亡率。
采用实证分析方法，对2008年的989份死亡证明进行横断面研究；死亡根本原因是营养缺乏（国际疾病分类：E40-E64，第十版）。分析了按人口统计学变量划分的死亡分布情况，并计算了按年龄、性别和居住地划分的死亡率。使用了SPSS（10版）和ArcGIS（10.0）软件包。
每十万居民中因营养缺乏导致的死亡率为34.5；16个部门报告的风险高于全国平均水平，其中沃佩斯、瓜维亚雷、瓜伊尼亚、玻利瓦尔和大西洋省的风险更高。应当指出的是，女性死亡人数更多，她们的风险（35.4）也略高于男性（33.4）。
营养缺乏导致的死亡在80岁以上女性和享受补贴制度的人群中更为常见（死者中参保的不多）。哥伦比亚死亡率最高的部门是沃佩斯（男性风险为658.8，女性为456.6），远远超过其他所有部门。
