D'Souza Malcolm J, Wentzien Derald E, Bautista Riza C, Gross Catherine C
Wesley College, USA.
Am J Health Sci. 2017 Jun;8(1):19-32.
As Delaware's adult obesity crisis continues to be a leading public health concern, we evaluated Delaware's 1999-2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race. Using the 15-year (1999-2014) time span with the CDC WONDER database, we observed a statistically significant 28.7% increase in the age-adjusted Delaware obesity-related mortality rates (where obesity was a contributory factor). Furthermore, obesity influenced death counts in all three Delaware counties (New Castle, Kent, and Sussex). Kent County experienced the largest increase (66.0%), followed by New Castle County (47.4%), and Sussex County (25.2%). The DHSC mortality rates for all leading causes of death from 2000 to 2011 indicated relatively stable mortality rates for Delaware. However, using CDC WONDER data, the Delaware mortality rate for obesity as a single underlying cause in 2011 was 56.9% higher than mortality rate in 2000.
由于特拉华州的成人肥胖危机仍然是主要的公共卫生问题，我们评估了该州1999年至2014年的重要记录，以研究肥胖与死亡率之间的关联。我们使用了疾病控制与预防中心（CDC）的WONDER数据库以及特拉华州卫生统计中心（DHSC）提供的特拉华州人口死亡记录。结合这些重要记录，我们运用了微软Excel、SAS（统计分析系统）和GIS（地理信息系统）工具，来分析肥胖在县居住情况、经济状况、教育程度、性别和种族方面的影响。利用CDC的WONDER数据库中的15年时间跨度（1999年至2014年），我们观察到，经年龄调整后的特拉华州肥胖相关死亡率（肥胖为促成因素）有统计学意义的28.7%的增长。此外，肥胖影响了特拉华州所有三个县（纽卡斯尔、肯特和苏塞克斯）的死亡人数。肯特县的增长幅度最大（66.0%），其次是纽卡斯尔县（47.4%），苏塞克斯县（25.2%）。DHSC提供的2000年至2011年所有主要死因的死亡率表明，特拉华州的死亡率相对稳定。然而，根据CDC的WONDER数据，2011年特拉华州肥胖作为单一潜在死因的死亡率比2000年高出56.9%。
