Matthew Lee Smith, Department of Environmental and Occupational Health, School of Public Health, Texas A and M University, College Station, TX, USA,
J Nutr Health Aging. 2021;25(7):862-868. doi: 10.1007/s12603-021-1626-2.
This study aims to identify older adult malnutrition in Texas, examine county-level characteristics associated with crude malnutrition death rates, and describe assets and opportunities available to address and improve malnutrition among the older population.
Secondary data analysis using the Centers for Disease Control and Prevention's WONDER online database, the U.S. Census 2014-2018 American Community Survey, and the U.S. Department of Agriculture's Food Access Research Atlas data.
All 254 counties in the state of Texas.
Individuals aged 65 years and older.
The dependent variable was the proportion of county-level malnutrition crude death rates. Independent variables included Health Provider Shortage Area designations, rurality, poverty status, food access, age, race, ethnicity, and education.
The overall malnutrition crude death rate in Texas was 65.6 deaths per 100,000 older Texans, ranging from 0 to 414.46 deaths per 100,000 depending on the county. Higher malnutrition crude death rates were associated with non-metropolitan counties (P=0.018), lower education (P=0.047), greater household poverty (P=0.010), and low food access (P<0.001).
Socioeconomic disadvantages at the county-level appear to be one of the root causes of malnutrition crude death rates in Texas.
本研究旨在确定德克萨斯州的老年营养不良情况，研究与营养不良粗死亡率相关的县一级特征，并描述为老年人群解决和改善营养不良问题可利用的资产和机会。
利用疾病预防控制中心的 WONDER 在线数据库、2014-2018 年美国人口普查的美国社区调查和美国农业部的食品获取研究地图数据进行二次数据分析。
德克萨斯州的 254 个县。
年龄在 65 岁及以上的个体。
因变量为县一级营养不良粗死亡率比例。自变量包括卫生提供者短缺地区指定、农村地区、贫困状况、食物获取、年龄、种族、民族和教育程度。
德克萨斯州整体营养不良粗死亡率为每 10 万 65 岁以上的得克萨斯州人 65.6 人死亡，范围从每 10 万人 0 到 414.46 人死亡，具体取决于县。更高的营养不良粗死亡率与非城市县（P=0.018）、教育程度较低（P=0.047）、家庭贫困程度较高（P=0.010）和食物获取不足（P<0.001）有关。
县一级的社会经济劣势似乎是德克萨斯州营养不良粗死亡率的一个根源。
