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首页> 外文期刊>Annals of epidemiology >Community covariates of malnutrition based mortality among older adults.
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Community covariates of malnutrition based mortality among older adults.

机译：老年人营养不良死亡率的社区协变量。

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PURPOSE: The purpose of this study was to identify community level covariates of malnutrition-based mortality among older adults. A community level framework was delineated which explains rates of malnutrition-related mortality among older adults as a function of community levels of socioeconomic disadvantage, disability, and social isolation among members of this group. METHODS: County level data on malnutrition mortality of people 65 years of age and older for the period 2000-2003 were drawn from the CDC WONDER system databases. County level measures of older adult socioeconomic disadvantage, disability, and social isolation were derived from the 2000 US Census of Population and Housing. Negative binomial regression models adjusting for the size of the population at risk, racial composition, urbanism, and region were estimated to assess the relationships among these indicators. RESULTS: Results from negative binomial regression analysis yielded the following: a standard deviation increase in socioeconomic/physical disadvantage was associated with a 12% increase in the rate of malnutrition mortality among older adults (p < 0.001), whereas a standard deviation increase in social isolation was associated with a 5% increase in malnutrition mortality among older adults (p < 0.05). CONCLUSIONS: Community patterns of malnutrition based mortality among older adults are partly a function of levels of socioeconomic and physical disadvantage and social isolation among older adults.
机译：目的：本研究的目的是确定老年人中营养不良死亡率的社区水平协变量。划定了一个社区一级的框架，该框架解释了老年人中与营养不良有关的死亡率与该群体成员的社会经济劣势，残疾和社会孤立程度的社区水平之间的关系。方法：从CDC WONDER系统数据库中收集了2000-2003年期间县级65岁及65岁以上人群营养不良死亡率的数据。从2000年美国人口和住房普查中得出县级老年人的社会经济劣势，残疾和社会孤立感的衡量标准。估计了针对风险人群，种族构成，城市化和区域性进行调整的负二项式回归模型，以评估这些指标之间的关系。结果：二项式回归分析的阴性结果如下：老年人社会营养/营养不良的标准差增加与营养不良死亡率增加12％（p <0.001）相关，而社会上的标准差增加隔离与老年人营养不良死亡率增加5％有关（p <0.05）。结论：老年人营养不良死亡率的社区模式部分取决于老年人的社会经济和身体上的不利条件以及社会隔离。

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