TY - JOUR
T1 - County-Level Characteristics Driving Malnutrition Death Rates among Older Adults in Texas
AU - Bergeron, C. D.
AU - John, J. M.
AU - Sribhashyam, M.
AU - Odonkor, G.
AU - Oloruntoba, O.
AU - Merianos, A. L.
AU - Horel, S.
AU - Smith, Matthew Lee
N1 - Funding Information:
None.
Publisher Copyright:
© 2021, Serdi and Springer-Verlag International SAS, part of Springer Nature.
PY - 2021/7
Y1 - 2021/7
N2 - Objectives: 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. Design: 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. Setting: All 254 counties in the state of Texas. Participants: Individuals aged 65 years and older. Measurement: 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. Results: 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). Conclusion: Socioeconomic disadvantages at the county-level appear to be one of the root causes of malnutrition crude death rates in Texas.
AB - Objectives: 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. Design: 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. Setting: All 254 counties in the state of Texas. Participants: Individuals aged 65 years and older. Measurement: 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. Results: 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). Conclusion: Socioeconomic disadvantages at the county-level appear to be one of the root causes of malnutrition crude death rates in Texas.
KW - Malnutrition
KW - Texas
KW - assets
KW - death rates
KW - older population
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U2 - 10.1007/s12603-021-1626-2
DO - 10.1007/s12603-021-1626-2
M3 - Article
C2 - 34409963
AN - SCOPUS:85103541079
SN - 1279-7707
VL - 25
SP - 862
EP - 868
JO - Journal of Nutrition, Health and Aging
JF - Journal of Nutrition, Health and Aging
IS - 7
ER -