与营养不良相关的死亡中的种族和民族人口统计数据
Bradley Kawano1, Braylee Grisel1, Paul Wischmeyer2
1Division of Trauma, Acute, and Critical Care Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Clinical nutrition ESPEN
|March 13, 2024
概括
营养不良死亡不成比例地影响白人,黑人,非西班牙裔美国人和女性. 黑人和白人美国人的死亡率相似,表明黑人患者的潜在诊断不足,需要进一步研究.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会人口统计学 社会人口统计学
背景情况:
- 粮食不安全影响着4000万美国人,导致健康差距.
- 低社会经济地位与营养不良和健康结果有关.
- 营养不良是一个重要的公共卫生问题,具有社会经济影响.
研究的目的:
- 调查美国营养不良死亡率与社会人口统计学群体之间的关系.
- 分析不同种族,性别和西班牙裔起源类别的营养不良死亡率.
- 为了确定与营养不良有关的死亡的差异.
主要方法:
- 采用2009-2018年CDC Wonder综合数据进行的横截面研究.
- 纳入标准:因营养不良而死亡的18岁以上的患者 (ICD-10代码E40-E46).
- 根据种族,性别,西班牙裔起源和死亡地点分析死亡率.
主要成果:
- 在2009年至2018年期间,有46,517人因营养不良而死亡.
- 与美洲原住民 (1.1) 和亚洲人/太平洋岛民 (0.7) 相比,黑人 (1.8) 和白人 (2) 美国人的死亡率更高.
- 女性 (2.3) 和非西班牙裔 (2.1) 的死亡率高于男性 (1.5) 和西班牙裔 (0.7).
结论:
- 白人,黑人,非西班牙裔美国人和女性的营养不良死亡率更高.
- 在黑人和白人美国人中,类似的营养不良死亡率表明黑人人口的潜在诊断不足.
- 需要进一步的研究,以了解特定的人口群体营养不良的诊断不足情况.
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