Investigation Of Obesity-Related Mortality Rates In Delaware.

American journal of health sciences Pub Date : 2017-06-01
Malcolm J D'Souza, Derald E Wentzien, Riza C Bautista, Catherine C Gross
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Abstract

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.

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特拉华州肥胖相关死亡率调查
由于特拉华州的成人肥胖危机仍然是一个主要的公共卫生问题,我们评估了特拉华州1999-2014年的重要记录,以研究肥胖与死亡率之间的关系。我们使用了来自疾病控制和预防中心(CDC) WONDER数据库和特拉华州卫生统计中心(DHSC)的特拉华州人口死亡记录。结合生命记录,我们采用Microsoft Excel、SAS (Statistical Analysis System)和GIS (geographic information System)工具分析了县居住、经济状况、教育程度、性别、种族等因素对肥胖的影响。使用CDC WONDER数据库的15年(1999-2014)时间跨度,我们观察到特拉华州年龄调整后的肥胖相关死亡率(肥胖是一个促成因素)增加了28.7%,这在统计学上具有显著意义。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。肯特县增幅最大(66.0%),其次是纽卡斯尔县(47.4%)和苏塞克斯县(25.2%)。2000年至2011年期间所有主要死亡原因的人口和健康委员会死亡率表明,特拉华州的死亡率相对稳定。然而,根据CDC WONDER数据,特拉华州2011年肥胖作为单一潜在原因的死亡率比2000年高56.9%。
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