ArticleThe journal of nutrition, health & aging2021
County-Level Characteristics Driving Malnutrition Death Rates among Older Adults in Texas.
Article in The journal of nutrition, health & aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to reduce social isolation and food insecurity in older adults: a systematic review.Frontiers in nutrition · 2025Pooled it
- Care Needs of Community-Dwelling Older Adults Living in Poverty and Their Relationship With Other Biopsychosocial Variables: A Cross-Sectional Study.Journal of advanced nursing · 2026Article
- Malnutrition Mortality Among Older Adults by County and Race and/or Ethnicity in the United States, 2000-2019.Journal of the American Geriatrics Society · 2025Article
- Understanding barriers and facilitators to congregate meal program participation in Texas through a statewide needs assessment.Discover public health · 2025Article
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- Malnutrition-related mortality trends in older adults in the United States from 1999 to 2020.BMC medicine · 2023Article
- Malnutrition-related conditions and interventions in US state/territorial Older Americans Act aging plans.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis 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.
designSecondary 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.
settingAll 254 counties in the state of Texas.
participantsIndividuals 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.
resultsThe 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).
conclusionSocioeconomic disadvantages at the county-level appear to be one of the root causes of malnutrition crude death rates in Texas.
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Registered trials
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