Black/white differences in nutritional risk among rural older adults: the home-delivered meals program.

摘要

In order to examine race differences in nutritional risk among participants in rural home-delivered meals programmes, we conducted a secondary analysis using routinely collected data on 245 participants from 2 rural North Carolina counties, USA. After constructing 3 categories of High Nutritional Risk from the putative High Risk category of the Nutrition Screening Initiative's (NSI) DETERMINE Checklist and using adjusted logistic regression, we found black participants 3.7 times more likely than white participants to be at the highest level of nutritional risk, with a further increase in odds when economic need was present. This underscores the importance of understanding racial and cultural differences in the development and delivery of targetedand tailored nutritional services to older adults.