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75
ED 057 150 TITLE INSTITUT/ON PUB DATE NOTE AVAILABLE FROM DOCUMENT RESUME UD 011 959 Ten-State Nutrition Survey in the United States, 1968-70. Preliminary Report to the Congress, April 1971. Public Health Service (DHEW), Atlanta, Ga. Center for Disease Control. Apr 71 71p. Center for Disease Control, Dept. of Health, Educa*Aon and Welfare, Health Services and Mental Healtn Administration, Atlanta, Georgia EDRS PRICE MF-$0.65 HC-$3.29 DESCRIPTORS *Disadvantaged Groups; Eating H3bits; Low Income Groups; *National surveys; *Nutrition; Population Trends; *Surveys ABSTRACT This report of the Department of Health, Education, and Welfare to the Congress concerns the nutrition of people living in 10 states, from 1968-70. The data presented in this booklet present the preliminary findings for New York City and New York State. The data represent selected characteristics and findings in the population groups that were studied. The intent of the surveys was to determine the nutrition levels of disadvantaged families rather than provide a true picture of a cross section of the total population. Sampling selection was based on 1970 census data, although the actual survey was instituted in June 1968 and not concluded until May 1970. Because of the incomplete nature of the data forming the basis of this report, it is considered that one should be cautious 'n drawing conclusions. Characteristics of the population sampled (education, age, income, ethnic group) and biochemistries as well as anthropometry (height and weight) and diet are the kinds of information presented. (AuthornrW)

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  • ED 057 150

    TITLE

    INSTITUT/ON

    PUB DATENOTEAVAILABLE FROM

    DOCUMENT RESUME

    UD 011 959

    Ten-State Nutrition Survey in the United States,1968-70. Preliminary Report to the Congress, April

    1971.Public Health Service (DHEW), Atlanta, Ga. Center forDisease Control.Apr 7171p.Center for Disease Control, Dept. of Health,Educa*Aon and Welfare, Health Services and MentalHealtn Administration, Atlanta, Georgia

    EDRS PRICE MF-$0.65 HC-$3.29DESCRIPTORS *Disadvantaged Groups; Eating H3bits; Low Income

    Groups; *National surveys; *Nutrition; PopulationTrends; *Surveys

    ABSTRACTThis report of the Department of Health, Education,

    and Welfare to the Congress concerns the nutrition of people livingin 10 states, from 1968-70. The data presented in this bookletpresent the preliminary findings for New York City and New YorkState. The data represent selected characteristics and findings inthe population groups that were studied. The intent of the surveyswas to determine the nutrition levels of disadvantaged familiesrather than provide a true picture of a cross section of the totalpopulation. Sampling selection was based on 1970 census data,although the actual survey was instituted in June 1968 and notconcluded until May 1970. Because of the incomplete nature of thedata forming the basis of this report, it is considered that oneshould be cautious 'n drawing conclusions. Characteristics of thepopulation sampled (education, age, income, ethnic group) andbiochemistries as well as anthropometry (height and weight) and dietare the kinds of information presented. (AuthornrW)

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    II.

    Cha

    ract

    eris

    tics

    of S

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    veye

    d A

    reas

    Tab

    les:

    1.Pa

    rtic

    ipat

    ion

    of h

    ouse

    hold

    s an

    d in

    divi

    dual

    s in

    Nut

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    City

    , 196

    8-70

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    uals

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    ted

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    8-70

    4

    3. C

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    12

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    968-

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    5

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    ompa

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    n of

    Per

    sons

    by

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    up B

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    uuse

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    thilt

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    968-

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    5.C

    ompa

    riso

    n of

    Per

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    for

    Hou

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    lds

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    rvey

    s by

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    te a

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    ork

    City

    , 196

    8-70

    7

    6. C

    ompa

    riso

    n of

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  • III.

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    chem

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    y10

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    oglo

    bin

    (Num

    ber,

    % D

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    ient

    , %D

    efic

    ient

    and

    Low

    )10

    Tab

    les: 8A

    .B

    y St

    ate

    and

    Bel

    ow P

    over

    ty a

    nd A

    bove

    Pove

    rty

    11

    8B.

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    dex

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    Stat

    e an

    d A

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    ent D

    efic

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    for

    All

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    ombi

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    ombi

    ned

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    16

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    17

    c.Pe

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    les: 9A

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    Tab

    les: 10

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    Tab

    les: 11

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    chem

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    ned

    49

    2d.

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    omet

    ry.

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    ght a

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    res: 3a

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    rcen

    t bel

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    abov

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    erce

    ntile

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    ght

    51

    3b.

    Perc

    ent b

    elow

    and

    abo

    ve o

    nest

    anda

    rd d

    evia

    tion

    for

    heig

    ht53

    3c.

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    ent b

    elow

    16t

    h pe

    rcen

    tile

    for

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    ght B

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    ve P

    over

    ty54

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    dard

    dev

    iatio

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    ow a

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    erty

    55

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    ent b

    elow

    16t

    h pe

    rcen

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    teN

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    .N

    egro

    56

    3f.

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    ent b

    elow

    one

    sta

    ndar

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    viat

    ion

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    whi

    te v

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    egro

    57

  • V.

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    tary

    58

    Tab

    les: 13

    A. L

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    die

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    dequ

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    ts a

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    59

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    ts a

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    Stat

    e61

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    quac

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    lect

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    ntri

    ents

    and

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    tary

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    tuck

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    13E

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    evel

    s of

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    by

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    gan

    63

    isF.

    Part

    icip

    atio

    n of

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    seho

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    Com

    mod

    ities

    and

    buyi

    ng F

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    aps,

    etc

    .64

  • I. I

    NT

    RO

    DU

    CT

    ION

    The

    dat

    a on

    whi

    ch th

    is r

    epor

    t is

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    ere

    colle

    cted

    bet

    wee

    n19

    68 a

    nd

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    .T

    he f

    ollo

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    g ta

    bles

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    the

    prel

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    ary

    find

    ings

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    -

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    utri

    tion

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    ey. T

    heda

    ta r

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    ecte

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    teri

    stic

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    e po

    pula

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    ere

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    ied.

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    ntof

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    the

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    ition

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    ls o

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    sadv

    anta

    ged

    fam

    ilies

    rat

    her

    than

    pro

    vide

    a tr

    ue p

    ictu

    re o

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    sse

    ctio

    n of

    the

    tota

    l pop

    ulat

    ion.

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    -

    plin

    g se

    lect

    ion

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    bas

    ed o

    n 19

    60 c

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    sda

    ta a

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    itute

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    edun

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    ta is

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    ease

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    trol

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    ta e

    dit a

    nd a

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    afm

    al r

    epor

    t will

    be

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    mitt

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    Bec

    ause

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    the

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    mpl

    ete

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    re o

    f th

    e da

    ta

    form

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    the

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    s of

    this

    rep

    ort,

    one

    shou

    ld b

    e ca

    utio

    us in

    dra

    win

    gco

    nclu

    -

    sion

    s. I

    t mus

    t als

    o be

    emph

    asiz

    ed th

    at th

    e ju

    dgm

    ents

    for

    inte

    rtir

    etat

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    of b

    ioch

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    easu

    rem

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    lishi

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    thes

    e ar

    e%

    vide

    ly u

    sed

    stan

    dard

    s,

    ther

    e is

    not

    a p

    reci

    se r

    elat

    ions

    hip

    betw

    een

    thes

    e ev

    iden

    ces

    ofm

    alnu

    triti

    on

    and

    occu

    rren

    ce o

    f cl

    inic

    alab

    norm

    aliti

    es.

    1

  • 2

    II. C

    HA

    RA

    CT

    ER

    IST

    ICS

    OF

    SAM

    PLE

    PO

    PUL

    AT

    ION

    The

    num

    bers

    of

    hous

    ehol

    ds a

    ndin

    divi

    dual

    s pr

    ovid

    ing

    the

    basi

    sof

    this

    repo

    rt a

    re p

    rese

    nted

    in T

    able

    1.T

    houg

    h th

    ese

    hous

    ehol

    ds a

    ndin

    divi

    dual

    s

    do n

    ot r

    epre

    sent

    all

    thos

    e w

    how

    ill b

    e in

    clud

    ed in

    the

    fina

    l edi

    ted

    repo

    rt,

    it is

    cle

    ar th

    at th

    ere

    wer

    esu

    ffic

    ient

    loss

    es o

    f ho

    useh

    olds

    and

    indi

    vidu

    als

    in a

    ll lo

    calit

    ies

    so th

    at th

    eda

    ta to

    be

    pres

    ente

    d in

    the

    late

    r ta

    bles

    sho

    uld

    not b

    e ex

    trap

    olat

    ed to

    oth

    erse

    gmen

    ts o

    f th

    e po

    pula

    tion.

    Four

    out

    of

    the

    man

    y bi

    oche

    mic

    alva

    riab

    les

    that

    wer

    e st

    udie

    d w

    ere

    sele

    cted

    for

    incl

    usio

    n in

    this

    rep

    ort.

    A s

    umm

    ary

    of th

    enu

    mbe

    rs o

    f th

    ese

    test

    res

    ults

    ava

    ilabl

    e fo

    r ea

    ch s

    urve

    yis

    sho

    wn

    in T

    able

    2.

    The

    indi

    vidu

    als

    who

    wer

    eex

    amin

    ed o

    n ea

    ch s

    urve

    ydi

    d no

    t dif

    fer

    sub-

    stan

    tially

    fro

    m th

    ose

    who

    ref

    used

    exam

    inat

    ion

    or w

    ho w

    ere

    not

    avai

    labl

    e

    for

    exam

    inat

    ion.

    Tab

    les

    3-6

    pres

    ent a

    com

    pari

    son

    of s

    elec

    ted

    dem

    ogra

    phic

    char

    acte

    rist

    ics

    of th

    e ex

    amin

    ed a

    ndno

    n-ex

    amin

    ed in

    divi

    dual

    s in

    cull

    surv

    ey. I

    nsof

    ar a

    sdi

    ffer

    ence

    s ar

    e pr

    esen

    t whi

    chsu

    gges

    t a b

    ias

    in th

    e

    inte

    rpre

    tatio

    n of

    the

    fina

    l dat

    a, w

    epl

    an to

    mak

    e fu

    rthe

    r de

    taile

    dta

    bula

    -

    tions

    to in

    vest

    igat

    e th

    e de

    gree

    of th

    is b

    ias.

    Exa

    mpl

    esof

    thes

    e pr

    oble

    m

    area

    s ar

    e se

    en in

    the

    over

    60

    age

    grou

    p in

    Cal

    ifor

    nia

    whe

    re th

    ere

    wer

    e

    twic

    e as

    man

    y in

    divi

    dual

    s ov

    er60

    in th

    e no

    t exa

    min

    ed g

    roup

    , as

    com

    pare

    d

    to th

    e ex

    amin

    ed g

    roup

    . In

    Sout

    h C

    arol

    ina

    ther

    e w

    ere

    thre

    e tim

    es a

    s m

    any

    wN

    ie in

    divi

    dual

    s in

    the

    note

    xam

    ined

    gro

    up (

    Tab

    le 5

    ) as

    com

    pare

    d to

    the

    exam

    ined

    gro

    up. T

    his

    is a

    lso

    seen

    whe

    n on

    e lo

    oks

    at th

    epe

    rcen

    tage

    of

    indi

    vidu

    als

    exam

    ined

    who

    wer

    ebe

    low

    the

    pove

    rty

    leve

    l in

    the

    vari

    ous

    stat

    es. C

    ompa

    riso

    n of

    indi

    vidu

    als

    at s

    imila

    r ec

    onom

    icle

    vels

    may

    be

    mad

    e

    betw

    een

    the

    stat

    es th

    ough

    ther

    e is

    littl

    e ju

    stif

    icat

    ion

    for

    mak

    ing

    over

    all

    com

    pari

    sons

    bet

    wee

    n th

    e va

    riou

    s su

    rvey

    sas

    the

    aver

    age

    econ

    omic

    sta

    tus

    of th

    e in

    divi

    dual

    s in

    the

    diff

    eren

    t sur

    veys

    dif

    fer

    cons

    ider

    ably

    (Tab

    le 7

    ).

    The

    indi

    catio

    n of

    the

    econ

    omic

    stat

    us u

    sed

    in th

    ese

    surv

    eys

    is th

    e Po

    vert

    y-

    Inde

    x R

    atio

    (O

    rsha

    nsky

    Inde

    x). T

    his

    is a

    com

    posi

    tein

    dex

    base

    d on

    in-

    com

    es f

    amily

    siz

    e,fa

    rm o

    r no

    n-fa

    rm, a

    nd s

    exan

    d ag

    e of

    hea

    d of

    hou

    seho

    ld.

    For

    purp

    oses

    of

    this

    rep

    ort t

    hepo

    vert

    y lin

    e is

    set

    at a

    Pove

    rty-

    Inde

    x R

    atio

    of 1

    .00.

  • Tab

    le 1

    .Pa

    rtic

    ipat

    ion

    of H

    ouse

    hold

    s an

    dIn

    divi

    dual

    s in

    Nut

    ritio

    n Su

    rvey

    s by

    Sta

    tean

    d N

    ew Y

    ork

    City

    , 196

    8-19

    70(P

    relim

    inar

    y)

    Stat

    e

    7,N

    umbe

    r of

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    ent

    .t )

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    ent o

    fT

    otal

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    divi

    dual

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    al N

    um-

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    ber

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    iew

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    r of

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    ic o

    f

    ber

    ofT

    otal

    Num

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    ouse

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    ouse

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    divi

    dual

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    otal

    Ind

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    seho

    lds

    ber

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    rcen

    t of

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    Mem

    -w

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    s in

    inH

    ouse

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    ouse

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    sbe

    rs A

    ttend

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    ttend

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    terv

    iew

    edA

    ttend

    ing

    Inte

    rvie

    wed

    Sam

    ple

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    rvie

    wed

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    rvie

    wed

    ing

    Clin

    icin

    g C

    linic

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    seho

    lds

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    icH

    ouse

    hold

    s

    Tot

    al29

    612

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    Tex

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    Perc

    enta

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    unre

    alis

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    com

    plet

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    of d

    ata

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    ompu

    ter

    tape

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    3

  • 4

    Tab

    le 2

    .N

    umbe

    r of

    Ind

    ivid

    uals

    Tes

    ted

    for

    Sele

    cted

    Bio

    chem

    ical

    s in

    Nut

    ritio

    n Su

    rvey

    s by

    Sta

    te a

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    ork

    City

    , 196

    8-19

    70 (

    ^rel

    irni

    nary

    )

    Stat

    e

    Sele

    cted

    Bio

    chem

    ical

    s

    Hem

    oglo

    bin

    Plas

    ma

    Vita

    min

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    rum

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    min

    CU

    rina

    ryR

    ibof

    lavi

    n

    Tes

    ted

    for

    Tw

    o or

    Mor

    e of

    The

    se F

    our

    Sele

    cted

    Bio

    chem

    ical

    s

    Tot

    al32

    669

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    766

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    k St

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    tuck

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    n19

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    8

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    k C

    ity18

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    Wes

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    gini

    a12

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    ifor

    nia

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    N.A

    .Not

    Ava

    ilabl

    e.

    10

  • Tab

    le 3

    .C

    ompa

    riso

    n of

    Edu

    catio

    nof

    Per

    sons

    21

    Yrs

    . of

    Age

    and

    Ove

    r fo

    r H

    ouse

    hold

    s th

    at W

    ere

    Exa

    min

    ed w

    ith H

    ouse

    hold

    s th

    at W

    ere

    Not

    Exa

    min

    ed in

    Nut

    ritio

    n Su

    rvey

    sby

    Sta

    te a

    nd N

    ew Y

    ork

    City

    ,19

    68-1

    970

    (Pre

    limin

    ary)

    Stat

    eT

    ot a

    lN

    um

    ber

    Indi

    v id

    uals

    A E

    duca

    tion

    ofPe

    rson

    s 21

    and

    Ove

    r (P

    erce

    nt)

    .

    Non

    e4t

    h G

    rade

    or L

    ess

    5th

    thrn

    8th

    Gra

    de9t

    h th

    ru12

    th G

    rade

    Post

    Hig

    hSc

    hool

    Col

    lege

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    er

    N.Y

    . (U

    p-St

    ate)

    Exa

    min

    ed20

    470.

    73.

    324

    .852

    .84.

    213

    .70.

    2

    Not

    Exa

    m.

    1765

    0.7

    2.8

    27.0

    55.2

    3.5

    10.0

    0.5

    Ken

    tuck

    yE

    xam

    ined

    1642

    2.5

    15.6

    46.1

    28.8

    1.0

    5.1

    0.4

    Not

    Exa

    m.

    873

    2.7

    12.4

    46.7

    30.5

    1.1

    5.7

    0.5

    Mic

    higa

    nE

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    1344

    0.7

    4.7

    24.7

    53.6

    3.1

    12.9

    0.0

    Not

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    m.

    1570

    1.2

    4.8

    24.4

    58.0

    2.1

    9.4

    0.3

    N.Y

    . City

    bcam

    ined

    1139

    4.0

    9.9

    26.5

    43.7

    2.5

    12.6

    0.6

    Not

    Exa

    m.

    1176

    3.9

    6.7

    25.6

    49.6

    2.3

    11.3

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    W. V

    irgi

    nia

    Exa

    min

    ed11

    841.

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    137

    .838

    .51.

    813

    .60.

    5

    Not

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    m.

    1582

    1.7

    6.1

    37.4

    44.3

    2.1

    8.4

    0.1

    Cal

    ifor

    nia

    Exa

    min

    ed35

    313.

    310

    .921

    .241

    .72.

    919

    .40.

    0

    Not

    Exa

    m.

    3403

    2.2

    7.9

    21.2

    49.0

    2.8

    15.6

    0.9

    Was

    hing

    ton

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    min

    ed31

    721.

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    918

    .651

    .94.

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    .30.

    0

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    Exa

    m.

    1079

    0.9

    2.6

    20.3

    55.0

    4.8

    16.1

    0.0

    Sout

    h C

    arol

    ina

    Exa

    min

    ed21

    384.

    720

    .236

    .935

    .80.

    61.

    60.

    0

    Not

    Exa

    m.

    1822

    5.7

    16.6

    34.7

    36.8

    0.7

    4.8

    0.3

    Mus

    achu

    setta

    Exa

    min

    ed26

    128.

    96.

    620

    .149

    .53.

    815

    20.

    4

    Not

    gum

    .24

    582.

    64.

    521

    .153

    .24.

    313

    .70.

    2

    NO

    TE

    : The

    des

    igna

    tion

    EX

    AM

    INE

    Dre

    flec

    ts a

    ll pe

    rson

    s in

    hou

    seho

    lds

    with

    any

    clin

    ic p

    artic

    ipat

    ion,

    thou

    gh s

    ome

    indi

    vidu

    als

    with

    in th

    ese

    hous

    ehol

    ds d

    id n

    ot a

    ttend

    clin

    ic a

    nd w

    ere

    not e

    xam

    ined

    . Als

    o th

    eto

    tals

    in th

    is ta

    ble

    are

    belo

    wth

    ein

    tabl

    e 1

    due

    to th

    e lo

    ss o

    f so

    me

    indi

    vidu

    als

    in th

    e pr

    oces

    s of

    editi

    ng f

    or

    disc

    repa

    ncie

    s.5

  • 6

    Tab

    le 4

    .C

    ompa

    riso

    n of

    Per

    sons

    by

    Age

    Gro

    up B

    reak

    dow

    ns f

    orH

    ouse

    hold

    s th

    at W

    ere

    Exa

    min

    ed w

    ith H

    ouse

    hold

    s th

    at W

    ere

    Not

    Exa

    min

    el

    in N

    utri

    tion

    Surv

    eys

    by S

    tate

    and

    New

    Yor

    kC

    ity, 1

    968-

    1970

    (Pre

    limin

    ary)

    Stat

    eT

    otal

    Num

    ber

    Indi

    vidu

    als

    <6

    6-9

    N.Y

    . (U

    p-St

    ate)

    Exa

    min

    ed38

    8612

    .910

    .7

    Not

    Exa

    m.

    3091

    12.3

    9.3

    Ken

    tuck

    yE

    xam

    ined

    2196

    14.0

    11.1

    Not

    Exa

    m.

    1758

    12.5

    9.3

    Mic

    higa

    nE

    xam

    ined

    3118

    13.9

    13.3

    Not

    Exa

    m.

    3222

    16.1

    10.2

    N.Y

    . City

    Exa

    min

    ed24

    6515

    .311

    .4

    Not

    Exa

    m.

    2408

    15.7

    10.8

    W. V

    irgi

    nia

    Exa

    min

    ed22

    6311

    .49.

    9

    Not

    Exa

    m.

    2888

    11.9

    8.9

    Cal

    ifor

    nia

    Exa

    min

    ed75

    9215

    .111

    .9

    Not

    Exa

    m.

    5617

    11.6

    7.0

    Was

    hing

    ton

    Exa

    min

    ed66

    1514

    .411

    .8

    Not

    Exa

    m.

    2548

    13.2

    8.4

    Sout

    h C

    arol

    ina

    Exa

    min

    ed59

    3917

    .713

    .2

    Not

    Exa

    m.

    3764

    13.0

    8.8

    Mas

    sach

    uset

    tsE

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    ined

    5815

    14.5

    12.9

    Not

    Exa

    m.

    4586

    13.3

    8.6

    12

    Age

    Gro

    ups

    (Per

    cent

    )

    10-1

    617

    -49

    50-5

    960

    +U

    nk.

    16.3

    38.6

    9.3

    12.0

    0.1

    12.8

    38.3

    9.9

    16.9

    1.5

    18.8

    33.0

    9.2

    13.3

    0.6

    15.2

    37.7

    9 1

    13.8

    2.4

    21.8

    34.7

    6.0

    10.2

    0.1

    16.4

    37.9

    7.9

    10.9

    0.5

    18.7

    40.3

    7.3

    6.3

    0.7

    15.6

    41,7

    6.1

    7.7

    9.3

    19.1

    37.1

    9.1

    13.4

    16.4

    41.1

    8.2

    13.4

    ^

    17.8

    38.4

    6.7

    10.1

    11.3

    41.6

    7.9

    20.6

    0.0

    16.7

    38.8

    6.1

    11.0

    1.1

    12.9

    42.9

    6.9

    12.6

    3.1

    23.9

    30.3

    6.5

    7.7

    0.6

    16.8

    35.7

    8.1

    12.3

    5.4

    18.9

    39.8

    6.2

    7.3

    0.4

    14.0

    43.1

    8.3

    11.4

    1.9

    Vf/

    TE

    : The

    des

    igna

    tion

    EX

    AM

    INE

    D r

    efle

    cts

    all p

    erso

    nsin

    hou

    seho

    lds

    with

    aniv

    :clin

    ic p

    artic

    ipat

    ion,

    thou

    gh s

    ome

    indi

    vidu

    als

    with

    in th

    ese

    hous

    ehol

    dsdi

    d no

    t atte

    nd

    clin

    ic a

    nd w

    ere

    not e

    xam

    ined

    . Als

    o th

    eto

    tals

    in th

    is ta

    ble

    are

    belo

    w th

    eto

    tals

    in ta

    ble

    1 du

    e to

    the

    loss

    of s

    ome

    indi

    vidu

    als

    in th

    e pr

    oces

    sof

    edi

    ting

    for

    disc

    repa

    ncie

    s.

  • Tab

    le 5

    .C

    ompa

    riso

    n of

    Per

    sons

    in E

    thni

    cG

    roup

    s fo

    r H

    ouse

    hold

    s th

    at W

    ere

    Exa

    min

    edw

    ith H

    ouse

    hold

    s th

    at W

    ere

    Not

    Exa

    min

    ed in

    Nut

    ritio

    n Su

    rvey

    s by

    Sta

    te a

    nd N

    ewY

    ork

    City

    , 196

    8-19

    70 (

    Prel

    imin

    ary)

    Stat

    eT

    otal

    Num

    ber

    Indi

    vidu

    als

    Eth

    nic

    Gro

    ups

    (Per

    cent

    )

    Whi

    te*

    Neg

    roSp

    anis

    hA

    mer

    ican

    Ori

    enta

    lA

    mer

    ican

    Indi

    anU

    nkno

    wn

    N.Y

    . (U

    p-St

    ate)

    Exa

    min

    ed3

    679

    .217

    .91.

    80.

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    5

    Not

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    m.

    3091

    78.7

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    1.4

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    tuck

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    2196

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    Not

    Exa

    m.

    1758

    78.4

    15.5

    6.1

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    higa

    nE

    xam

    ined

    3118

    49.8

    49.0

    0.4

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    0.3

    Not

    Exa

    m.

    3222

    50.3

    46.8

    0.3

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    N.Y

    . Cha

    rE

    xam

    ined

    2465

    12.9

    42.1

    35.1

    2.1

    7.7

    Not

    Exa

    m.

    2408

    15.0

    43.5

    35.3

    1.5

    0.0

    4.7

    W. V

    irgi

    nia

    Exa

    min

    ed22

    6388

    .511

    .20.

    00.

    3

    Not

    Exa

    m.

    2888

    90.4

    9.5

    0.1

    Cal

    ifor

    nia

    Exa

    min

    ed75

    9289

    .116

    .536

    .55.

    41.

    80.

    6

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    Exa

    m.

    5617

    48.3

    20.7

    25.7

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    0.8

    Was

    hing

    ton

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    min

    ed66

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    .43.

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    81.

    710

    .12.

    3

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    m.

    2548

    78.3

    8.5

    0.9

    0.9

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    4.6

    Sout

    h C

    arol

    ina

    Exa

    min

    ed59

    394.

    894

    .70.

    30.

    2

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    Exa

    m.

    3764

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    86.2

    0.1

    0.1

    0.5

    Mas

    sach

    uset

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    xam

    ined

    5815

    79.2

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    4.5

    0.5

    1.5

    Not

    Exa

    m.

    4586

    83.6

    12.6

    2.8

    0.2

    0.8

    *Exc

    ludi

    ng S

    pani

    sh A

    mer

    ican

    Whi

    te.

    NO

    TE

    : The

    des

    igna

    tion

    EX

    AM

    INE

    D r

    efle

    cts

    all p

    erso

    ns in

    hou

    seho

    lds

    with

    any

    clin

    icpa

    rtic

    ipat

    ion,

    thou

    gh s

    ome

    indi

    vidu

    als

    with

    in th

    ese

    hous

    ehol

    ds d

    id n

    ot a

    ttend

    clin

    ic a

    nd w

    ere

    not e

    xam

    ined

    . Als

    oth

    e to

    tals

    in th

    is ta

    ble

    are

    belo

    w th

    eto

    tals

    in ta

    ble

    1 du

    e to

    the

    loss

    of

    som

    ein

    divi

    dual

    s in

    the

    proc

    ess

    of e

    ditin

    g fo

    r

    disc

    repa

    ncie

    s.

  • 8

    Tab

    le 6

    .C

    ompa

    riso

    n of

    Per

    sons

    in I

    ncom

    e G

    roup

    s fo

    rH

    ouse

    hold

    s th

    at W

    ere

    Exa

    min

    ed w

    ith H

    ouse

    hold

    s th

    atW

    ere

    Not

    Exa

    min

    ed in

    Nut

    ritio

    n Su

    rvey

    s by

    Stat

    e an

    d N

    ew Y

    ork

    City

    ,19

    68-1

    970

    (Pre

    limin

    ary)

    Inco

    me

    Gro

    ups

    (Per

    cent

    )

    Stat

    eT

    otal

    Num

    ber

    Hoi

    is e

    hol

    ds$0

    4999

    2000

    -339

    940

    00-5

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    6000

    -799

    980

    00-9

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    10,0

    00-1

    1,99

    912

    ,000

    +

    N.Y

    . (U

    p-St

    ate)

    Exa

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    ed10

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    .718

    .017

    .716

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    tuck

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    ined

    513

    35.9

    34.7

    13.1

    9.7

    4.1

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    1.6

    Not

    Exa

    m.

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    suff

    icie

    nt n

    umbe

    r to

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    higa

    nE

    xam

    ined

    631

    18.4

    18.9

    19.3

    15.7

    10.1

    7.6

    10.0

    Not

    Exa

    m.

    707

    17.0

    20.4

    15.0

    20.1

    13.2

    6.8

    7.6

    N.Y

    . City

    Exa

    min

    ed.

    609

    15.8

    29.1

    29.7

    15.3

    5.9

    1.8

    2.5

    Not

    Exa

    m.

    574

    13.6

    30.8

    27.7

    15.0

    6.3

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    3.8

    W. V

    irgi

    nia

    Exa

    min

    ed49

    330

    .025

    .816

    .215

    .07.

    51.

    63.

    9

    Not

    Exa

    m.

    146

    37.0

    28.1

    18.5

    8.2

    4.8

    2.1

    1.4

    Cal

    ifor

    nia

    Exa

    min

    ed17

    4212

    .626

    .321

    .216

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    m.

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    17,1

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    15.7

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    10.3

    Was

    hing

    ton

    Exa

    min

    ed17

    1825

    .317

    .013

    .115

    .111

    .47.

    910

    .2

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    m.

    9930

    .316

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    .15.

    110

    .110

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    h C

    arol

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    3545

    .734

    .714

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    m.

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    suff

    icie

    nt n

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    r to

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    sach

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    ined

    1404

    12.3

    19.4

    18.7

    18.2

    12.5

    8.0

    10.9

    Not

    Exa

    m.

    207

    32.9

    22.2

    11-1

    14.0

    14.5

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    6.3

    NO

    TE

    : The

    des

    igna

    tion

    EX

    AM

    INE

    Dre

    flec

    ts a

    ll pe

    rson

    s in

    hou

    seho

    lds

    with

    any

    clin

    icpa

    rtic

    ipat

    ion,

    thou

    gh s

    ome

    indi

    vidu

    iis w

    ithin

    thes

    eho

    useh

    olds

    did

    not

    atte

    nd

    clin

    ic a

    nd w

    ere

    not e

    xam

    ined

    .A

    lso

    the

    tota

    ls in

    this

    tabl

    e ar

    e be

    low

    the

    tota

    lsin

    tabl

    e 1

    due

    to th

    e lo

    ssof

    som

    e in

    divi

    dual

    s in

    the

    proc

    ess

    of e

    ditin

    g fo

    r

    disc

    repa

    ncie

    s.

  • Tab

    le 7

    .M

    ean

    Pove

    rty

    Inde

    xR

    atio

    and

    Dis

    trib

    utio

    nof

    Per

    sons

    Bel

    ow a

    ndA

    bove

    the

    Pove

    rty

    Lev

    el f

    or T

    enSt

    ates

    and

    New

    Yor

    k C

    ity

    Nut

    ritio

    n Su

    rvey

    s.19

    68-1

    970

    (Pre

    limin

    ary)

    -

    Stat

    eT

    otal

    Indi

    vidu

    als

    with

    Kno

    wn

    PIR

    Mea

    nPI

    R

    Stan

    dard

    !Po

    vert

    y In

    com

    e R

    atio

    Dev

    iatio

    nfr

    omB

    elow

    Pov

    erty

    Abo

    ve P

    over

    ty

    Mea

    nPI

    RN

    umbe

    rPe

    rcen

    tN

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    t

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    as96

    5L

    i0.

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    .837

    839

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    91.

    4N

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    306

    46.4

    353

    53.6

    New

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    k St

    ate

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    82.0

    Ken

    tuck

    y55

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    .823

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    067

    .6

    New

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    ity11

    821.

    60.

    833

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    971

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    Wes

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    ifor

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    0.8

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    15

  • 10

    III.

    BIO

    CH

    EM

    IST

    RY

    A. H

    EM

    OG

    LO

    BIN

    The

    mea

    sure

    men

    t of

    the

    amou

    nt o

    fhe

    mog

    lobi

    n in

    blo

    od is

    one

    way

    of

    asse

    ssin

    g th

    e st

    atus

    of

    iron

    nut

    ritu

    re in

    indi

    vidu

    als.

    The

    dat

    a re

    gard

    ing

    hem

    oglo

    bin

    leve

    ls in

    the

    popu

    latio

    ns s

    urve

    yed

    are

    pres

    ente

    d in

    Tab

    les

    8A-

    8E. T

    he le

    vels

    of

    hem

    oglo

    bin

    used

    inde

    term

    inin

    g de

    fici

    ent a

    nd lo

    wle

    vels

    are

    pres

    ente

    d in

    Tab

    le 8

    A.

    The

    cut

    off

    leve

    l for

    "de

    fici

    ent"

    is s

    etin

    suc

    h a

    way

    that

    mos

    tau

    thor

    ities

    wou

    ld a

    ccep

    t the

    se v

    alue

    s as

    abno

    rmal

    ; the

    cut

    off

    leve

    l for

    "lo

    w"

    is o

    pen

    to m

    ore

    vari

    atio

    nin

    inte

    rpre

    tatio

    n an

    dge

    nera

    lly

    repr

    esen

    ts a

    bor

    derl

    ine

    situ

    atio

    n.It

    is c

    lear

    fro

    m T

    able

    s 8.

    L a

    nd 8

    B th

    at in

    all a

    reas

    indi

    vidu

    als

    livin

    g be

    low

    the

    pove

    rty

    leve

    l hav

    e gr

    eate

    r pr

    oble

    ms

    of ir

    on n

    utri

    ture

    than

    indi

    vidu

    als

    livin

    g ab

    ove

    the

    pove

    rty

    leve

    l. A

    gain

    , one

    shou

    ld b

    e ve

    ry c

    aref

    ul, h

    owev

    er,

    in c

    ompa

    ring

    per

    cent

    ages

    fro

    m s

    tate

    tost

    ate

    beca

    use

    of th

    e w

    idel

    ydi

    ffer

    ent

    perc

    enta

    ge o

    f in

    divi

    dual

    s ex

    amin

    ed w

    ho a

    rein

    the

    pove

    rty

    grou

    p.In

    Tab

    le 8

    C th

    e da

    ta s

    ugge

    st th

    at m

    ales

    as

    a gr

    oup

    have

    a h

    ighe

    r %

    of d

    efic

    ienc

    y th

    an f

    emal

    es. T

    hese

    diff

    eren

    ces

    may

    be

    due

    to th

    e us

    eof

    inap

    prop

    riat

    e st

    anda

    rds

    for

    mal

    es a

    nd w

    illbe

    rev

    ised

    if f

    urth

    er c

    onsu

    lta-

    tion

    and

    inve

    stig

    atio

    n re

    veal

    the

    need

    for

    such

    a r

    evis

    ion.

    It is

    evi

    dent

    fro

    m T

    able

    8D

    that

    the

    grou

    pat

    gre

    ates

    t ris

    k fo

    r ha

    ving

    a hi

    gh p

    reva

    lenc

    e of

    prob

    able

    iron

    -def

    icie

    ncy

    anem

    ia a

    rech

    ildre

    n un

    der

    the

    age

    of 6

    . It i

    s al

    so c

    lear

    fro

    m th

    ese

    data

    that

    the

    elde

    rly

    segm

    ent o

    f th

    epo

    pula

    tions

    stu

    died

    are

    als

    o at

    hig

    h ri

    sk in

    this

    reg

    ard.

    In a

    ll st

    ates

    the

    min

    ority

    gro

    ups

    in th

    epo

    pula

    tions

    sur

    veye

    d ha

    ve a

    subs

    tant

    ially

    hig

    her

    prev

    alen

    ce o

    f ab

    norm

    alhe

    mog

    lobi

    n le

    vels

    than

    the

    whi

    te p

    opul

    atio

    ns.

    A r

    evie

    w o

    f th

    ese

    data

    on

    hem

    oglo

    bin

    leve

    ls s

    ugge

    sts

    that

    pos

    sibl

    e ir

    on-

    defi

    cien

    cy a

    nem

    ia is

    a m

    ajor

    pro

    blem

    inm

    ost s

    egm

    ents

    of

    the

    popu

    la-

    tions

    sur

    veye

    d. A

    ny m

    easu

    res

    desi

    gned

    toal

    levi

    ate

    this

    pro

    blem

    sho

    uld

    be d

    irec

    ted

    at a

    ll se

    gmen

    ts o

    f ou

    rpo

    pula

    tion

    with

    em

    phas

    is o

    n th

    e po

    or,

    the

    min

    ority

    gro

    ups

    amon

    g us

    , chi

    ldre

    n,an

    d el

    derl

    y in

    divi

    dual

    s. F

    igur

    esla

    lf g

    raph

    ical

    ly p

    ortr

    ay th

    e fi

    ndin

    gspr

    esen

    ted

    in T

    able

    s 8A

    -8E

    .

  • Tab

    le S

    A.

    Com

    pari

    son

    of N

    umbe

    r,Pe

    rcen

    t Def

    icie

    nt, a

    ndye

    rcen

    tD

    efic

    ient

    and

    /or

    Low

    Bet

    wee

    n Pe

    rson

    sB

    elow

    Pov

    erty

    with

    Per

    sons

    Abo

    ve

    Pove

    rty

    for

    Sele

    cted

    Bio

    chem

    ical

    by

    Tea

    Sta

    tes

    and

    New

    Yor

    k C

    ity N

    utri

    tion

    Surv

    eys,

    196

    8-19

    70 (

    Prel

    imin

    ary)

    HE

    MO

    GL

    OB

    IN

    Bel

    ow P

    over

    tyA

    bove

    Pov

    erty

    Stat

    eN

    umbe

    rfi

    c D

    efic

    ient

    '%

    Def

    icie

    ntan

    d L

    owN

    umbe

    r5.

    Def

    icie

    nt 1

    % D

    efic

    ient

    and

    Low

    Tot

    al10

    629

    5.0

    25.1

    1464

    71.

    512

    .6

    Tex

    as17

    77N

    .A.

    20.4

    921

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    e

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  • 1 2

    Tab

    le 8

    B.

    Com

    pari

    son

    of N

    umbe

    r,Pe

    rcen

    t Def

    icie

    nt, a

    ndPe

    rcen

    t Def

    icie

    ntan

    d/or

    Low

    Bet

    wee

    n Po

    vert

    yIn

    com

    e R

    atio

    Gro

    ups

    for

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    cted

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    chem

    ical

    by

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    tes

    and

    New

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    k C

    ityN

    utri

    tion

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    eys,

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    0 (P

    relim

    inar

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    rty

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    me

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    io

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    .49

    1.50

    -1.9

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    Stat

    e

    Num

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    dent

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    Def

    i-de

    ntan

    dL

    ow

    Num

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    al10

    629

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    4815

    Tex

    as17

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    isia

    na12

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    62

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    ate

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    nia

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    ble.

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    364

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    12.8

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    19.8

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    14.1

    103

    3.9

    19.4

    148

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    102

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    8.5

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  • Tab

    le 8

    C.

    Com

    pari

    son

    of N

    umbe

    r,Pe

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    t Def

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  • 14

    Tab

    le 8

    D.

    Com

    pari

    son

    of N

    umbe

    r, P

    erce

    ntD

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    ient

    , and

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    cted

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    tate

    s an

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    inar

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    HE

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    Age

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  • Tab

    le 8

    E.

    Com

    pari

    son

    of N

    umbe

    r,Pe

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    t Def

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