Food Security Status of Older Adult Home-Delivered Meals Program Participants and Components of Its Measurement

Duerr, Lynn

doi:10.1300/j052v26n01_01

Cited by 20 publications

(22 citation statements)

References 19 publications

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“…The augmented items were tested in a convenience sample of 189 congregate and 143 home-delivered meals program participants in West Central Indiana and showed higher levels of food insecurity than those estimated by the original HFSSM (20,21). No other evidence is available to determine if using the augmentation would provide different estimates of food insecurity in older adults.…”

Section: Food Insecuritymentioning

confidence: 99%

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Lee

Fischer

Johnson

2010

Journal of Nutrition For the Elderly

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Food insecurity and hunger are real and growing problems in the United States. Among older adults, the prevalence of food insecurity is at a 14-year high and occurred in more than 8% of households with older adults in 2008 according to USDA. However, the rate is at least 10% higher when less severe degrees of food insecurity are considered. Emerging research suggests that several segments of the older adult population are particularly vulnerable to food insecurity, including those receiving or requesting congregate meals, home-delivered meals, and other community-based services. Thus, national and state estimates of food insecurity may obscure problems in specific subgroups of older adults. Older adults are at high risk of chronic health problems that can be exacerbated by food insecurity, poor nutritional status, and low physical activity. To help improve targeting of food and nutrition programs to those most in need because of food insecurity and/or nutrition-related chronic health problems, the purposes of this review are (1) to define the prevalence and consequences of food insecurity; (2) to discuss the outcomes of some food, nutrition, disease prevention, and health promotion programs targeted to older adults in Georgia, the state with the 3rd highest prevalence of food insecurity; and (3) to make recommendations for research, service, and advocacy related to monitoring and alleviating food insecurity and related health problems in older adults.

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Section: Food Insecuritymentioning

confidence: 99%

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Lee

Fischer

Johnson

2010

Journal of Nutrition For the Elderly

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“…Prior work generally supports that older adults (aged 60 y and older), who often have fixed and low incomes, are at risk for higher rates of food insecurity, poor nutrition, and poor health outcomes (1,2), and homebound older adults are especially vulnerable (3)(4)(5)(6). However, traditional measures of socioeconomic status such as household level income do not consider household expenses and insufficiently capture many of the hardships that vulnerable populations experience, particularly related to insufficient food, inadequate housing, and unmet medical needs (7,8).…”

Section: Introductionmentioning

confidence: 99%

Indicators of Material Hardship and Depressive Symptoms Among Homebound Older Adults Living in North Carolina

Johnson

Sharkey

Dean

2011

Journal of Nutrition in Gerontology and Geriatrics

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This study used the concept of material hardship to understand how unmet needs related to food, housing, and health influence depressive symptoms among homebound older adults (N = 345) in North Carolina. Using data from the Nutrition and Function Study, 37% reported high levels of depressive symptoms and 17.4% indicated not receiving needed health care. Approximately 10% of respondents were food insecure; 30.7% were at risk for food insecurity; and 39.7% reported having to choose between either food and medication or food and paying bills. Adjusted logistic regression model revealed that food insecurity status (OR = 4.9) and age 60-74 y (OR = 2.4) were significantly associated with a greater number of depressive symptoms. Other indicators of material hardship, such as having a major financial difficulty, unmet health need, and inadequate housing, were not significant. By far, food insecurity was the most salient influence on depressive symptoms. These findings have important implications for service providers, researchers, and policymakers.

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“…For example among Indiana community-dwelling older adults participating in home-delivered meals program, 25.2% were food insecure in 2006. 13 Among community-dwelling older adults participating in congregate meals program, 19.6% were food insecure in 2006. 14 Other studies reported that receiving food stamps has been associated with obesity.…”

Section: Discussionmentioning

confidence: 99%

“…11 These include the food stamp program (today known as the Supplemental Nutrition Assistance Program = SNAP, in the United States), congregate meals and homedelivered meals. [12][13][14] Eligible older persons able to receive food stamps include those with low household income or resources and residents of federally subsidized housing in the US. 15,16 The dollar amount of food stamps received has been associated with weight change particularly in persons with persistent food insecurity.…”

Section: Introductionmentioning

confidence: 99%

Quality of diet related to food insecurity and food stamps use among older people

et al. 2011

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We explore the association between quality of diet and food security status among older persons. Cross-sectional survey of large national samples, from the National Health & Nutrition Examination Surveys (1988Surveys ( -1994Surveys ( & 2001Surveys ( -2002, in the United States. A total of 5,039 and 2,040 men and women aged 60 and older, respectively. The dependent variable was the healthy eating index (HEI; as a measure of diet quality. The independent variable of interest was food security status and was categorized as food secure, food insecurity receiving food stamps and food insecurity not receiving food stamps. In multivariate analyses, food insecure individuals not receiving food stamps had lower total HEI-2000 scores compared to food secure individuals (b=-3.91, SE=1.81, P=0.0310). Factors independently associated with high HEI (2000 or 2005) scores were female gender, being married, highly educated or wealthy, with very good/ excellent perceived health, or without functional limitations. Food secure individuals had better quality of diet than food insecure individuals. Among food insecure individuals, receiving food stamps was not associated with diet quality. Food insecure families with older individuals may need new methods of dissemination of food and nutrition programs -methods that yield positive and promising changes in the health status of this special population group.

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Food Security Status of Older Adult Home-Delivered Meals Program Participants and Components of Its Measurement

Cited by 20 publications

References 19 publications

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Indicators of Material Hardship and Depressive Symptoms Among Homebound Older Adults Living in North Carolina

Quality of diet related to food insecurity and food stamps use among older people

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