Food insecurity among the elderly: cross-sectional study with soup kitchen users

Souza, Bruna Fernanda do Nascimento Jacinto de; Marín-León, Leticia

doi:10.1590/s1415-52732013000600007

Cited by 29 publications

(41 citation statements)

References 21 publications

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“…Consistent with the findings from other studies, it was found that the living conditions, which included unfinished masonry or other; property given to the family, occupied, or other; and more than two people per bedroom, also increased the probability of food insecurity 21,[25][26][27] . Those families often cannot afford to improve their housing conditions because they need to use the money on priority household bills and living expenses or even to buy other goods, such as motorcycle, car, or appliances.…”

Section: Discussionsupporting

confidence: 85%

Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil

et al. 2016

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Objective: To evaluate the association of food insecurity with demographic and socioeconomic conditions in households in Campinas, São Paulo state, Brazil. Methods: This is a cross-sectional study conducted on a representative sample of the urban population of the Southern, Southwestern, and Northwestern Health Districts of Campinas, between 2011-2012. Characteristics of the head of household, family history and household patterns were investigated. The dependent variable was food security condition, categorized as food security, mild food insecurity, and moderate/severe food insecurity. All independent variables with p-value <0.20 in the bivariate multinomial logistic regression were included in the final model of multiple multinomial logistic regression, adjusted to household head age; the remaining variables had p-value <0.05. Results: In the 691 households analyzed, there was 65% of food security, 27.9% of mild food insecurity, and 7.1% of moderate/severe food insecurity. The conditions associated with mild food insecurity were monthly per capita income less than the minimum wage, household head unemployed for more than six months between 2004-2010, living in properties given to the family/occupied/other, and density higher than two people per bedroon. The moderate/severe food insecurity was associated with informal employment condition of the household head and the presence of a beneficiary of the Bolsa Família (Family Allowance Program), a cash transfer-type program, in the household. The higher the score of the consumer goods, the lower the probability of mild food insecurity or moderate/severe food insecurity. There was a higher probability of mild food insecurity and moderate/severe food insecurity in unfinished masonry-built houses/other. Conclusion: More than one third of the households investigated experienced some form of food insecurity. Mild food insecurity was associated with demographic conditions, while moderate/severe food insecurity was associated with socioeconomic conditions, especially those related to the household head.

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Section: Discussionsupporting

confidence: 85%

Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil

et al. 2016

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“…These ndings suggest that income has a crucial role in sustaining food security for elderly individuals. Effects of adequate income on food security were noted in existing literatures [18,[24][25][30][31]. However, this study found that there was not signi cant relationship between lower income and FI with severe hunger.…”

Section: Discussionmentioning

confidence: 59%

Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Pourebrahim¹,

Omidvar²,

Rezazadeh³

et al. 2020

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Backgrounds: Food security is one of the most important factors affecting food access and diet diversity. Older age is a period when adequate and diverse dietary intake is a challenge and there is a high risk for malnutrition. This study aimed to investigate the association between food security, dietary diversity and socioeconomic factors among the free-living elderly in the city of Tehran. Methods In this cross-sectional study, 583 elderlies (279 men and 304 women) aged 60–80 years were selected through clustered systematic multi-stage sampling method from 10 districts of Tehran city. Food security status of the subjects was determined using locally validated version of the United States Household Food Security Survey Module )US-HFSSM( questionnaire. Socio-economic status was assessed by a questionnaire. Dietary intake of the subjects was evaluated using two 24-hour recalls (one weekday and one week-end) through face-to-face interviews. Dietary Diversity Score (DDS) was calculated using the FAO 2010 guideline. Multinomial logistic regression was applied for the analysis. Results The average age of participants was 67.87 ± 5.86 years. Based on US-HFSSM, 56.9% of the elderly were food secure; while 25.7%, 14.2% and 3.2% suffered from food insecurity (FI) without hunger, with moderate hunger, and with severe hunger, respectively. There was no association between FI and DDS, even after controlling for confounders. Multinomial logistic regression models suggested that after adjusting for age and gender, being illiterate increased the possibility of different levels of food insecurity [(OR = 3.107, 95% CI = 1.672–5.775), (OR = 2.736, 95% CI = 1.261–5.935) and (OR = 6.193, 95% CI = 1.368–28.039)], respectively. Also, FI with mild hunger was associated with total household income (OR = 2.744, 95% CI = 1.100-6.846), while FI with severe hunger was significantly associated with Fars ethnicity (OR = 0.146, 95% CI = 0.051–0.424). Conclusions Overall, socio-economic status and demographic characteristics were the predictors of FI among the elderly, while DDS was not associated with FI.

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“…Many factors have been associated with undernutrition in older adults, such as older age, low income, low educational level, social isolation, institutionalization [13][14][15] , food insecurity 16 , negative self-perception of health 17 , and depression 14 . Changes associated with anorexia and the functional difficulties that interfere with feeding, such as dysphagia, decreased mobility, and changes in smell and taste, are related to an increased risk of undernutrition 18 .…”

Section: Introductionmentioning

confidence: 99%

Undernutrition and associated factors in a Portuguese older adult community

2015

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A B S T R A C T ObjectiveTo evaluate the prevalence of undernutrition in older adults aged ≥75 years living in communities and to identify the main factors independently associated with undernutrition. MethodsA cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged ≥75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. ResultsA total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. ConclusionThe current study shows that undernutrition is highly prevalent in Portuguese older adults aged ≥75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Food insecurity among the elderly: cross-sectional study with soup kitchen users

Cited by 29 publications

References 21 publications

Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil

Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil

Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Undernutrition and associated factors in a Portuguese older adult community

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