Food Insecurity in Older Adults in an Integrated Health Care System

Steiner, John F.; Stenmark, Sandra H.; Sterrett, Andrew; Paolino, Andrea; Stiefel, Matthew C.; Gozansky, Wendolyn S.; Zeng, Chan

doi:10.1111/jgs.15285

Cited by 51 publications

(53 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Four studies (n = 51,541) ( Fig. 4) provided sufficient data to calculate an odds ratio of 2.41 [95% CI 1.81-3.22, Q(df = 3) = 8, I 2 = 63%], 39,52,77,82 while three (n = 825) ( Fig. 5) yielded a Hedges' g = 0.50 [95% CI 0.34-0.66, Q(df = 2) = 1.2, I 2 = 0%].…”

Section: Results Of Individual Studies and Synthesis Of Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity

et al. 2019

View full text Add to dashboard Cite

INTRODUCTION: A large number of peer-reviewed studies, with various methodologies and populations, have addressed the effects of food insecurity (FIS) on mental health conditions such as depression, anxiety, and sleep disorders. There are currently, however, no published systematic assessments or meta-analyses of this literature. METHODS: A systematic search of the literature was conducted in PubMed, PsycInfo, Embase, Scopus, and Web of Science. Cross-sectional studies assessing the association between food insecurity and depression, anxiety, or sleep disorders were identified. For each of the three health outcomes, we extracted (or calculated when possible) the following effect sizes: odds ratio (OR), Hedges' g, Pearson correlation coefficients r, or bivariate coefficients. Then, for each mental health-outcome/effect-size pair, the available studies were combined using the random effect model. Heterogeneity, publication bias, and subgroup dependence, for each meta-analysis, were also assessed. RESULTS: Fifty-seven studies provided cross-sectional data on the relationship between FIS and depression (n = 169,433), 13 on anxiety and psychological distress (n = 91,957), and 8 studies provided data on sleep disorders (n = 85,788). Meta-analysis showed that FIS is associated with an increased risk of testing positive for depres

show abstract

Section: Results Of Individual Studies and Synthesis Of Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In the US, the prevalence of adult food insecurity inside the health care setting has been reported to range between 13.2-19.1% [12,13,36]; however, one possible explanation for the observed among-country difference lays to the fact that in Greece, health care provision is provided to all for free, whereas in the US only insured individuals make use of the health care resources. In parallel, even in the US, research in the private health care setting has revealed a much lower prevalence of food insecurity compared with the public sector [37]. Nevertheless, despite the importance of the issue, research on the prevalence of food insecurity within the healthcare setting appears limited and conducted mainly in the US.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition and Food Insecurity Might Pose a Double Burden for Older Adults

et al. 2020

View full text Add to dashboard Cite

Although food insecurity has been associated with a disadvantageous socioeconomic status, especially in older adults, its association with comorbidities is less clear. The scope of the present cross-sectional study was to assess the prevalence of food insecurity among older adults and evaluate the association between food insecurity, malnutrition, chronic disease, multimorbidity and healthcare utilization. A total of 121 older adults (mean (standard deviation) age: 72.6 (8.1)) were recruited from a Primary Care Health Center from 10 August 2019 to 10 September 2019. Food insecurity and malnutrition status were assessed by the Household Food Insecurity Access Scale and Mini Nutritional Assessment tool, respectively. Recorded variables included financial, family data and comorbidities. The prevalence of food insecurity in the sample reached 50.4%, with men and older adults malnourished or at risk for malnutrition, exhibiting high risk for food insecurity. Multimorbidity, frequency of health care utilization and medication adherence were not associated with food insecurity, possibly due to the free health services and remunerated medications offered by the Greek government. However, male gender and malnutrition risk were significant predictors of food insecurity in the multiple logistic analyses. This study highlights the need for mainstreaming food insecurity assessment among older adults with comorbidities, especially those at risk for malnutrition.

show abstract

“…Two limitations with regards to our assessment of food insecurity deserve mention. First, we assessed food insecurity using a single question whose validity has not been determined (22,32), and which does not assess other related concepts (nutrition insecurity, undernutrition, hunger) which may be relevant in diabetes (36). Our food insecurity question was drawn from the Nutrition Health Screener of the Nutrition Screening Initiative, a validated instrument to assess nutrition in older adults (22).…”

Section: Discussionmentioning

confidence: 99%

“…Our food insecurity question was drawn from the Nutrition Health Screener of the Nutrition Screening Initiative, a validated instrument to assess nutrition in older adults (22). Previous work has shown that this item correlates well with known predictors of food insecurity (32). In a survey of 110 individuals with positive responses to the food insecurity question on the MTHA, 74% responded "sometimes" or "often" to one or both of the 2 questions in the Hunger Vital Sign (ref) (37,38).…”

Section: Discussionmentioning

confidence: 99%

The longitudinal relationship between food insecurity in older adults with diabetes and emergency department visits, hospitalizations, hemoglobin A1c, and medication adherence

Schroeder

Zeng

Sterrett

et al. 2019

Journal of Diabetes and its Complications

Self Cite

View full text Add to dashboard Cite

Aims: To examine the relationship between food insecurity and emergency department (ED) visits, hospitalizations, A1c, and diabetes medication adherence over one year of follow-up among individuals > 65 years with diabetes mellitus. Methods: We conducted a longitudinal cohort study of adults > 65 years with diabetes who did (n=742) or did not (n=2,226) report food insecurity at baseline. We used conditional logistic regression for the ED visits or hospitalization outcomes, and mixed effects models for A1c and non-insulin diabetes medication adherence. Results: In bivariate analyses, individuals with food insecurity were more likely to have an ED visit (OR=1.40, 95% CI 1.15-1.72) or hospitalization (OR=1.41, 95% CI 1.11-1.78) in the year after the food security assessment. In addition, A1c was higher (7.5% vs. 7.2%, p<0.001). There was no difference in medication adherence. These differences persisted with adjustment for basic demographic and clinical characteristics, but were attenuated with further adjustment for socioeconomic status. Conclusions: Differences in diabetes outcomes by food insecurity status were attenuated by adjustment for socioeconomic status. Adverse outcomes in individuals with diabetes and food insecurity may be driven by effects of food insecurity per se or be mediated by a constellation of basic resource needs or lower socioeconomic status.

show abstract

Food Insecurity in Older Adults in an Integrated Health Care System

Cited by 51 publications

References 34 publications

A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity

A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity

Malnutrition and Food Insecurity Might Pose a Double Burden for Older Adults

The longitudinal relationship between food insecurity in older adults with diabetes and emergency department visits, hospitalizations, hemoglobin A1c, and medication adherence

Contact Info

Product

Resources

About