ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Conceptualizing Food Insecurity Among Older Adults: Development of a Summary Indicator in the National Health and Aging Trends Study.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How do existing HRSN assessment tools assess social needs for older adults? A systematic review.Frontiers in health services · 2026Pooled it
- Home-Delivered Meals and Nursing Home Placement Among People With Self-Reported Dementia: A Pilot Pragmatic Clinical Trial.JAMA network open · 2023Trial
- Food assistance programs serve the majority of low-income, homebound older adults, yet food insecurity remains.Health affairs scholar · 2026Article
- Food and Nutrition Insecurity in Cancer Survivorship: A Global Scoping Review.Cancer medicine · 2026Article
- Perspectives of Vietnamese Americans Regarding COVID-19 Vaccine Acceptance, Trusted Sources of Information, and Pandemic-related Challenges.Journal of racial and ethnic health disparities · 2026Article
- Digital Health Tools for the Screening and Management of Malnutrition Risk in the Older Adults: A Narrative Review.Current nutrition reports · 2026Review
- Food access determinants and food insecurity severity in the older population: evidence from a nationally representative, cross-sectional survey in Thailand.BMC geriatrics · 2026Article
- Socioeconomic disparities and nutritional aging: how food insecurity and financial hardship accelerate health decline in older adults.Frontiers in nutrition · 2026Review
- Food insecurity in later life: a food security framework to support preventative action.The Proceedings of the Nutrition Society · 2025Review
- Health-related social needs before and after critical illness among Medicare beneficiaries.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Analysis of Public Policies on Food Security for Older Mapuche Adults in Rural Areas.Foods (Basel, Switzerland) · 2025Article
- Food insecurity among older persons in the Southern African Development Community: a scoping review.JAR life · 2025Review
- Mid-Life Household Food Insecurity and Subsequent Memory Function and Rate of Decline in Rural South Africa, 2004-2022.Neuroepidemiology · 2025Article
- A socioeconomic disadvantage index for informing policy, systems, and environmental change interventions for senior nutrition programs.Frontiers in public health · 2025Article
- Persistent Food Insecurity Among Older Adult Cancer Survivors: A National Cohort Study.Oncology nursing forum · 2024Article
- Article
- Development of an older adult Nutrition Equity Index (NEI) and association with the Healthy Eating Index (HEI) in older Black and White U.S. adults.The journal of nutrition, health & aging · 2024Article
- Medicare advantage initiative to improve social determinants of health.Journal of the American Geriatrics Society · 2024Article
- Analysis of Food Security of Older Rural Indigenous People in Latin America and the Caribbean.Foods (Basel, Switzerland) · 2024Article
- Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS).Nutrition journal · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesMeasurement of food insecurity in older adults is focused on financial barriers to food access. Given that older adults are particularly susceptible to additional access-related barriers including functional limitations and lack of social support, the objective of this study was to construct a summary indicator of food insecurity incorporating these domains.
methodsWe used nationally representative survey data from Round 5 of the National Health and Aging Trends Study (NHATS; n = 7,070). We constructed a summary indicator of food insecurity using factors within the following three domains: functional, social support, and financial limitations. First, we identified the prevalence of food insecurity among the sample as defined by the new summary indicator. Then, we estimated unadjusted and adjusted logistic regression models to assess the association between the expanded measure of food insecurity and biopsychosocial factors.
resultsIn 2015, 4.3% (95% confidence interval [CI] 3.75-4.94) of community-dwelling older adults, approximately 1,673,775 million people, were characterized as having food insecurity. Multivariable-adjusted regression models identified that being homebound (odds ratio [OR] 3.49, 95% CI 2.03, 6.00), frail (OR 9.50, 95% CI 4.92-18.37), and experiencing community disability (OR 5.19, 95% CI 3.90-6.90) was associated with food insecurity. DISCUSSION: Food insecurity among older adults is broader than lacking adequate financial resources to obtain food; it is also associated with social and functional limitations. A more comprehensive conceptualization will aid future study on the impact of food insecurity on health status, utilization, and outcomes to inform senior nutrition program targeting and services.
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