ArticleBMC public health2023
The association between chronic conditions, COVID-19 infection, and food insecurity among the older US adults: findings from the 2020-2021 National Health Interview Survey.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 15 citations in OpenAlex.
- Clarifying the Association Between Food Insecurity and Chronic Disease: Why Methods Matter.Current nutrition reports · 2026Review
- Prevalence of Food Insecurity and Its Associated Factors Among Ambulatory Hand Patients in a Large Metropolitan Area.Journal of hand surgery global online · 2026Article
- Plant-Based Diets and Climate Change, A Perspective for Infectious Disease Providers.Open forum infectious diseases · 2025Review
- Demographic Determinants of Food Insecurity in Older Adults During the COVID-19 Pandemic.Nutrients · 2025Article
- The Association between Medical Debt and Food Insecurity among United States Families with Children.The Journal of pediatrics · 2025Article
- Interventions to Reduce Food and Nutrition Insecurity Among Dental Students.Journal of dental education · 2025Article
- The Influence of the COVID 19 Pandemic on Food Insecurity Among Cancer Survivors Across New York State.Journal of community health · 2024Article
- Food insecurity and mental health among US adults during the COVID-19 pandemic: Results from National Health Interview Survey, 2020-2021.Journal of affective disorders · 2024Article
- Perspective: Promoting Healthy Aging through Nutrition: A Research Centers Collaborative Network Workshop Report.Advances in nutrition (Bethesda, Md.) · 2024Article
- Food insecurity and its association with socio-demographic characteristics in Cyprus.Journal of nutritional science · 2024Article
- Late-life food insecurity and cognition: exploring timing, duration, and mechanisms among older Mexican adults.BMC geriatrics · 2023Article
- Factors associated with food insecurity among the chronically ill population during the COVID-19 pandemic in the United States.Frontiers in public health · 2023Article
- Primary Care Nurse Practitioner Burnout and ED Use and Hospitalizations Among Chronically Ill Medicare Beneficiaries.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aims to examine how the presence of chronic conditions or positive COVID-19 infection (as exposures) is related to food insecurity (as an outcome) in the older population and whether there is a dose-response relationship between the number of chronic conditions and the severity of food insecurity.
methodsCross-sectional data of 17,977 older adults (≥ 65 years) from the 2020-2021 National Health Interview Survey were analyzed. Chronic conditions included physical health conditions (i.e., arthritis, coronary heart diseases, hypertension, stroke, prediabetes, diabetes, asthma, chronic obstructive pulmonary disease, and disability) and mental health conditions (i.e., anxiety and depression disorder). COVID-19 infection status was determined by a self-reported diagnosis of COVID-19. Household food insecurity was measured using the 10-item US Department of Agriculture (USDA) Food Security Survey Module with a 30-day look-back window. Multinomial logistic regression models were used to examine the association between health conditions and food insecurity controlling for socio-demographic factors.
resultsOur results indicated that 4.0% of the older adults lived in food-insecure households. The presence of chronic conditions was significantly associated with higher odds of being food insecure independent of socio-demographic factors (AOR ranged from 1.17 to 3.58, all p < 0.0001). Compared with participants with 0-1 chronic condition, the odds of being (low or very low) food insecure was 1.09 to 4.07 times higher for those with 2, or ≥ 3 chronic conditions (all p < 0.0001). The severity of food insecurity significantly increased as the number of chronic conditions increased (p for trend < 0.0001). Besides, COVID-infected participants were 82% more likely to be very low food secure than the non-infected participants (AOR = 1.82, 95% CI: 1.80, 1.84).
conclusionsThe presence of chronic conditions or positive COVID-infection is independently associated with household food insecurity. Clinical health professionals may help identify and assist individuals at risk of food insecurity. Management and improvement of health conditions may help reduce the prevalence and severity of food insecurity in the older population.
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