ArticleBMC geriatrics2026
Food access determinants and food insecurity severity in the older population: evidence from a nationally representative, cross-sectional survey in Thailand.
Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Food Environments and Food Security Among Mothers and Children in Northeast Brazil: The Role of Social and Housing Conditions.International journal of environmental research and public health · 2026Article
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6 authors.
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Abstract
backgroundFood access is a critical public health issue closely associated with the growing problem of food insecurity (FI), which has shown a steady increase, particularly among older adults, a population group considered especially vulnerable. This study aimed to examine the situation and the influence of food access determinants at the individual, household, and community levels on the severity of food insecurity among Thai older adults.
methodsThis cross-sectional study utilised secondary data from the 2022-2023 round of the Survey on Food Consumption, Food Security, and Food Literacy in Thailand. The survey employed a multi-stage sampling design covering the four main geographic regions and Bangkok. Data were collected from all household members who met the inclusion criteria. For this analysis, the data were weighted and restricted to a sample of 2,641 individuals aged 60 years or older. Food insecurity (FI) was assessed using the Food Insecurity Experience Scale (FIES) and categorised into three severity levels. Predictor variables included socio-demographic characteristics, household-level food access, and community-level food access, all derived from the survey questionnaire. Ordered logistic regression was applied to examine the associations between the predictors and the severity of FI.
resultsApproximately one in four older adults (26.9%) experienced FI (i.e., 25.3% mild, 1.6% moderate-to-severe), while 73.1% reported none. Food access across individual, household, and community levels significantly predicted FI severity. Older Thais with low income and limited education were 1.84 and 3.45 times more likely to face severe FI. Receiving healthy food prepared by a household member reduced FI risk by 50%. Living in a rural area and having limited access to food outlet diversity increased severe FI risk by 1.30 and 2.88 times, respectively.
conclusionsImproving food access for older adults requires a multilevel approach. The government should ensure inclusive food welfare, while communities should develop local systems to support older adults, especially those facing food shortages.
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