A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations
Background: Older adults with food-related physical functioning limitations often face food insecurity because of challenges that go beyond resource constraints. Difficulties with food acquisition at retailers, and food preparation and consumption are not captured by the United States Department of...
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| Language: | English |
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Elsevier
2024-12-01
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| Series: | Current Developments in Nutrition |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2475299124024284 |
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| author | AnnieBelle J Sassine Matthew P Rabbitt Alisha Coleman-Jensen Alanna J Moshfegh Nadine R Sahyoun |
| author_facet | AnnieBelle J Sassine Matthew P Rabbitt Alisha Coleman-Jensen Alanna J Moshfegh Nadine R Sahyoun |
| author_sort | AnnieBelle J Sassine |
| collection | DOAJ |
| description | Background: Older adults with food-related physical functioning limitations often face food insecurity because of challenges that go beyond resource constraints. Difficulties with food acquisition at retailers, and food preparation and consumption are not captured by the United States Department of Agriculture’s food security measure. Objectives: The objective of this study was to develop a method to assess the overall prevalence of food insecurity regardless of underlying cause using validated measures that capture both food-related physical functioning limitations and resource-constraint food hardships. It also aims to examine the validity of this method in relation to sociodemographic characteristics, health, appetite, and dietary outcomes. Methods: Using information from National Health and Nutrition Examination Surveys (2007–2018), 10,237 adults aged 60 y and older with complete food security and food-related physical functioning limitations data were included in the study. Comparisons of the cross-classification method and the standard food security methods are made and their relationships with depression, self-reported health, and healthy eating index 2015 are examined using multiple linear regression models. Results: Using the cross-classification method, prevalence of low and very low food security because of resource constraints and food-related physical functioning limitations was found to be higher (13.6% and 7.3%, respectively) compared with food insecurity based solely on resource constraints (4.7% and 3.3%, respectively) or food-related physical functioning limitations (11.4% and 4.4%). Low and very low food security levels using the cross-classification method were associated with higher odds of depression and poor self-reported health, compared with the standard United States Department of Agriculture (USDA) resource-constrained food security measure. Conclusions: The cross-classification method enables the identification of potentially food insecure older adults who might be classified otherwise if only each measure is used alone. This method serves as guidance for using both measures jointly to estimate food insecurity, regardless of its cause. |
| format | Article |
| id | doaj-art-3345449ccbc8403e9c15d7c0cf70ee5a |
| institution | Kabale University |
| issn | 2475-2991 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Current Developments in Nutrition |
| spelling | doaj-art-3345449ccbc8403e9c15d7c0cf70ee5a2024-12-26T08:56:55ZengElsevierCurrent Developments in Nutrition2475-29912024-12-01812104494A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning LimitationsAnnieBelle J Sassine0Matthew P Rabbitt1Alisha Coleman-Jensen2Alanna J Moshfegh3Nadine R Sahyoun4Department of Nutrition and Food Science, University of Maryland, College Park, MD, United StatesEconomic Research Service, U.S. Department of Agriculture, Washington, DC, United StatesEconomic Research Service, U.S. Department of Agriculture, Washington, DC, United StatesBeltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD, United StatesDepartment of Nutrition and Food Science, University of Maryland, College Park, MD, United States; Corresponding author.Background: Older adults with food-related physical functioning limitations often face food insecurity because of challenges that go beyond resource constraints. Difficulties with food acquisition at retailers, and food preparation and consumption are not captured by the United States Department of Agriculture’s food security measure. Objectives: The objective of this study was to develop a method to assess the overall prevalence of food insecurity regardless of underlying cause using validated measures that capture both food-related physical functioning limitations and resource-constraint food hardships. It also aims to examine the validity of this method in relation to sociodemographic characteristics, health, appetite, and dietary outcomes. Methods: Using information from National Health and Nutrition Examination Surveys (2007–2018), 10,237 adults aged 60 y and older with complete food security and food-related physical functioning limitations data were included in the study. Comparisons of the cross-classification method and the standard food security methods are made and their relationships with depression, self-reported health, and healthy eating index 2015 are examined using multiple linear regression models. Results: Using the cross-classification method, prevalence of low and very low food security because of resource constraints and food-related physical functioning limitations was found to be higher (13.6% and 7.3%, respectively) compared with food insecurity based solely on resource constraints (4.7% and 3.3%, respectively) or food-related physical functioning limitations (11.4% and 4.4%). Low and very low food security levels using the cross-classification method were associated with higher odds of depression and poor self-reported health, compared with the standard United States Department of Agriculture (USDA) resource-constrained food security measure. Conclusions: The cross-classification method enables the identification of potentially food insecure older adults who might be classified otherwise if only each measure is used alone. This method serves as guidance for using both measures jointly to estimate food insecurity, regardless of its cause.http://www.sciencedirect.com/science/article/pii/S2475299124024284food securityphysical functioning limitationsolder adultsNHANESdepressionself-reported health |
| spellingShingle | AnnieBelle J Sassine Matthew P Rabbitt Alisha Coleman-Jensen Alanna J Moshfegh Nadine R Sahyoun A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations Current Developments in Nutrition food security physical functioning limitations older adults NHANES depression self-reported health |
| title | A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations |
| title_full | A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations |
| title_fullStr | A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations |
| title_full_unstemmed | A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations |
| title_short | A Method for Assessing the Prevalence of Food Insecurity in Older Adults Based on Resource Constraints and Food-Related Physical Functioning Limitations |
| title_sort | method for assessing the prevalence of food insecurity in older adults based on resource constraints and food related physical functioning limitations |
| topic | food security physical functioning limitations older adults NHANES depression self-reported health |
| url | http://www.sciencedirect.com/science/article/pii/S2475299124024284 |
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