Poor Nutritional Status among Low-Income Older Adults: Examining the Interconnection between Self-Care Capacity, Food Insecurity, and Depression
Poor Nutritional Status among Low-Income Older Adults: Examining the Interconnection between Self-Care Capacity, Food Insecurity, and Depression
复制标题
DOI：
10.1016/j.jand.2018.04.009
复制
发表时间：
2019-10-01
影响因子：
4.8
通讯作者：
Hermann, Janice
中科院分区：
文献类型：
--
作者：
Jung, Seung Eun;Kim, Seoyoun;Hermann, Janice
背景老年人具有独特的健康和社会需求，因此需要了解老年人的食物不安全和不良的身心健康状况与营养状况之间的相互关系。目的探讨老年人自我保健能力、抑郁症状、食物不安全、设计横断面研究于2017年2月至2017年5月进行。参与者/设置共有372名低收入老年人，研究对象为居住在亚拉巴马州的60岁及以上的老年人。主要结果测量参与者完成了一项有效的测量粮食不安全的调查（六项美国食品安全调查模块）、自我保健能力（自理能力量表），抑郁症状（10项老年抑郁量表），和营养状况（营养评估简表）使用广义结构方程模型将联立方程和多个介质包括在一个模型中。赤池信息准则，贝叶斯信息准则，和似然比检验进行比较竞争模型specification.Results的拟合较低的自我保健能力与更大的食品不安全（β [B]= 0.11，比值比[OR]=1.11，P=0.03）和更高的抑郁症状（B= 0.08，P=0.005）。生活自理能力强、抑郁症状多与营养不良有关（B=.24，OR=1.27，P
Background Understanding of the mechanisms of how food insecurity and poor physical and mental health status are interrelated with nutritional status among older adults is needed due to their unique health and social needs.Objective To examine the complex relationships between self-care capacity, depressive symptoms, food insecurity, and nutritional status among low-income older adults.Design The cross-sectional study was conducted from February 2017 to May 2017.Participants/setting A total of 372 low-income older adults, 60 years of age and older, living in the state of Alabama participated.Main outcome measures Participants completed a validated survey measuring food insecurity (six-item US Food Security Survey Module), self-care capacity (Self-Care Capacity Scale), depressive symptoms (10-item Geriatric Depression Scale), and nutritional status (Mini Nutritional Assessment Short-Form).Statistical analyses performed Generalized structural equation modeling was used to include the simultaneous equations and multiple mediators in one model. The Akaike Information Criterion, Bayesian Information Criterion, and likelihood ratio tests were conducted to compare the fit of competing model specifications.Results Lower self-care capacity was associated with greater food insecurity (beta [b]=.11, odds ratio [OR]=1.11, P=0.03) and higher depressive symptoms (b=.08, P=0.005). Poorer self-care capacity and higher depressive symptoms were associated with poorer nutritional status (b=.24, OR=1.27, P