Financial difficulty in acquiring food among elderly disabled women: Results from the women's health and aging study
Financial difficulty in acquiring food among elderly disabled women: Results from the women's health and aging study
复制标题
DOI：
10.2105/ajph.91.1.68
复制
发表时间：
2001-01-01
影响因子：
12.7
通讯作者：
Guralnik, JM
中科院分区：
文献类型：
--
作者：
Klesges, LM;Pahor, M;Guralnik, JM
目标.本研究描述了老年残疾妇女经济困难获得食物的患病率和特点及其与营养生物标志物的关系。基线数据分析来自妇女健康和老龄化研究，这是一项基于人口的调查，调查了1002名来自马里兰州巴尔的摩的65岁及以上的社区居住残疾妇女。少数民族妇女（49.5%）比白色妇女（13.4%）更有可能报告获得食物的经济困难（比值比[OR]=6.2，95%置信区间[CI]=4.5，8.6）。在报告有经济困难的妇女中，只有19.3%的人获得了食品券，不到7%的人参加了食品援助方案。报告有经济困难获得食物的妇女有更高的水平：心理抑郁症比妇女没有报告这种困难。在白色妇女中，获得食物的经济困难的可能性更大，这与生活质量和身体状况较差有关，而在少数民族妇女中，这与更多的医疗条件有关。最后，贫血（血红蛋白< 120 g/L）与获得食物的经济困难相关（年龄调整OR=2.9，95%CI =1.9，4.3）。在社区居住的老年残疾妇女中，获得食物的经济困难很常见，获得营养服务的情况很少。老年人营养援助计划应重新审查其在预防老年残疾妇女营养不足方面的有效性。
Objectives. This study described the prevalence and characteristics of financial difficulty acquiring food and its relation to-nutritional biomarkers in older disabled women.Methods. Baseline data were analyzed from the Women's Health and Aging Study, a population-based survey of 1002 Community-dwelling, disabled women 65 years and older from Baltimore, Md.Results. Minority women (49.5%) were-more likely than White women (13.4%) to report financial difficulty acquiring food (odds ratio [OR]=6.2, 95% confidence interval [CI]=4.5, 8.6). Of the women reporting financial difficulty acquiring food only 19.3% received food stamps and fewer than 7% participated in food assistance programs. Women reporting financial difficulty acquiring food had higher levels:of psychologic depression than women not reporting such difficulty. Greater likelihood of financial difficulty acquiring food was associated with poorer quality of life and physical performance among White women and with more medical conditions among minority women. Finally, anemia (hemoglobin< 120 g/L) was associated with financial difficulty acquiring food (age-adjusted OR=2.9, 95% CI=1.9, 4.3).Conclusions. Financial difficulty acquiring food was common, and receipt of nutritional: services was rare, in community-dwelling, older disabled women. Nutrition assistance programs for the elderly should reexamine their effectiveness in preventing nutritional deficits in older disabled women.