Predictors of Food Insecurity among Older Adults in the United States
Predictors of Food Insecurity among Older Adults in the United States
复制标题
DOI：
10.1111/phn.12173
复制
发表时间：
2015-09-01
影响因子：
2.1
通讯作者：
Mawn, Barbara E.
中科院分区：
文献类型：
--
作者：
Goldberg, Shari L.;Mawn, Barbara E.
目标：美国家庭的粮食不安全是一个全国性的问题。自 2010 年以来，美国健康人民的目标是将粮食不安全率降低至 6%。尽管实现了这一目标，2013 年仍有 14.5% 的家庭面临粮食不安全（美国农业部）。本研究的目的是通过社会生态模型的视角研究老年人粮食不安全的前因。设计和样本：这项回顾性横断面研究利用了 2007 年和 2008 年国家健康和营养检查调查 (NHANES) 的二手数据，样本包括 2,045 名 60 岁及以上的成年人。措施：使用描述性分析、卡方分析和逻辑回归分析来检查与社会生态模型构建相关的变量。结果：模型分析表明，抑郁症的严重程度、经济支持的报告以及是否曾经接受过家庭食品券福利对老年人的粮食不安全具有统计显着的主要影响。结论：研究结果对护理实践、教育和研究具有影响，并可促进筛查方法、干预措施和政策评估的发展，重点关注目标人群中多个影响范围的粮食不安全问题。
Objective: Food insecurity among U.S. households is a national concern. Since 2010, the U.S. Healthy People goal has been to reduce food insecurity to 6%. Despite this goal, 14.5% of households remained food insecure in 2013 (U.S. Department of Agriculture). The purpose of this study was to examine the antecedents of food insecurity among older adults through the lens of the social ecological model. Design and Sample: This retrospective cross-sectional study utilized secondary data from the National Health and Nutrition Examination Survey (NHANES) from the years 2007 and 2008 from a sample that included 2,045 adults 60 years of age and older. Measures: Variables related to the constructs of the social ecological model were examined using descriptive, chi-square, and logistic regression analyses. Results: Analyses of the model indicated that the severity of depression, reports of financial support, and having ever received household food stamp benefits had statistically significant main effects on food insecurity among older adults. Conclusions: The study findings have implications for nursing practice, education, and research and could facilitate the development of screening methods, interventions, and policy evaluation that focus on food insecurity at multiple spheres of influence among the targeted population.