Predictors of food insecurity among older adults before and during COVID-19 in the United States

BackgroundThe COVID-19 pandemic has strained the health and wellbeing of older adult populations through increased morbidity, mortality, and social exclusion. However, the impact of COVID-19 on the health of older adults through food security has received relatively little attention, despite the str...

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Main Authors: Emily Joy Nicklett, Greta Jianjia Cheng, Zachary A. Morris
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1112575/full
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author Emily Joy Nicklett
Greta Jianjia Cheng
Zachary A. Morris
author_facet Emily Joy Nicklett
Greta Jianjia Cheng
Zachary A. Morris
author_sort Emily Joy Nicklett
collection DOAJ
description BackgroundThe COVID-19 pandemic has strained the health and wellbeing of older adult populations through increased morbidity, mortality, and social exclusion. However, the impact of COVID-19 on the health of older adults through food security has received relatively little attention, despite the strong impact of diet quality on the health and longevity of older adults.ObjectiveThe objective of this study was to identify sociodemographic and socioeconomic predictors of self-reported food insecurity before and early in the COVID-19 pandemic among community-dwelling older adults in the United States.MethodsUsing longitudinal data from the Health and Retirement Study, a nationally representative sample of middle-aged and older adults in the United States, we examined the associations between sociodemographic and socioeconomic predictors of self-reported food insecurity between 2018 (N = 2,413) and June 2020 (N = 2,216) using population-weighted multivariate logistic regression models.ResultsThe prevalence of food insecurity doubled among participants from 2018 (4.83%) to June 2020 (9.54%). In 2018, non-Hispanic Black and rural residents were more likely to report food insecurity, while individuals with higher education and greater wealth were less likely to report food insecurity in adjusted models. In June 2020, those who were relatively younger, not working due to a disability, and renting were more likely to report food insecurity. Those with an increased number of functional limitations, a recent onset of a work-limiting disability, and those who were no longer homeowners experienced an elevated longitudinal risk for food insecurity.ConclusionFuture research should examine effective policies and interventions to address the disproportionate impacts of COVID-19 on populations at a heightened risk of experiencing food insecurity.
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spelling doaj.art-3a43554eaf1b46559994e4bc0dae63412023-05-12T06:30:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.11125751112575Predictors of food insecurity among older adults before and during COVID-19 in the United StatesEmily Joy Nicklett0Greta Jianjia Cheng1Zachary A. Morris2Department of Social Work, College for Health, Community and Policy, University of Texas at San Antonio, San Antonio, TX, United StatesDepartment of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesSchool of Social Welfare, Stony Brook University, Stony Brook, NY, United StatesBackgroundThe COVID-19 pandemic has strained the health and wellbeing of older adult populations through increased morbidity, mortality, and social exclusion. However, the impact of COVID-19 on the health of older adults through food security has received relatively little attention, despite the strong impact of diet quality on the health and longevity of older adults.ObjectiveThe objective of this study was to identify sociodemographic and socioeconomic predictors of self-reported food insecurity before and early in the COVID-19 pandemic among community-dwelling older adults in the United States.MethodsUsing longitudinal data from the Health and Retirement Study, a nationally representative sample of middle-aged and older adults in the United States, we examined the associations between sociodemographic and socioeconomic predictors of self-reported food insecurity between 2018 (N = 2,413) and June 2020 (N = 2,216) using population-weighted multivariate logistic regression models.ResultsThe prevalence of food insecurity doubled among participants from 2018 (4.83%) to June 2020 (9.54%). In 2018, non-Hispanic Black and rural residents were more likely to report food insecurity, while individuals with higher education and greater wealth were less likely to report food insecurity in adjusted models. In June 2020, those who were relatively younger, not working due to a disability, and renting were more likely to report food insecurity. Those with an increased number of functional limitations, a recent onset of a work-limiting disability, and those who were no longer homeowners experienced an elevated longitudinal risk for food insecurity.ConclusionFuture research should examine effective policies and interventions to address the disproportionate impacts of COVID-19 on populations at a heightened risk of experiencing food insecurity.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1112575/fullfood insecurityfood securityCOVID-19older adultsdisabilityHealth and Retirement Study
spellingShingle Emily Joy Nicklett
Greta Jianjia Cheng
Zachary A. Morris
Predictors of food insecurity among older adults before and during COVID-19 in the United States
Frontiers in Public Health
food insecurity
food security
COVID-19
older adults
disability
Health and Retirement Study
title Predictors of food insecurity among older adults before and during COVID-19 in the United States
title_full Predictors of food insecurity among older adults before and during COVID-19 in the United States
title_fullStr Predictors of food insecurity among older adults before and during COVID-19 in the United States
title_full_unstemmed Predictors of food insecurity among older adults before and during COVID-19 in the United States
title_short Predictors of food insecurity among older adults before and during COVID-19 in the United States
title_sort predictors of food insecurity among older adults before and during covid 19 in the united states
topic food insecurity
food security
COVID-19
older adults
disability
Health and Retirement Study
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1112575/full
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