Food Insecurity in Older Adults in an Integrated Health Care System

Journal of the American Geriatrics Society
John F SteinerChan Zeng

Abstract

To estimate food insecurity prevalence and develop a statistical prediction model for food insecurity. Retrospective cohort study. Kaiser Permanente Colorado. Adult members who completed a pre-Medicare Annual Wellness Visit survey. Food insecurity was assessed using a single screening question. Sociodemographic and clinical characteristics from electronic health records and self-reported characteristics from the survey were used to develop the prediction model. Of 130,208 older adult members between January 2012 and December 2015, 50,097 (38.5%) completed food insecurity screening, 2,859 of whom (5.7% of respondents) reported food insecurity. The prevalence of food insecurity was 10.0% or greater among individuals who were black or Hispanic, had less than high school education, had Medicaid insurance, were extremely obese, had poor health status or quality of life, had depression or anxiety, had impairments in specific activities of daily living, had other nutritional risk factors, or were socially isolated (all p<.001). A multivariable model based on these and other characteristics showed moderate discrimination (c-statistic = 0.74) between individuals with food insecurity and those without and 14.3% of individuals in the high...Continue Reading

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Citations

Dec 27, 2018·Journal of the American Geriatrics Society·Jennifer A PoolerHilary K Seligman
Aug 12, 2020·Population Health Management·David M MosenNeon Brooks
Aug 4, 2019·Southern Medical Journal·Alexandra KingMaria Torroella Carney
Aug 7, 2019·Journal of General Internal Medicine·Daniel J ArenasHorace M DeLisser
Aug 17, 2020·Nutrients·Konstantinos GkiourasTheodora Papamitsou
Nov 23, 2019·American Journal of Preventive Medicine·Nora B HenriksonCara C Lewis
Jul 22, 2021·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Christine Marie Mills

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