Journal of nutrition education and behavior · 2025
Association Between Loneliness Instrumental Activities of Daily Living/Activities of Daily Living and Food Security Among Older Adults Attending Senior Centers in Fulton County, Georgia.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Mayfield Kellie E, Ramisetty-Mikler Suhasini, Akintola Kehinde, Foley Sophia
Аннотация
OBJECTIVE: This study examined senior center clients' food security, loneliness, and functional limitations.
METHODS: A cross-sectional study of 166 older adults attending senior centers were surveyed about their food security using the 6-item Short-Form Module, loneliness using the University of California, Los Angeles 3-item scale, and activities of daily living and instrumental activities of daily living adapted from the Lawton-Brody scale.
RESULTS: Most participants were female (86%), mean age of 78 years (range 52-97), with 61% aged ≥ 75 years. Nearly 80% were Black, more than half were on public insurance (55%), and 75% were at or below the federal poverty line. Compared with 9% who reported not feeling lonely, 32% who reported feelings of loneliness (P < 0.01) experienced food insecurity. Logistic regression showed functional limitations strongly predicted loneliness (adjusted odds ratio = 4.8 [95% confidence interval, 1.63-14.30]; P = 0.005). Those experiencing loneliness or isolation have nearly 10 times higher odds of low food security (adjusted odds ratio = 9.57, 95% [confidence interval, 2.76-33.23]; P < 0.001) compared with those who do not feel lonely.
CONCLUSIONS: Findings suggest loneliness from functional limitations, and transportation barriers among older adults affect food access. Policies increasing senior nutrition program funding and better transport options are warranted to improve food security among seniors.
METHODS: A cross-sectional study of 166 older adults attending senior centers were surveyed about their food security using the 6-item Short-Form Module, loneliness using the University of California, Los Angeles 3-item scale, and activities of daily living and instrumental activities of daily living adapted from the Lawton-Brody scale.
RESULTS: Most participants were female (86%), mean age of 78 years (range 52-97), with 61% aged ≥ 75 years. Nearly 80% were Black, more than half were on public insurance (55%), and 75% were at or below the federal poverty line. Compared with 9% who reported not feeling lonely, 32% who reported feelings of loneliness (P < 0.01) experienced food insecurity. Logistic regression showed functional limitations strongly predicted loneliness (adjusted odds ratio = 4.8 [95% confidence interval, 1.63-14.30]; P = 0.005). Those experiencing loneliness or isolation have nearly 10 times higher odds of low food security (adjusted odds ratio = 9.57, 95% [confidence interval, 2.76-33.23]; P < 0.001) compared with those who do not feel lonely.
CONCLUSIONS: Findings suggest loneliness from functional limitations, and transportation barriers among older adults affect food access. Policies increasing senior nutrition program funding and better transport options are warranted to improve food security among seniors.