Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3

Detalhes bibliográficos
Autor(a) principal: Fernandes, Simone G.
Data de Publicação: 2018
Outros Autores: Rodrigues, Ana M., Nunes, Carla, Santos, Osvaldo, Gregório, Maria João, Sousa, Rute Dinis de, Dias, Sara, Canhao, Helena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/34241
Resumo: © 2018 Fernandes, Rodrigues, Nunes, Santos, Gregório, de Sousa, Dias and Canhão. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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spelling Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3Food insecurityChronic diseasesQuality of lifeOlder adultsManagement of chronic diseases© 2018 Fernandes, Rodrigues, Nunes, Santos, Gregório, de Sousa, Dias and Canhão. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.Introduction: The public health problem of food insecurity also affects the elderly population. This study aimed to estimate the prevalence of household food insecurity and its associations with chronic disease and health-related quality of life characteristics in individuals ≥65 years of age living in the community in Portugal. Methods: The data were collected from the Epidemiology of Chronic Diseases Cohort Study 3 (EpiDoC3)—Promoting Food Security Study (2015–2016), which was the third evaluation wave of the EpiDoC and represented the Portuguese adult population. Food insecurity was assessed using a psychometric scale adapted from the Brazilian Food Insecurity Scale. The data on sociodemographic variables, chronic disease, and management of chronic disease were self-reported. Health-related quality of life were assessed using the European Quality of Life Survey (version validated for the Portuguese population). Logistic regression models were used to determine crude and adjusted odds ratios (for age group, gender, region, and education). The dependent variable was the perceived level of food security. Results: Among older adults, 23% were living in a food-insecure household. The odds of living in a food-insecure household were higher for individuals in the 70–74 years age group (odds ratio (OR) = 1.405, 95% confidence interval (CI) 1.392–1.417), females (OR = 1.545, 95% CI 1.534–1.556), those with less education (OR = 3.355, 95% CI 3.306–3.404), low income (OR = 4,150, 95% CI 4.091–4.210), and those reporting it was very difficult to live with the current income (OR = 16.665, 95% CI 16.482–16.851). The odds of having a chronic disease were also greater among individuals living in food-insecure households: diabetes mellitus (OR = 1.832, 95% CI 1.818–1.846), pulmonary diseases (OR = 1.628, 95% CI 1.606–1.651), cardiac disease (OR = 1.329, 95% CI 1.319–1.340), obesity (OR = 1.493, 95% CI 1.477–1.508), those who reduced their frequency of medical visits (OR = 4.381, 95% CI 4.334–4.428), and who stopped taking medication due to economic difficulties (OR = 5.477, 95% CI 5.422–5.532). Older adults in food-insecure households had lower health-related quality of life (OR = 0.212, 95% CI 0.210–0.214). Conclusions: Our findings indicated that food insecurity was significantly associated with economic factors, higher values for prevalence of chronic diseases, poor management of chronic diseases, and decreased health-related quality of life in older adults living in the community.This project was supported by a grant from the Public Health Initiatives Programme (PT06), financed by the EEA Grants Financial Mechanism 2009–2014Frontiers MediaRepositório da Universidade de LisboaFernandes, Simone G.Rodrigues, Ana M.Nunes, CarlaSantos, OsvaldoGregório, Maria JoãoSousa, Rute Dinis deDias, SaraCanhao, Helena2018-07-18T14:39:10Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/34241engFrontiers in Medicine July 2018 | Volume 5 | Article 2032296-858X10.3389/fmed.2018.00203info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:29:28Zoai:repositorio.ul.pt:10451/34241Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:49:00.713774Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
title Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
spellingShingle Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
Fernandes, Simone G.
Food insecurity
Chronic diseases
Quality of life
Older adults
Management of chronic diseases
title_short Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
title_full Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
title_fullStr Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
title_full_unstemmed Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
title_sort Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3
author Fernandes, Simone G.
author_facet Fernandes, Simone G.
Rodrigues, Ana M.
Nunes, Carla
Santos, Osvaldo
Gregório, Maria João
Sousa, Rute Dinis de
Dias, Sara
Canhao, Helena
author_role author
author2 Rodrigues, Ana M.
Nunes, Carla
Santos, Osvaldo
Gregório, Maria João
Sousa, Rute Dinis de
Dias, Sara
Canhao, Helena
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Fernandes, Simone G.
Rodrigues, Ana M.
Nunes, Carla
Santos, Osvaldo
Gregório, Maria João
Sousa, Rute Dinis de
Dias, Sara
Canhao, Helena
dc.subject.por.fl_str_mv Food insecurity
Chronic diseases
Quality of life
Older adults
Management of chronic diseases
topic Food insecurity
Chronic diseases
Quality of life
Older adults
Management of chronic diseases
description © 2018 Fernandes, Rodrigues, Nunes, Santos, Gregório, de Sousa, Dias and Canhão. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
publishDate 2018
dc.date.none.fl_str_mv 2018-07-18T14:39:10Z
2018
2018-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/34241
url http://hdl.handle.net/10451/34241
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Frontiers in Medicine July 2018 | Volume 5 | Article 203
2296-858X
10.3389/fmed.2018.00203
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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