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J Public Health (Oxf). 2018 Apr 2. doi: 10.1093/pubmed/fdy063. [Epub ahead of print]

Factors associated with food insecurity among older homeless adults: results from the HOPE HOME study.

Author information

1
School of Public Health, University of California, Berkeley 94720, USA.
2
Division of General Internal Medicine, University of California, San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, UCSF Box 1364, San Francisco, CA 94143, USA.
3
Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco 94143, USA.

Abstract

Background:

The US homeless population is aging. Older adults and those living in poverty are at a high risk of food insecurity.

Methods:

We conducted a cross-sectional analysis of baseline data from a population-based study of 350 homeless adults aged ≥50. We assessed food security and receipt of food assistance. We used multivariable logistic regression to examine factors associated with very low food security.

Results:

The majority of the cohort was male and African American. Over half (55.4%) met criteria for food insecurity, 24.3% reported very low food security. Half (51.7%) reported receiving monetary food assistance. In the multivariable model, those who were primarily sheltered in the prior 6 months, (multi-institution users [AOR = 0.44, 95% CI: 0.22-0.86]) had less than half the odds of very low food security compared with those who were unsheltered. Depressive symptoms (AOR = 3.01, 1.69-5.38), oral pain (AOR = 2.15, 1.24-3.74) and cognitive impairment (AOR = 2.21, 1.12-4.35) were associated with increased odds of very low food security.

Conclusions:

Older homeless adults experience a high prevalence of food insecurity. To alleviate food insecurity in this population, targeted interventions must address specific risk groups.

PMID:
29617886
DOI:
10.1093/pubmed/fdy063

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