Lee Jung Sun, Shannon Jerry, Brown Arvine
a Department of Foods and Nutrition , The University of Georgia , Athens , Georgia , USA.
J Nutr Gerontol Geriatr. 2015;34(2):168-88. doi: 10.1080/21551197.2015.1031595.
This descriptive study examined characteristics of older Georgians receiving Older Americans Act Nutrition Program Services and other home- and community-based services (HCBS) using state aging administrative data (N = 31,341, mean age: 76.6 ± 9.2 y, 71.2% female, 52.3% White). Home-delivered meals (HDM) was used most frequently. The characteristics of older Georgian HCBS participants varied by the type and number of HCBS received. Those receiving HDM and other in-home and caregiving services were more likely to show poorer sociodemographic, economic, and functional characteristics, and food insecurity. Those receiving multiple HCBS were most vulnerable, but showed lower level of food insecurity than those receiving single HCBS, suggesting potential combined benefits of receiving multiple programs. This study underscores the importance of documenting dynamic needs for HCBS, especially HDM, among vulnerable older adults as part of standard administrative process to identify those at high risk of institutionalization, optimize HCBS delivery and coordination, and maximize HCBS benefits.
这项描述性研究利用该州老龄行政数据(N = 31341,平均年龄:76.6±9.2岁,女性占71.2%,白人占52.3%),对接受《美国老年人法案》营养计划服务以及其他居家和社区服务(HCBS)的格鲁吉亚老年人的特征进行了调查。上门送餐服务(HDM)的使用最为频繁。接受格鲁吉亚居家和社区服务的老年人的特征因所接受的居家和社区服务的类型和数量而异。那些接受上门送餐服务以及其他居家和照料服务的老年人更有可能呈现出较差的社会人口学、经济和功能特征,以及粮食不安全状况。那些接受多项居家和社区服务的老年人最为脆弱,但与接受单项居家和社区服务的老年人相比,其粮食不安全程度较低,这表明接受多项服务可能具有综合益处。本研究强调了在标准行政程序中记录弱势老年人对居家和社区服务,尤其是上门送餐服务的动态需求的重要性,以便识别那些有较高机构化风险的老年人,优化居家和社区服务的提供与协调,并使居家和社区服务的效益最大化。