Diana P. Brostow, Denver VA Medical Center, 1055 Clermont St. Denver, CO 80220 USA,
J Nutr Health Aging. 2017;21(10):1358-1364. doi: 10.1007/s12603-017-0910-7.
We examined the prevalence of food insecurity in an older population, specifically assessing factors associated with food insecurity among U.S. military Veterans.
Data from the 2012 wave of the Health and Retirement Study and the 2013 Health Care and Nutrition Mail Survey of 2560 male participants (1254 Veterans) were used to estimate the prevalence of food insecurity and to identify significant predictors of food insecurity among male Veterans.
Among male Veterans, 6.4% reported food insecurity, compared to 11.9% of male non-veterans (p < 0.01). Younger age, difficulty with daily activities and depression were significantly associated with increased odds of food insecurity among male Veterans aged 50 to 64. In male Veterans age 65 years and older, current smoking, a psychiatric diagnosis and depression were significantly associated with increased odds of food insecurity.
This study identified significant factors that may be used to target interventions to improve nutritional status among older male Veterans.
本研究旨在调查老年人群体中食物不安全的流行情况，特别是评估与美国退伍军人食物不安全相关的因素。
本研究使用了 2012 年健康与退休研究（Health and Retirement Study）以及 2013 年医疗保健和营养邮件调查（Health Care and Nutrition Mail Survey）的数据，共纳入了 2560 名男性参与者（1254 名为退伍军人），用以估计食物不安全的流行情况，并确定退伍军人中食物不安全的显著预测因素。
在男性退伍军人中，有 6.4%的人报告存在食物不安全，而男性非退伍军人中这一比例为 11.9%（p<0.01）。在年龄为 50 至 64 岁的男性退伍军人中，年龄较小、日常活动困难和抑郁与食物不安全的风险增加显著相关。在年龄 65 岁及以上的男性退伍军人中，当前吸烟、精神科诊断和抑郁与食物不安全的风险增加显著相关。
本研究确定了一些可能用于针对干预措施的重要因素，以改善老年男性退伍军人的营养状况。
