老年人中曾有入狱经历的人群的食物不安全状况。
Food Insecurity Among Older Adults with a History of Incarceration.
机构信息
Division of Public Health, 12268Michigan State University, Flint, MI, USA.
Institute of Gerontology & Department of Psychology, Wayne State University, Detroit, MI, USA.
出版信息
J Appl Gerontol. 2023 May;42(5):1035-1044. doi: 10.1177/07334648231152152. Epub 2023 Feb 7.
We examined the association between history of incarceration (HOI) and food insecurity (FI) among older adults using pooled data from 12,702 respondents aged 51+ who participated in the 2012 and 2014 waves of the Health and Retirement Study. In our sample, 12.8% of participants reported FI. Those with a HOI had an increased odds of FI (OR 1.83; 95% CI 1.52-2.21). Race/ethnicity moderated the association between HOI and FI. The positive and statistically significant association was concentrated among Non-Hispanic Black and Non-Hispanic White participants. No statistically significant association was found among Hispanic participants or among those from other racial/ethnic groups. Income, depressive symptoms, and functional limitations mediated the association between HOI and FI, with the largest indirect effects observed for income. FI is an important issue among older adults with a HOI. Programs and policy initiatives to increase food access and/or improve earnings in this population may be needed.
我们使用参加了 2012 年和 2014 年“健康与退休研究”的 12702 名 51 岁及以上受访者的汇总数据，研究了监禁史（HOI）与老年人食物不安全（FI）之间的关系。在我们的样本中，有 12.8%的参与者报告了食物不安全。有监禁史的人发生食物不安全的几率更高（OR 1.83；95% CI 1.52-2.21）。种族/民族调节了 HOI 和 FI 之间的关联。这种积极且具有统计学意义的关联主要集中在非西班牙裔黑人和非西班牙裔白人参与者中。在西班牙裔参与者或其他种族/民族群体中，没有发现具有统计学意义的关联。收入、抑郁症状和功能限制调节了 HOI 和 FI 之间的关联，其中收入的间接影响最大。食物不安全是有监禁史的老年人的一个重要问题。可能需要针对这一人群增加食物获取或提高收入的方案和政策举措。
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