Department of Consumer Science and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul, Republic of Korea.
Int J Public Health. 2023 Jun 5;68:1605618. doi: 10.3389/ijph.2023.1605618. eCollection 2023.
This study aimed to explore longitudinal associations between food insecurity and suicidal ideation, and the moderating roles of intervention programs. Data were derived from the 2012-2019 waves of the Korean Welfare Panel Study. Participants aged 65 at baseline ( = 4,425) and their annual follow-up measurements for a mean of 6.58 years were included. Conditional fixed effects logistic regressions were used to test 1) associations between food insecurity and the onset of suicidal ideation; 2); whether associations were attenuated by food assistance and income support programs. Food insecurity was associated with higher odds of suicidal ideation in the full sample (OR, 1.77; 95% CI, 1.37-2.29), among women (OR, 1.67; 95% CI, 1.24-2.26) and men (OR, 2.06; 95% CI, 1.25-3.40). The association between food insecurity and suicidal ideation was attenuated by participation in home-delivered meal services (OR, 0.43; 95% CI, 0.21-0.88). Food insecure older adults were more likely to consider committing suicide than their food secure counterparts. Food assistance through home-delivered meal services, but not other intervention programs, could weaken this link.
本研究旨在探讨食物不安全与自杀意念之间的纵向关联,以及干预计划的调节作用。数据来自韩国福利面板研究 2012-2019 年的各轮调查。将基线时年龄为 65 岁的参与者(n=4425)及其 6.58 年的年度随访数据纳入研究。采用条件固定效应逻辑回归检验 1)食物不安全与自杀意念发病之间的关联;2)食物援助和收入支持计划是否减弱了这些关联。在全样本中,食物不安全与自杀意念的发生风险较高相关(OR=1.77,95%CI=1.37-2.29),在女性(OR=1.67,95%CI=1.24-2.26)和男性(OR=2.06,95%CI=1.25-3.40)中也是如此。参与上门送餐服务(OR=0.43,95%CI=0.21-0.88)减弱了食物不安全与自杀意念之间的关联。与食物安全的老年人相比,食物不安全的老年人更有可能考虑自杀。通过上门送餐服务提供的食物援助,但不是其他干预计划,可以削弱这种关联。