title: Persistent food insecurity is associated with higher levels of cost-related medication nonadherence in low-income older adults.
abstract: The purpose of this study was to examine relationships between changes in food insecurity (FI) and cost-related medication nonadherence (CRN) among Older Americans Act Nutrition Program participants and wait-listed individuals in Georgia. This study used data collected from 3 waves of self-administered mail surveys conducted 4 months apart in 2008 and 2009 (n = 664, mean age 74.6 ± 8.9 years, 71.5% female, 31.0% African American). FI was assessed by using a validated 6-item U.S. Household Food Security Survey Module. Practice of 5 CRN behaviors was evaluated. Changes in FI and CRN were determined based on ≥ 2 repeated measures. Participants with persistent FI and CRN were more likely to be younger, low-income, and in poorer health. After controlling for potential confounders, persistently food insecure individuals and those who became food insecure showed 8.2 (95% CI: 5.4-12.5) times and 5.3 (95% CI: 3.2-8.8) times increased odds of reporting higher levels of CRN than persistently food secure individuals.
authors: Department of Foods and Nutrition, The University of Georgia, Athens, Georgia 30602, USA.
authors: Elisabeth Lilian Pia
authors: EL
authors: Sattler
authors: Jung Sun
authors: JS
authors: Lee
mesh_terms: D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D058620:Elder Nutritional Physiological Phenomena; D005260:Female; D005500:Follow-Up Studies; D005523:Food Supply / Q000191:economics* / Q000706:statistics & numerical data*; D005845:Georgia; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009749:Nutrition Surveys / Q000706:statistics & numerical data; D011203:Poverty / Q000191:economics*; D012959:Socioeconomic Factors; D016903:Drug Monitoring