title: Characteristics of Older Georgians Receiving Older Americans Act Nutrition Program Services and Other Home- and Community-Based Services: Findings from the Georgia Aging Information Management System (GA AIMS).
abstract: 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.
authors.affiliation: a Department of Foods and Nutrition , The University of Georgia , Athens , Georgia , USA.
authors.forename: Jung Sun
authors.initials: JS
authors.lastname: Lee
authors.forename: Jerry
authors.initials: J
authors.lastname: Shannon
authors.forename: Arvine
authors.initials: A
authors.lastname: Brown
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D005381:Financing, Organized; D005522:Food Services / Q000191:economics / Q000706:statistics & numerical data*; D005523:Food Supply; D005845:Georgia; D006299:Health Services for the Aged / Q000331:legislation & jurisprudence* / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008134:Long-Term Care / Q000379:methods; D008297:Male; D009753:Nutritive Value; D017063:Outcome Assessment, Health Care; D011203:Poverty
keywords: Older Americans Act Nutrition Program; food insecurity; home- and community-based services; older adults