Food Insecurity in Households Inhabited by Older Adults, Medellín, Colombia

Authors

DOI:

https://doi.org/10.17533/udea.rfnsp.e342583

Keywords:

elderly, sociodemographic factors, food insecurity, nutrition, public health, Medellín

Abstract

Objective: To determine food insecurity and certain associated sociodemographic characteristics in households inhabited by adults aged 60 years or older in Medellín (Colombia).

Methodology: Cross-sectional study using stratified random sampling according to socioeconomic status and geographic area (urban-rural). This study examined 935 households that had at least one older adult. Food security was measured with the Latin American and Caribbean Food Security Scale. The chi-square test (χ2) and odds ratio (OR) with confidence intervals were used to determine the relationship between food security and the other variables; additionally, a classification tree was created to identify the relative importance of the variables in explaining food security.

Results: Only 19.2% of the households were comprised entirely of older adults. 63% of the examined households presented female headships. Food insecurity was 55%, with higher rates in rural areas, lower socioeconomic strata, and households with more people (p < 0.05); food insecurity was lower in households composed entirely of older adults (OR = 0.58; p < 0.001), households with heads of household aged 60 years or older (OR = 0.64; p = 0.003), and households without food aid programs for older adults (OR = 0.33; p < 0.001).

Conclusion: This study suggests a significant prevalence of food insecurity in households headed by older adults; furthermore, the head of household's age, gender, and whether the home is exclusively composed of older adults are all determinants of food insecurity.

|Abstract
= 2192 veces | HTML (ESPAÑOL (ESPAÑA))
= 34 veces| | PDF (ESPAÑOL (ESPAÑA))
= 994 veces|

Downloads

Download data is not yet available.

Author Biographies

Alejandro Estrada Restrepo, Universidad de Antioquia

Profesional en Sistemas de Información en Salud. Magíster en Epidemiología

Nubia Amparo Giraldo Giraldo, Nutricionista dietista, magíster en Epidemiología

Nutricionista dietista, magíster en Epidemiología

Gloria Cecilia Deossa Restrepo, Universidad de Antioquia

Nutricionista dietista, magíster en Ciencias de la Alimentación y Nutrición Humana

References

Colombia, Ministerio de Salud y Protección Social (Minsalud), Departamento Administrativo de Ciencia Tecnología e Innovación, Colciencias, Universidad del Valle, Universidad de Caldas. Encuesta de salud, bienestar y envejecimiento (SABE) Bogotá: Minsalud; 2016.

Departamento Administrativo Nacional de Estadísticas. Proyecciones de población municipal por área, sexo y edad, para el periodo 2018-2026 [internet]. 2020 [consultado 2021 jun. 20]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion

Vilar-Compte M, Gaitán-Rossi P, Pérez-Escamilla R. Food insecurity measurement among older adults: Implications for policy and food security governance. Global Food Security. 2017;14:87-95. DOI: https://doi.org/10.1016/j.gfs.2017.05.003

Segall AM, Álvarez MC, et al. Escala Latinoamericana y Caribeña de Seguridad Alimentaria(ELCSA). Manual de uso y aplicación. Santiago de Chile: Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO); 2012.

Alaimo K, Chilton M, Jones SJ. Food insecurity, hunger and malnutrition. En: Marriot B, Birt DF, Stallings VA, Yates AA. Present knowledge in nutrition. Clinical and applied topics in nutrition. Volume 2. 11.a ed. London: Elsevier; 2020. pp. 311-26.

Franklin B, Jones A, Love D, et al. Exploring mediators of food insecurity and obesity: A review of recent literature. J Community Health. 2012;37(1):253-64. DOI: https://doi.org/10.1007/s10900-011-9420-4

Guerrero N, Walsh MC, et al. Urban-rural and regional variability in the prevalence of food insecurity: The survey of the health of Wisconsin. Wis Med J. 2014;113(4):133-8.

Ramsey R, Giskes K, et al. Food insecurity among adults residing in disadvantaged urban areas: Potential health and dietary consequences. Public Health Nutr. 2012;15(02):227-37. DOI: https://doi.org/10.1017/S1368980011001996

Fernandes SG, Rodrigues AM, Nunes C, et al. Food insecurity in older adults: Results from the epidemiology of chronic diseases cohort study 3. Front. Med. 2018; 5:203. DOI: https://doi.org/10.3389/fmed.2018.00203

Leung CW, Epel ES, Ritchie LD, et al. Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet. 2014;114(12):1943-53.e2. DOI: https://doi.org/10.1016/j.jand.2014.06.353

Frith E, Loprinzi PD. Food insecurity and cognitive function in older adults: Brief report. Clin Nutr. 2018;37(5):1765-8. DOI: https://doi.org/10.1016/j.clnu.2017.07.001

Vargas Puello V, Alvarado Orellana S, Atalah Samur E. Inseguridad alimentaria en adultos mayores en 15 comunas del gran Santiago; un tema pendiente. Nutr Hosp. 2013;28(5):1430-7. DOI: https://dx.doi.org/10.3305/nh.2013.28.5.6663

Villar L, Flórez CE, Forero D, et al. Protección económica a la población mayor en Colombia. En: Fundación para la Educación Superior y el Desarrollo (Fedesarrollo) y Fundación Saldarriaga Concha, Misión Colombia envejece: cifras, retos y recomendaciones. Bogotá: Editorial Fundación Saldarriaga Concha [internet]; 2015 [citado 2020 oct. 5]. pp. 84-165. Disponible en: https://www.fedesarrollo.org.co/sites/default/files/envejece.pdf

Martínez-Restrepo S, Enríquez E, Pertuz MC AJ. El mercado laboral y las personas mayores. En: Fundación para la Educación Superior y el Desarrollo (Fedesarrollo) y Fundación Saldarriaga Concha, Misión Colombia envejece: cifras, retos y recomendaciones. Bogotá: Editorial Fundación Saldarriaga Concha [internet]; 2015 [citado 2020 oct. 5]. pp. 166-243. Disponible en: https://www.fedesarrollo.org.co/sites/default/files/envejece.pdf

Hoyos GM, Álvarez MC, et al. Metodología. En: Alcaldía de Medellín y Universidad de Antioquia (Ed.), Perfil de seguridad alimentaria y nutricional de Medellín y sus corregimientos 2015. Medellín - Colombia; 2015. pp. 11-51.

Colombia, Ministerio de Salud. Política colombiana de envejecimiento humano y vejez 2015-2024 [internet]. 2015 [citado 2019 jul. 25]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PS/Pol%C3%ADtica-colombiana-envejecimiento-humano-vejez-2015-2024.pdf

World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013; 310(20):2191-4. DOI: https://doi.org/10.1001/jama.2013.281053

Colombia, Ministerio de Salud. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud (1993 oct. 4).

Universidad Nacional de Colombia, Instituto Nacional de Salud, Instituto Colombiano de Bienestar Familiar, Ministerio de Salud y Protección Social. Encuesta nacional de la situación nutricional en Colombia (ENSIN) 2015. Bogotá: Instituto Colombiano de Bienestar Familiar; 2019.

Lee JS, Johnson MA, et al. Food security of older adults requesting Older Americans Act Nutrition Program in Georgia can be validly measured using a short form of the U.S. Household Food Security Survey Module. J Nutr. 2011;141(7):1362-8. DOI: https://doi.org/10.3945/jn.111.139378

Marín-León L, Segal-Corrêa AM, Panigassi G, et al. A percepção de insegurança alimentar em famílias com idosos em Campinas, São Paulo, Brasil. Cad Saude Publica. 2005; 21(5):1433-40. DOI: https://doi.org/10.1590/s0102-311x2005000500016

Maia I , Monjardino T, Frias B, et al. Food insecurity in Portugal among middle- and older-aged adults at a time of economic crisis recovery: Prevalence and determinants. Food Nutr Bull. 2019;40(4):504-13. DOI: https://doi.org/10.1177/0379572119858170

Rivera-Márquez JA, Mundo-Rosas V, et al. Inseguridad alimentaria en el hogar y estado de nutrición en personas adultas mayores de México. Salud Publica Méx. 2014;56(Supl. 1):71-8.

Departamento Nacional de Planeación, Observatorio de Políticas de las Familias. Tipologías de familias en Colombia: evolución 1993-2014. Documento de trabajo No. 2016-1. Bogotá [internet]; 2015 [citado 2020 oct. 5]. Disponible en: https://observatoriodefamilia.dnp.gov.co/Documents/Documentos de trabajo/D3-tipologias-evolucion_dic3-(1).pdf

Departamento Administrativo Nacional de Estadística. Serie de indicadores Encuesta de calidad de vida 2003-2018 [internet]; 2018 [citado 2020 oct. 5]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/salud/calidad-de-vida-ecv/encuesta-nacional-de-calidad-de-vida-ecv-2018

Departamento Nacional de Planeación. Los adultos mayores en el hogar como proveedores y demandantes de cuidado. En Observatorio de políticas de las familias. Boletín 6, diciembre de 2015. Bogotá [internet]; 2015 [citado 2020 oct. 5]. pp. 38-45. Disponible en: https://observatoriodefamilia.dnp.gov.co/Documents/Boletines/bolet%C3%ADn-no-6_vf.pdf

FAO; OPS; WFP; UNICEF. Panorama de la seguridad alimentaria y nutricional en América Latina y el Caribe 2018. Santiago de Chile [internet]; 2018 [citado 2020 feb. 22]. Disponible en: http://www.fao.org/3/CA2127ES/ca2127es.pdf

Steiner JF, Stenmark SH, Sterrett AT, et al. Food insecurity in older adults in an integrated health care system. J Am Geriatr Soc. 2018;66(5):1017-24. DOI: https://doi.org/10.1111/jgs.15285

Pooler JA, Hartline-Grafton H, DeBor M, et al. Food insecurity: A key social determinant of health for older adults. J Am Geriatr Soc. 2019;67(3):421-4. DOI: https://doi.org/10.1111/jgs.15736

Nord M. Food security rates are high for elderly households. Food Rev. 2002;25(2):19-24. DOI: https://doi.org/10.22004/ag.econ.234603

Ratcliffe C, McKernan M, Zhang S. How much does the supplemental nutrition assistance program reduce food insecurity? Am J Agric Econ. 2011;93(4):1082-98. DOI: https://doi.org/10.1093/ajae/aar026

Goldberg SL, Mawn BE. Predictors of food insecurity among older adults in the United States. Public Health Nurs. 2015;32(5):397-407. DOI: https://doi.org/10.1111/phn.12173

Lee JS, Frongillo EA. Factors associated with food insecurity among U.S. elderly persons: Importance of functional impairments. J Gerontol B Psychol Sci Soc Sci. 2001;56(2):S94-9. DOI: https://doi.org/10.1093/geronb/56.2.s94

Colombia, Ministerio del Trabajo. Programa de protección social al adulto mayor —Hoy Colombia Mayor—. Manual operativo, anexo técnico 2. Bogotá; [internet] 2015 [citado 2020 oct. 5]. Disponible en: https://www.fondodesolidaridadpensional.gov.co/manual-operativo/74-anexo-tecnico-no2-manual-operativo/file.html.

Dean WR, Sharkey JR, Johnson CM. Food insecurity is associated with social capital, perceived personal disparity, and partnership status among older and senior adults in a largely rural area of central Texas. J Nutr Gerontol Geriatr. 2011;30(2):169-86. DOI: https://doi.org/10.1080/21551197.2011.567955

Souza BF de, Marín-León L, et al. Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil. Rev Nutr. 2016;29(6):845-57. DOI: https://doi.org/10.1590/1678-98652016000600009

Chinnakali P, Upadhyay RP, Shokeen D, et al. Prevalence of household-level food insecurity and its determinants in an urban resettlement colony in north India. J Health Popul Nutr. 2014;32(2):227-36.

Gholami A, Sani TR, Askari M, et al. Food insecurity status and associated factors among rural households in north-east of Iran. Int J Prev Med. 2013;4(9):1018-24.

Birhane T, Shiferaw S, Hagos S, Mohindra KS. Urban food insecurity in the context of high food prices: A community based cross sectional study in Addis Ababa, Ethiopia. BMC Public Health. 2014;14:680. DOI: https://doi.org/10.1186/1471-2458-14-680

Marques, E., Reichenheim, M., De Moraes, C., Antunes, M., & Salles-Costa, R. (2015). Household food insecurity: A systematic review of the measuring instruments used in epidemiological studies. Public Health Nutrition, 18(5), 877-892. DOI:10.1017/S1368980014001050

Gajda R, Jeżewska-Zychowicz M. Elderly Perception of Distance to the Grocery Store as a Reason for Feeling Food Insecurity—Can Food Policy Limit This? Nutrients. 2020; 12(10): 3191. DOI: 10.3390/nu12103191

Published

2022-01-21

How to Cite

1.
Estrada Restrepo A, Giraldo Giraldo NA, Deossa Restrepo GC. Food Insecurity in Households Inhabited by Older Adults, Medellín, Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2022 Jan. 21 [cited 2025 Feb. 2];40(1):e342583. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/342583

Issue

Section

Salud de los adultos

Categories

Most read articles by the same author(s)