scholarly journals Food security and morbidity of elderly in disadvantaged rural Bangladesh

2014 ◽  
Vol 12 (1) ◽  
pp. 95-104
Author(s):  
MA Quddus ◽  
S Bauer

The study was undertaken to assess the food consumption level, prevalence of food insecurity and health status of elderly in the disadvantaged rural area of Bangladesh. Data were collected from fifteen villages in three vulnerable regions (river-flooded, hilly and coastal) through self-completed questionnaire. Descriptive statistics of sociodemographic characteristics of 282 households, food frequency and overall health status of elderly were measured. Economic, demographic and some other household characteristic factors influencing food insecurity of elderly people was estimated using binary logistic regression model. Socio-demographic factors influencing morbidity of elderly people were estimated using Chi-square statistics. Socioeconomic conditions of the studied areas were poor and they spent above 83% of their income for food. Rice, wheat, pulses and vegetables were the highly consumed and fruits and sweets were the less consumed foods by the elderly people. One-fourth and two-third of the elderly people had eaten fish and meat, respectively less than a week. Food insecurity was inversely associated with household income and level of education of elderly people and positively associated with number of household member. Food security was 3.5 times more likely to the oldest elder (75 years) as compared with older elder (< 75 years). Elderly people of age group 75 years and over were more prevalence of morbidities and 23.8% elders were suffering from severe morbidity. Also they suffered from treatment facilities. Higher age, low income, food insecurity and anxiety were the major causes of their morbidity. No significant morbidity differentials existed among different sexes, farm size and study locations. Proper intervention programs should be designed and implemented to control the prevalence of health and food availability for the elderly. DOI: http://dx.doi.org/10.3329/jbau.v12i1.21254 J. Bangladesh Agril. Univ. 12(1): 95-104, June 2014

2021 ◽  
Vol 6 (2) ◽  
pp. 263-276

In South Africa, food security at the household level is an issue still needing empirical attention. This study conducts an empirical analysis on the effect of household size, income of household head, gender of household head, location of the household, and distance from food markets on food security in the Gauteng Province of South Africa. A binary logistic regression model is estimated to analyze determinants of food security from 900 households randomly selected from three townships of Gauteng Province, South Africa. Data was collected using a survey questionnaire, with food security measured by the Household Food Insecurity Access Scale. This study shows that the income of the household head promotes food security while household size and location of the household contribute to food insecurity. Our results also show that the gender of the household head is essential in maintaining sustainable levels of food security. Furthermore, it was found that the distance from food markets neither makes households food secure nor insecure. This study validates that matriarchal households exhibited comparatively greater food security than male-headed households. The findings of this study are essential in formulating policy on food security in low-income areas.


2020 ◽  
Author(s):  
Luxue Liu ◽  
Chunlan Wang ◽  
Shangguang Yang ◽  
Kevin Lo ◽  
Xi Yang

Abstract Background: Given the growing healthcare demands of the elderly, an improved understanding of the factors influencing their healthcare-seeking behaviors is necessary to enhance the effectiveness of the current healthcare system. This study empirically investigates the factors influencing the elderly population’s healthcare-seeking behaviors in Shanghai, China, from a gender differences perspective.Methods: We combine both quantitative and qualitative analyses by constructing a binary logistic regression model and identifying the relevant influential factors based on the following types of dimensions: individual, family, and cultural.Results: The results indicate that gender differences exist in the elderly population with common diseases but not in those with severe diseases, and that the female elderly are more likely to choose non-tertiary hospitals than males. In addition, age, marital status, employment status, income, health conditions, medical insurance, family support, and social capital are found to be critical influencing factors.Conclusions: The findings provide a better understanding of the elderly population’s healthcare demands and can be used to promote healthcare equality.


Author(s):  
Ange Pacifique Mutanyagwa ◽  
Alida Isinika ◽  
Aloyce R. Kaliba

The study examined the factors that influence farmers’ choice of improved maize seed variety in Tanzania. Using purposive sampling data were collected from 930 households. The binary logistic regression model was used to choose respondent who had used improved maize seed from all seven agro-ecological zones of Mainland Tanzania. The results showed that agro-ecological zones, farm size, household size and yield positively influence the likelihood of farmers’ choice of improved maize seed varieties. Based on these findings, it is recommended that researchers and suppliers of seed should consider the attributes of farmers’ preference in the production of improved maize seeds and put more emphasis on facilitating the delivery of agricultural extension services for more effective uptake of agricultural technologies


Author(s):  
Siti Farhana Mesbah ◽  
Norhasmah Sulaiman ◽  
Zalilah Mohd Shariff ◽  
Zuriati Ibrahim

With the aging of the population worldwide, there is an increasing concern for the mental health status as well as physical health. Depression is a common mental health problem among the elderly populations. Since the elderly are susceptible to food insecurity, this cross-sectional study is aimed to determine an association between food insecurity and depression among elderly people. A total of 220 elderly people- aged 60 years and above, residing in the Petaling district of Selangor, were included in this study. Face-to-face interviews were conducted to obtain the pertinent information on demographic background, food security status (six items USDA FSSM), functional status (IADL, EMS), psychosocial status (LSNS-6), and depression status (GDS-15). Binary logistic regression was used to assess the factors that were associated with depression. The median age of the elderly sample was 65.5 years. The prevalence of depression and food insecurity that was recorded were 13.2% and 19.5%, respectively. Social isolation (AOR = 5.882, 95% CI: 2.221, 15.576), food insecurity (AOR = 3.539, 95% CI: 1.350, 9.279), and unsafe mobility (AOR= 3.729, 95% CI: 1.302, 10.683) increased the odds of depression. In conclusion, social isolation, food insecurity, and unsafe mobility are factors associated with depression among the elderly people. Plans such as health interventions as well as grocery and financial aid among the qualifying elderly are suggested to improve this depression and food insecurity.


2021 ◽  
Author(s):  
Hyuk Huh ◽  
Je Hun Song ◽  
Hong Yeop Kim ◽  
Hoseok Koo ◽  
Kyung Don Yoo

Abstract This study aimed to clarify the association between food security and the prevalence of chronic disease. We analyzed the variables of The Korea National Health and Nutrition Examination Survey V (2010–2012), and VI (2013–2015) while merging data of the food security questionnaire of four years. We included 15,945 participants, performed propensity score matched analysis by quartile of household income (i.e., low, low-mid, high-mid, high) and sex, and presented the results by age group. Systolic blood pressure and proportion of current smokers were significantly higher in the elderly group, compared with the middle-aged group. The prevalence of hypertension, diabetes mellitus (DM), metabolic syndrome, and chronic kidney disease (CKD) did not differ significantly by income level in the elderly group. The food security questionnaire revealed that food security insurance was significantly lower in the low-income level (1st quartile), compared with that in the high-income level (4th quartile). The logistic regression analysis for the association between the prevalence of chronic disease and food insecurity confirmed no significant association with hypertension and DM. Food insecurity might be associated with CKD prevalence, especially in the elderly population.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rana Rafat ◽  
Arezoo Rezazadeh ◽  
Pishva Arzhang ◽  
Abbas Alipourr

Purpose Elderly people are at higher risk of food insecurity because of limited or uncertain inaccessibility to adequate food supply. This is not only as a result of economic limitation but also as the outcome of the inability to intake food because of cognitive or functional impairment and health problems. Because of the lack of data about food insecurity and depression among the elderly population in Iran, this study was conducted to examine the relationship between socioeconomic factors and depression with food insecurity among the elderly population. Design/methodology/approach This cross-sectional study was performed in 2016 on 720 elderly people of Qarchak city that were selected by the proportional stratified sampling method. Food insecurity was evaluated using the FaCPS-FSSM food security questionnaire; Geriatric Depression Scale questionnaire to measure the score of depression and the socioeconomic questionnaire filled out during interviews. All statistical analyses were performed using the SPSS version 22 software. Findings Food insecurity was found in 396 (56.1%) of the elderly population. Food insecure elderly population had lower education (P < 0.001). While the percentage of educated individuals who were in food security was 53.2%, the percentage for not educated participants was 28.7%. Household economic status (P < 0.001). Data showed 64.6% of individuals with the normal economic condition were in food security, and the percent for the poor economic condition was 37.2%. Food insecurity was highly associated with depression in the elderly population (odds ratio: 4.76, 8.92 and 3.32 for mild, moderate and severe hunger, respectively, P < 0.001). Originality/value Food insecurity is related to low economic status and education. The results of this study indicated that food help from governmental organizations, charities and having health insurance may be associated with reduced risk of food insecurity in the elderly population and consequently lower depression prevalence among them.


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Oluwakemi Adeola Obayelu ◽  
Emem Ime Akpan

Food insecurity dynamics of rural households in Nigeria was assessed using a panel data. Results showed that 44.4% of households that were food secure in the first panel transited into food insecurity in the second panel, while 32.5% that were mildly food insecure transited into food security. Furthermore, 25.7% transited from moderate food insecurity to food security, while 38.2% transited from severe food insecurity to food security. About 35.1% of households were never food insecure; 11.4% exited food insecurity 28.0% entered food insecurity; while 25.48% remained always food insecure. Having primary education, secondary education, dependency ratio, household size, share of non-food expenditure and farm size explained food insecurity transition. However, the likelihood of a household being always food insecure was explained by gender, female-to-male-adult ratio, marital status, primary education, secondary education, dependency ratio, share of non-food expenditure, farm size, access to credit and access to remittance.


2021 ◽  
pp. 1-15
Author(s):  
Moses Mosonsieyiri Kansanga ◽  
Yujiro Sano ◽  
Isaac Bayor ◽  
Joseph Asumah Braimah ◽  
Abraham Marshall Nunbogu ◽  
...  

Abstract Food insecurity among elderly people is a major public health concern due to its association with several health conditions. Despite growing research and implementation of diverse income-based policy measures, food insecurity among elderly people remains a major policy issue in Canada. Additional research could inform food policy beyond strategies that target improving the financial resources of elderly people. Drawing data from the Canadian Community Health Survey (N = 24,930), we explored the correlates of food insecurity among older adults using negative log-log logistic regression techniques. Our findings show that certain categories of elderly people are more prone to food insecurity. These segments include seniors who are visible minorities (OR = 1.29, p < 0.01), live alone (OR = 1.13, p < 0.05), have a very weak sense of community belonging (OR = 1.40, p < 0.001), in poor physical health (OR = 1.20, p < 0.01), and those in lower age and income categories. These findings corroborate previous studies that demonstrate that food insecurity among elderly people is a complex phenomenon influenced by diverse socio-economic factors. In Canada, food security policies targeted at elderly people have largely prioritised poverty alleviation through income support programmes. While these programmes can improve the purchasing power of elderly people, they may not be sufficient in ensuring food security. There is a need to embrace and further investigate an integrated approach that pays attention to other contextual socio-economic dynamics.


2021 ◽  
Vol 13 (9) ◽  
pp. 5294
Author(s):  
Boglárka Anna Éliás ◽  
Attila Jámbor

For decades, global food security has not been able to address the structural problem of economic access to food, resulting in a recent increase in the number of undernourished people from 2014. In addition, the FAO estimates that the number of undernourished people drastically increased by 82–132 million people in 2020 due to the COVID-19 pandemic. To alleviate this dramatic growth in food insecurity, it is necessary to understand the nature of the increase in the number of malnourished during the pandemic. In order to address this, we gathered and synthesized food-security-related empirical results from the first year of the pandemic in a systematic review. The vast majority (78%) of the 51 included articles reported household food insecurity has increased (access, utilization) and/or disruption to food production (availability) was a result of households having persistently low income and not having an adequate amount of savings. These households could not afford the same quality and/or quantity of food, and a demand shortfall immediately appeared on the producer side. Producers thus had to deal not only with the direct consequences of government measures (disruption in labor flow, lack of demand of the catering sector, etc.) but also with a decline in consumption from low-income households. We conclude that the factor that most negatively affects food security during the COVID-19 pandemic is the same as the deepest structural problem of global food security: low income. Therefore, we argue that there is no need for new global food security objectives, but there is a need for an even stronger emphasis on poverty reduction and raising the wages of low-income households. This structural adjustment is the most fundamental step to recover from the COVID-19 food crises, and to avoid possible future food security crises.


Author(s):  
В.А. Белобородов ◽  
И.А. Степанов ◽  
А.В. Щербатых ◽  
И.И. Томашов ◽  
З.С. Саакян ◽  
...  

В отечественной и зарубежной специализированной литературе отсутствуют исследования, посвященные изучению факторов риска развития неблагоприятного исхода у пациентов старшей возрастной группы с инсультассоциированной нозокомиальной пневмонией. Цель исследования - изучение факторов риска развития неблагоприятного клинического исхода у пациентов пожилого и старческого возраста с нозокомиальной пневмонией на фоне ОНМК. В исследование были включены 247 пациентов пожилого и старческого возраста (139 мужчин, 108 женщин, средний возраст - 74,1±6,3 года), госпитализированных с признаками ОНМК по ишемическому или геморрагическому типу. Согласно модели бинарной логистической регрессии, статистически значимо ассоциированы с развитием неблагоприятного исхода у изучаемой группы респондентов следующие параметры: возраст свыше 75 лет (p=0,011), степень инвалидизации по шкале mRS 3 (р=0,009), а также уровень С-РБ >100 мг/л (р=0,023) и мочевины >7 ммоль/л (р=0,044). Для снижения частоты встречаемости неблагоприятного клинического исхода у пациентов старшей возрастной группы с инсульт-ассоциированной нозокомиальной пневмонией необходимо верифицировать перечисленные выше клинико-лабораторные параметры на ранних этапах госпитализации. In the domestic and foreign specialized literature, there are no studies devoted to the study of risk factors of mortality in the older age patients with stroke-associated nosocomial pneumonia. The purpose of the study was to study the risk factors of adverse clinical outcomes in elderly and senile patients with stroke-associated nosocomial pneumonia. The study included 247 elderly and senile patients (139 men, 108 women, mean age - 74,1±6,3 years) who were hospitalized with signs of ischemic or hemorrhagic stroke. According to the binary logistic regression model, the following parameters are statistically significantly associated with adverse clinical outcomes in the studied group of respondents: age over 75 years (p=0.011), degree of disability according to mRS ≥3 (p=0,009), and C-reactive protein levels over 100 mg/l (p=0,023) and urea more than 7 mmol/l (p=0,044). In order to reduce the incidence of adverse clinical outcomes in patients of the older age group with stroke-associated nosocomial pneumonia, it is necessary to verify the above clinical and laboratory parameters at the early stages of hospitalization.


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