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Food insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3

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dc.contributor.authorFernandes, Simone G.
dc.contributor.authorRodrigues, Ana M.
dc.contributor.authorNunes, Carla
dc.contributor.authorSantos, Osvaldo
dc.contributor.authorGregório, Maria João
dc.contributor.authorSousa, Rute Dinis de
dc.contributor.authorDias, Sara
dc.contributor.authorCanhao, Helena
dc.date.accessioned2018-07-18T14:39:10Z
dc.date.available2018-07-18T14:39:10Z
dc.date.issued2018
dc.description© 2018 Fernandes, Rodrigues, Nunes, Santos, Gregório, de Sousa, Dias and Canhão. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.pt_PT
dc.description.abstractIntroduction: The public health problem of food insecurity also affects the elderly population. This study aimed to estimate the prevalence of household food insecurity and its associations with chronic disease and health-related quality of life characteristics in individuals ≥65 years of age living in the community in Portugal. Methods: The data were collected from the Epidemiology of Chronic Diseases Cohort Study 3 (EpiDoC3)—Promoting Food Security Study (2015–2016), which was the third evaluation wave of the EpiDoC and represented the Portuguese adult population. Food insecurity was assessed using a psychometric scale adapted from the Brazilian Food Insecurity Scale. The data on sociodemographic variables, chronic disease, and management of chronic disease were self-reported. Health-related quality of life were assessed using the European Quality of Life Survey (version validated for the Portuguese population). Logistic regression models were used to determine crude and adjusted odds ratios (for age group, gender, region, and education). The dependent variable was the perceived level of food security. Results: Among older adults, 23% were living in a food-insecure household. The odds of living in a food-insecure household were higher for individuals in the 70–74 years age group (odds ratio (OR) = 1.405, 95% confidence interval (CI) 1.392–1.417), females (OR = 1.545, 95% CI 1.534–1.556), those with less education (OR = 3.355, 95% CI 3.306–3.404), low income (OR = 4,150, 95% CI 4.091–4.210), and those reporting it was very difficult to live with the current income (OR = 16.665, 95% CI 16.482–16.851). The odds of having a chronic disease were also greater among individuals living in food-insecure households: diabetes mellitus (OR = 1.832, 95% CI 1.818–1.846), pulmonary diseases (OR = 1.628, 95% CI 1.606–1.651), cardiac disease (OR = 1.329, 95% CI 1.319–1.340), obesity (OR = 1.493, 95% CI 1.477–1.508), those who reduced their frequency of medical visits (OR = 4.381, 95% CI 4.334–4.428), and who stopped taking medication due to economic difficulties (OR = 5.477, 95% CI 5.422–5.532). Older adults in food-insecure households had lower health-related quality of life (OR = 0.212, 95% CI 0.210–0.214). Conclusions: Our findings indicated that food insecurity was significantly associated with economic factors, higher values for prevalence of chronic diseases, poor management of chronic diseases, and decreased health-related quality of life in older adults living in the community.pt_PT
dc.description.sponsorshipThis project was supported by a grant from the Public Health Initiatives Programme (PT06), financed by the EEA Grants Financial Mechanism 2009–2014pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFrontiers in Medicine July 2018 | Volume 5 | Article 203pt_PT
dc.identifier.doi10.3389/fmed.2018.00203pt_PT
dc.identifier.issn2296-858X
dc.identifier.urihttp://hdl.handle.net/10451/34241
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/journals/medicinept_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectFood insecuritypt_PT
dc.subjectChronic diseasespt_PT
dc.subjectQuality of lifept_PT
dc.subjectOlder adultspt_PT
dc.subjectManagement of chronic diseasespt_PT
dc.titleFood insecurity in older adults : results from the epidemiology of chronic diseases cohort study 3pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleFrontiers in Medicinept_PT
oaire.citation.volume5pt_PT
person.familyNameSantos
person.familyNameGregório
person.familyNameCanhao
person.givenNameOsvaldo
person.givenNameMaria João
person.givenNameHelena
person.identifier.ciencia-idD51D-547F-9D62
person.identifier.orcid0000-0002-0836-4314
person.identifier.orcid0000-0002-0380-7833
person.identifier.orcid0000-0002-3239-2809
person.identifier.scopus-author-id36504088600
person.identifier.scopus-author-id6602393492
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6819777d-2080-4708-8f20-0ce67c153687
relation.isAuthorOfPublication1f9b4a02-a604-4a55-b71f-f28d57a5f952
relation.isAuthorOfPublication48f3be39-37f9-44de-9c7e-22e49a89efe5
relation.isAuthorOfPublication.latestForDiscovery6819777d-2080-4708-8f20-0ce67c153687

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