Document Detail

Indicators of material hardship and depressive symptoms among homebound older adults living in north Carolina.
MedLine Citation:
PMID:  21598164     Owner:  NLM     Status:  In-Data-Review    
This study used the concept of material hardship to understand how unmet needs related to food, housing, and health influence depressive symptoms among homebound older adults (N = 345) in North Carolina. Using data from the Nutrition and Function Study, 37% reported high levels of depressive symptoms and 17.4% indicated not receiving needed health care. Approximately 10% of respondents were food insecure; 30.7% were at risk for food insecurity; and 39.7% reported having to choose between either food and medication or food and paying bills. Adjusted logistic regression model revealed that food insecurity status (OR = 4.9) and age 60-74 y (OR = 2.4) were significantly associated with a greater number of depressive symptoms. Other indicators of material hardship, such as having a major financial difficulty, unmet health need, and inadequate housing, were not significant. By far, food insecurity was the most salient influence on depressive symptoms. These findings have important implications for service providers, researchers, and policymakers.
Cassandra M Johnson; Joseph R Sharkey; Wesley R Dean
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of nutrition in gerontology and geriatrics     Volume:  30     ISSN:  2155-1200     ISO Abbreviation:  J Nutr Gerontol Geriatr     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-05-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101558292     Medline TA:  J Nutr Gerontol Geriatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  154-68     Citation Subset:  IM; N    
Program for Research in Nutrition and Health Disparities, Texas Healthy Aging Research Network (TxHAN) Collaborating Center, Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, College Station, Texas, USA.
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