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RESEARCH PRODUCT
Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries: The role of mental health conditions
Jae Il ShinIgor GrabovacLouis JacobLee SmithGuillermo F. López-sánchezYvonne BarnettPinar SoysalHans OhNicola VeroneseAi Koyanagisubject
MaleAgingHealth (social science)*Low- and middle-income countriesPsychological interventionLogistic regressionFood SupplyOdds03 medical and health sciencesOlder adults.0302 clinical medicineFall-related injuryEnvironmental health*Fall-related injuryPrevalenceHumansMedicine030212 general & internal medicineDeveloping CountriesDepression (differential diagnoses)Aged*Older adults2. Zero hungerLow- and middle-income countries030214 geriatricsFood insecuritybusiness.industry[SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontologyConfoundingCognitionMESH: Accidental Falls Aged Cross-Sectional Studies Developing Countries Female Food Insecurity Food Supply Humans Male Mental Health PrevalenceMental health3. Good healthCross-Sectional StudiesMental HealthLow- and middle-income countrie*Food insecurityOlder adultsAnxietyAccidental FallsFemaleGeriatrics and Gerontologymedicine.symptombusinessGerontologyThe role of mental health conditions.- Archives of gerontology and geriatrics cilt.96 ss.104438 2021 [Smith L. Shin J. I. López-Sánchez G. F. Veronese N. Soysal P. Oh H. Grabovac I. Barnett Y. Jacob L. Koyanagi A. -Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries]description
Purpose:\ud \ud We investigated the association between food insecurity and fall-related injury among older adults from six low- and middle-income countries (LMICs), and the extent to which this association is mediated by mental health.\ud \ud Methods:\ud \ud Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression analysis and mediation analysis were conducted to assess associations.\ud \ud Results:\ud \ud Data on 14,585 adults aged ≥65 years [mean (SD) age 72.5 (11.5) years; 54.9% females] were analyzed. After adjustment for potential confounders, severe food insecurity (versus no food insecurity) was associated with 1.95 (95%CI = 1.11–3.41) times higher odds for fall-related injury. Moderate food insecurity was not significantly associated with fall-related injury (OR = 1.34; 95%CI = 0.81–2.25). The mediation analysis showed that 37.3%, 21.8%, 17.7%, and 14.0% of the association between severe food insecurity and fall-related injury was explained by anxiety, sleep problems, depression, and cognition, respectively.\ud \ud Conclusion:\ud \ud Severe food insecurity was associated with higher odds for injurious falls among older adults in LMICs, and a large proportion of this association may be explained by mental health complications. Interventions to improve mental health among those who are food insecure and a strong focus on societal and government efforts to reduce food insecurity may contribute to a decrease in injurious falls.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-09-01 |