The Relationship between Political, Economic, Social, and Cultural Vulnerability and Food Insecurity among Adults Aged 50 Years and Older

Patrick J Brady; Natoshia M Askelson; Sato Ashida; Faryle Nothwehr; Brandi Janssen; David Frisvold

doi:10.3390/nu13113896

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The Relationship between Political, Economic, Social, and Cultural Vulnerability and Food Insecurity among Adults Aged 50 Years and Older

Journal article

Open access

Peer reviewed

The Relationship between Political, Economic, Social, and Cultural Vulnerability and Food Insecurity among Adults Aged 50 Years and Older

Patrick J Brady, Natoshia M Askelson, Sato Ashida, Faryle Nothwehr, Brandi Janssen and David Frisvold

Nutrients, Vol.13(11), p.3896

10/29/2021

DOI: 10.3390/nu13113896

PMCID: PMC8618552

PMID: 34836150

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Abstract

Individuals experience food insecurity when they worry about or have limited access to nutritious foods. Food insecurity negatively impacts older adults' health. Social exclusion is a theoretical framework describing how unequal access to rights, resources, and capabilities results in political, economic, social, and cultural vulnerability, which leads to health disparities. We used the Health and Retirement Study to cross-sectionally examine associations between vulnerability and experiencing food insecurity in adults 50 years and older using the social exclusion framework. We tested the association between experiencing food insecurity and indicators of political, economic, social, and cultural vulnerability using logistic regression controlling for demographic and health-related factors. Analyses were performed with all respondents and sub-group of respondents with incomes less than 400% of the federal poverty level (FPL). Assets (OR = 0.97 in both samples), income (OR = 0.85, 0.80 in 400% FPL sub-sample), perceived positive social support from other family (OR = 0.86, 0.84 in 400% FPL sub-sample), and perceived everyday discrimination (OR = 1.68, 1.82 in 400% FPL sub-sample) were significantly associated with food insecurity. Perceived positive social support from spouses, children, or friends and U.S. citizenship status were not significantly associated with food insecurity. Further research is needed to define and measure each dimension of vulnerability in the social exclusion framework. Interventions and policies designed to prevent food insecurity should address these vulnerabilities.

Citizenship

Culture

United States

Aged

Cross-Sectional Studies

Economic Status

Female

Food Insecurity

Humans

Income - statistics & numerical data

Male

Middle Aged

Odds Ratio

Politics

Social Status

Social Support

Social Vulnerability

Details

Title: Subtitle: The Relationship between Political, Economic, Social, and Cultural Vulnerability and Food Insecurity among Adults Aged 50 Years and Older
Creators: Patrick J Brady - Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Natoshia M Askelson - Health Policy Research Program, Public Policy Center, University of Iowa, 310 S Grand Ave., Iowa City, IA 52242, USA
Sato Ashida - Department of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N Riverside Drive, Iowa City, IA 52246, USA
Faryle Nothwehr - Department of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N Riverside Drive, Iowa City, IA 52246, USA
Brandi Janssen - Department of Occupational and Environmental Health, College of Public Health, University of Iowa, 145 N Riverside Drive, Iowa City, IA 52246, USA
David Frisvold - Social and Education Policy Research Program, Public Policy Center, University of Iowa, 310 S Grand Ave., Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Nutrients, Vol.13(11), p.3896
DOI: 10.3390/nu13113896
PMID: 34836150
PMCID: PMC8618552
NLM abbreviation: Nutrients
ISSN: 2072-6643
eISSN: 2072-6643
Grant note: T32 HL007741 / NHLBI NIH HHS N/A / University of Iowa Graduate & Professional Student Government N/A / University of Iowa College of Public Health Graduate Student Success Award R01 DK100281 / NIDDK NIH HHS T32DK083250 / NIDDK NIH HHS T32 DK083250 / NIDDK NIH HHS
Language: English
Date published: 10/29/2021
Academic Unit: Public Health Administration; Occupational and Environmental Health; Economics; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
Record Identifier: 9984215018702771

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