Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors

Objective: Food insecurity (FI) is a critical social determinant of poor psychosocial health. While data on the specific roles of sex and age in the FI-loneliness link among older adults are limited, the underlying mechanisms are largely unknown. This study examines the age-sex-specific associations...

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Autores: Gyasi RM, Aikins E, Hajek A, Opoku-Ware J, Osei BA, Kwabena-Adade J, Jacob L, Rahmati M, Dakurah G, Peltzer K
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p26680
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26680
Access Level:acceso abierto
Palabra clave:Food insecurity
Hunger
Perceived isolation
Social determinant of health
Older adults
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spelling Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factorsGyasi RMAikins EHajek AOpoku-Ware JOsei BAKwabena-Adade JJacob LRahmati MDakurah GPeltzer KFood insecurityHungerPerceived isolationSocial determinant of healthOlder adultsObjective: Food insecurity (FI) is a critical social determinant of poor psychosocial health. While data on the specific roles of sex and age in the FI-loneliness link among older adults are limited, the underlying mechanisms are largely unknown. This study examines the age-sex-specific associations of FI with loneliness among older adults in Ghana and quantifies the extent to which psychosomatic factors mediate the association. Methods: We analyzed cross-sectional data from the Aging, Health, Psychological, and Health-seeking Behavior Study in Ghana. The past 30-day FI was assessed using items on hunger and breakfast skipping frequency due to a lack of resources. We assessed loneliness severity with the University of California, Los Angeles 3-item Loneliness Scale. Multivariable OLS regressions and bootstrapping mediation analysis using the Hayes PROCESS macro plug-in were used to evaluate the associations. Results: We included 1,201 individuals aged >= 50 years (mean = 62.9 [SD = 11.9]; women = 63.3%). The prevalence of loneliness was 17.7%. The prevalence of moderate and severe FI was 44.0% and 8.5%, respectively. In the adjusted model, greater FI was significantly associated with loneliness severity (B = .22, SE = .029, p < .001). We found significant interactive effects of FI x age (B = -.17, SE = .023, p < .01) and FI x sex (B = -.28, SE = .036, p < .001) on loneliness. Thus, the FI-loneliness link was respectively more marked among women (B = .25, SE = .035, p < .001) and >= 65 age groups (B = .34, SE = .041, p < .001) than men (B = .16, SE = .051, p < .01) and those aged 50-64 (B = .22; SE = .040, p < .001). Finally, comorbid depression/anxiety (41.07%), hopelessness (48.6%), worthlessness (42.1%), functional limitations (8.2%), and pain severity (6.4%) mediated the FI-loneliness association. Conclusions: Age- and sex-specific associations between FI and loneliness exist among older Ghanaians. Addressing FI in concert with psychosomatic problems in older adults may contribute meaningfully to reducing loneliness in later life.ELSEVIER SCIENCE INC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26680JOURNAL OF NUTRITION HEALTH & AGINGISSN: 12797707ISSNe: 17604788reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p266802026-05-27T12:37:41Z
dc.title.none.fl_str_mv Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
title Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
spellingShingle Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
Gyasi RM
Food insecurity
Hunger
Perceived isolation
Social determinant of health
Older adults
title_short Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
title_full Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
title_fullStr Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
title_full_unstemmed Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
title_sort Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors
dc.creator.none.fl_str_mv Gyasi RM
Aikins E
Hajek A
Opoku-Ware J
Osei BA
Kwabena-Adade J
Jacob L
Rahmati M
Dakurah G
Peltzer K
author Gyasi RM
author_facet Gyasi RM
Aikins E
Hajek A
Opoku-Ware J
Osei BA
Kwabena-Adade J
Jacob L
Rahmati M
Dakurah G
Peltzer K
author_role author
author2 Aikins E
Hajek A
Opoku-Ware J
Osei BA
Kwabena-Adade J
Jacob L
Rahmati M
Dakurah G
Peltzer K
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Food insecurity
Hunger
Perceived isolation
Social determinant of health
Older adults
topic Food insecurity
Hunger
Perceived isolation
Social determinant of health
Older adults
description Objective: Food insecurity (FI) is a critical social determinant of poor psychosocial health. While data on the specific roles of sex and age in the FI-loneliness link among older adults are limited, the underlying mechanisms are largely unknown. This study examines the age-sex-specific associations of FI with loneliness among older adults in Ghana and quantifies the extent to which psychosomatic factors mediate the association. Methods: We analyzed cross-sectional data from the Aging, Health, Psychological, and Health-seeking Behavior Study in Ghana. The past 30-day FI was assessed using items on hunger and breakfast skipping frequency due to a lack of resources. We assessed loneliness severity with the University of California, Los Angeles 3-item Loneliness Scale. Multivariable OLS regressions and bootstrapping mediation analysis using the Hayes PROCESS macro plug-in were used to evaluate the associations. Results: We included 1,201 individuals aged >= 50 years (mean = 62.9 [SD = 11.9]; women = 63.3%). The prevalence of loneliness was 17.7%. The prevalence of moderate and severe FI was 44.0% and 8.5%, respectively. In the adjusted model, greater FI was significantly associated with loneliness severity (B = .22, SE = .029, p < .001). We found significant interactive effects of FI x age (B = -.17, SE = .023, p < .01) and FI x sex (B = -.28, SE = .036, p < .001) on loneliness. Thus, the FI-loneliness link was respectively more marked among women (B = .25, SE = .035, p < .001) and >= 65 age groups (B = .34, SE = .041, p < .001) than men (B = .16, SE = .051, p < .01) and those aged 50-64 (B = .22; SE = .040, p < .001). Finally, comorbid depression/anxiety (41.07%), hopelessness (48.6%), worthlessness (42.1%), functional limitations (8.2%), and pain severity (6.4%) mediated the FI-loneliness association. Conclusions: Age- and sex-specific associations between FI and loneliness exist among older Ghanaians. Addressing FI in concert with psychosomatic problems in older adults may contribute meaningfully to reducing loneliness in later life.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26680
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26680
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv JOURNAL OF NUTRITION HEALTH & AGING
ISSN: 12797707
ISSNe: 17604788
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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