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Journal of Aging and Health
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Prospective Study of Black-White Differences in Food Insufficiency Among Homebound Elders

Joseph R. Sharkey

School of Rural Public Health, Texas A&M University, System Health Science Center

Nancy E. Schoenberg

University of Kentucky

Objective: This study examines race differences in the association of sociodemographic and health-related characteristics with change in food sufficiency status over 1 year in homebound older adults.Method: Using sociodemographic and health-related data collected during two in-home assessments as part of the North Carolina Nutrition and Function Study, logistic regression models (binary and nominal outcomes) adjusted for covariates and examined the characteristics associated with 1-year change in risk (RFI) and presence (FI) of food insufficiency among a random sample of 268 home-delivered meals participants.Results: Not having enough money for food and having to prepare cheaper and smaller meals was associated with increased RFI and FI at 1 year; having to borrow money for food, loss of food stamps, and inadequate income increased the odds among Whites, and increased medication use among Blacks.Discussion: The findings suggest that race, independent of other characteristics, is associated with diminished food sufficiency over 1 year.

Key Words: food insufficiency • homebound elderly • health disparities • home-delivered meals

Journal of Aging and Health, Vol. 17, No. 4, 507-527 (2005)
DOI: 10.1177/0898264305279009
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