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Food Insecurity Among Older Adults: A Multilevel Analysis of State-Level Interventions.

Authors
  • Gaitán-Rossi, Pablo1
  • García-Appendini, Ida Caterina1
  • Félix-Beltrán, Lucía2
  • Vilar-Compte, Mireya1
  • 1 Universidad Iberoamericana, Ciudad de Mexico, Mexico. , (Mexico)
  • 2 University of California, Los Angeles, USA.
Type
Published Article
Journal
Journal of applied gerontology : the official journal of the Southern Gerontological Society
Publication Date
Feb 01, 2021
Volume
40
Issue
2
Pages
170–178
Identifiers
DOI: 10.1177/0733464819894233
PMID: 31838938
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Objective: To analyze whether state-level social programs for older adults (OAs) in Mexico are associated with a reduction: (a) in the prevalence of severe food insecurity (SFI) and (b) in the magnitude of the effect of municipal marginalization on SFI. Method: Cross-sectional study based on urban OAs (65-100 years) from the 2010 census. Three-level logistic multilevel regression models were estimated to explain SFI. Results: Controlling for individual and municipal characteristics, states with social programs for OAs are generally associated with lower SFI prevalences (odds ratio [OR] = 0.68 [0.48, 0.95]) and mitigate the effect of marginalization on SFI when compared with states with no programs. Compared with in-kind food programs and voucher-based programs, monetary transfers are associated with a significant reduction in SFI prevalence (OR = 0.68 [0.46, 0.99]). Conclusion: States with programs for OAs, mainly monetary transfers, are associated with lower SFI prevalences.

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