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Quality of diet related to food insecurity and food stamps use among older people

机译：与粮食不安全和老年人使用食物券有关的饮食质量

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We explore the association between quality of diet and food security status among older persons. Cross-sectional survey of large national samples, from the National Health & Nutrition Examination Surveys (1988-1994 & 2001-2002), in the United States. A total of 5,039 and 2,040 men and women aged 60 and older, respectively. The dependent variable was the healthy eating index (HEI; 2000 and 2005) as a measure of diet quality. The independent variable of interest was food security status and was categorized as food secure, food insecurity receiving food stamps and food insecurity not receiving food stamps. In multivariate analyses, food insecure individuals not receiving food stamps had lower total HEI-2000 scores compared to food secure individuals (b=-3.91, SE=1.81, P=0.0310). Factors independently associated with high HEI (2000 or 2005) scores were female gender, being married, highly educated or wealthy, with very good/ excellent perceived health, or without functional limitations. Food secure individuals had better quality of diet than food insecure individuals. Among food insecure individuals, receiving food stamps was not associated with diet quality. Food insecure families with older individuals may need new methods of dissemination of food and nutrition programs – methods that yield positive and promising changes in the health status of this special population group.
机译：我们探讨了老年人的饮食质量与粮食安全状况之间的关联。来自美国国家健康与营养检查调查（1988-1994＆2001-2002）的大型国家样本横断面调查。 60岁及以上的男女分别为5,039和2,040。因变量是健康饮食指数（HEI; 2000和2005），作为饮食质量的量度。感兴趣的独立变量是粮食安全状况，被分类为粮食安全，接收粮食券的粮食不安全和没有粮食券的粮食不安全。在多变量分析中，与食物安全者相比，未获得食物券的食物不安全者的HEI-2000总得分较低（b = -3.91，SE = 1.81，P = 0.0310）。与高HEI（2000或2005）得分相关的独立因素是女性，已婚，受过高等教育或有钱，拥有良好/极佳的感知健康或没有功能限制。有粮食安全的人比没有粮食安全的人有更好的饮食质量。在食物不安全的人群中，领取食物券与饮食质量无关。粮食不安全，年龄较大的家庭可能需要传播粮食和营养计划的新方法，这些方法可以使这一特殊人群的健康状况发生积极而有希望的变化。

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