Influence of socio-economic and psychosocial factors on food insecurity and nutritional status of older adults in felda settlement in malaysia

Rohida Saleh Hudin, Suzana Shahar, Norhayati Ibrahim, Hanis Mastura Yahaya

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/Purpose: Older adults are at high risk of food insecurity and malnutrition. However, the magnitude of food insecurity and malnutrition and their associations with socio-economic and psychosocial factors among older adults especially in rural areas of Malaysia are yet to be discovered. Therefore, this study aimed to determine the association between socio-economic and psychosocial factors with food insecurity and among older adults people in a rural area of Malaysia, i.e. an agricultural settlement under the Felda Land Development Authority (FELDA). Methods: A total of 289 respondents were recruited with a mean age of 69.7 ± 6.0 years through random sampling. Household visits were conducted to get information on food insecurity, depressive symptoms, stress, social support and functional status using a standardized questionnaire and face-to-face interview. Anthropometric indicators including weight and height were measured. Results: Results indicated that the prevalence of food insecurity was 27.7% (22.4% in men and 29% in women). Mean Body Mass Index (BMI) was 25.1 ± 4.7 kg/m2 with men having a significantly lower BMI (23.1 ± 3.7 kg/m2) and majority of the respondents having normal body weight (40.8%) followed by overweight (36.7%). Risk factors of food insecurity were depressive symptoms [Odd Ratio (OR)=11.132], stress from family (OR=2.470) and BMI (OR=0.911) (p <0.05 for all parameters). Malnutrition as assessed using BMI was influenced by age (ß coefficient=-0.205), being women (ß coefficient=0.182) presence of depressive symptoms (ß coefficient=0.154) and food insecurity (ß coefficient=-0.140). Conclusions: In conclusion, about one third of the respondents experienced food insecurity. However, a substantial number of respondents were overweight. Psychosocial factors including stress and depressive symptoms increased the risk of food insecurity and malnutrition. There is a need to identify individuals at high risk of food insecurity and malnutrition and incorporate strategies and programmes to tackle these issues.

Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalJournal of Clinical Gerontology and Geriatrics
Volume8
Issue number1
DOIs
Publication statusPublished - 1 Mar 2017

Fingerprint

Food Supply
Malaysia
Nutritional Status
Economics
Psychology
Malnutrition
Body Mass Index
Depression
Odds Ratio
Ideal Body Weight
Social Support
Surveys and Questionnaires
Interviews
Weights and Measures

Keywords

  • Food insecurity
  • Malnutrition
  • Older adults
  • Psychosocial
  • Socio-economic

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

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title = "Influence of socio-economic and psychosocial factors on food insecurity and nutritional status of older adults in felda settlement in malaysia",
abstract = "Background/Purpose: Older adults are at high risk of food insecurity and malnutrition. However, the magnitude of food insecurity and malnutrition and their associations with socio-economic and psychosocial factors among older adults especially in rural areas of Malaysia are yet to be discovered. Therefore, this study aimed to determine the association between socio-economic and psychosocial factors with food insecurity and among older adults people in a rural area of Malaysia, i.e. an agricultural settlement under the Felda Land Development Authority (FELDA). Methods: A total of 289 respondents were recruited with a mean age of 69.7 ± 6.0 years through random sampling. Household visits were conducted to get information on food insecurity, depressive symptoms, stress, social support and functional status using a standardized questionnaire and face-to-face interview. Anthropometric indicators including weight and height were measured. Results: Results indicated that the prevalence of food insecurity was 27.7{\%} (22.4{\%} in men and 29{\%} in women). Mean Body Mass Index (BMI) was 25.1 ± 4.7 kg/m2 with men having a significantly lower BMI (23.1 ± 3.7 kg/m2) and majority of the respondents having normal body weight (40.8{\%}) followed by overweight (36.7{\%}). Risk factors of food insecurity were depressive symptoms [Odd Ratio (OR)=11.132], stress from family (OR=2.470) and BMI (OR=0.911) (p <0.05 for all parameters). Malnutrition as assessed using BMI was influenced by age ({\ss} coefficient=-0.205), being women ({\ss} coefficient=0.182) presence of depressive symptoms ({\ss} coefficient=0.154) and food insecurity ({\ss} coefficient=-0.140). Conclusions: In conclusion, about one third of the respondents experienced food insecurity. However, a substantial number of respondents were overweight. Psychosocial factors including stress and depressive symptoms increased the risk of food insecurity and malnutrition. There is a need to identify individuals at high risk of food insecurity and malnutrition and incorporate strategies and programmes to tackle these issues.",
keywords = "Food insecurity, Malnutrition, Older adults, Psychosocial, Socio-economic",
author = "Hudin, {Rohida Saleh} and Suzana Shahar and Norhayati Ibrahim and Yahaya, {Hanis Mastura}",
year = "2017",
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T1 - Influence of socio-economic and psychosocial factors on food insecurity and nutritional status of older adults in felda settlement in malaysia

AU - Hudin, Rohida Saleh

AU - Shahar, Suzana

AU - Ibrahim, Norhayati

AU - Yahaya, Hanis Mastura

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Background/Purpose: Older adults are at high risk of food insecurity and malnutrition. However, the magnitude of food insecurity and malnutrition and their associations with socio-economic and psychosocial factors among older adults especially in rural areas of Malaysia are yet to be discovered. Therefore, this study aimed to determine the association between socio-economic and psychosocial factors with food insecurity and among older adults people in a rural area of Malaysia, i.e. an agricultural settlement under the Felda Land Development Authority (FELDA). Methods: A total of 289 respondents were recruited with a mean age of 69.7 ± 6.0 years through random sampling. Household visits were conducted to get information on food insecurity, depressive symptoms, stress, social support and functional status using a standardized questionnaire and face-to-face interview. Anthropometric indicators including weight and height were measured. Results: Results indicated that the prevalence of food insecurity was 27.7% (22.4% in men and 29% in women). Mean Body Mass Index (BMI) was 25.1 ± 4.7 kg/m2 with men having a significantly lower BMI (23.1 ± 3.7 kg/m2) and majority of the respondents having normal body weight (40.8%) followed by overweight (36.7%). Risk factors of food insecurity were depressive symptoms [Odd Ratio (OR)=11.132], stress from family (OR=2.470) and BMI (OR=0.911) (p <0.05 for all parameters). Malnutrition as assessed using BMI was influenced by age (ß coefficient=-0.205), being women (ß coefficient=0.182) presence of depressive symptoms (ß coefficient=0.154) and food insecurity (ß coefficient=-0.140). Conclusions: In conclusion, about one third of the respondents experienced food insecurity. However, a substantial number of respondents were overweight. Psychosocial factors including stress and depressive symptoms increased the risk of food insecurity and malnutrition. There is a need to identify individuals at high risk of food insecurity and malnutrition and incorporate strategies and programmes to tackle these issues.

AB - Background/Purpose: Older adults are at high risk of food insecurity and malnutrition. However, the magnitude of food insecurity and malnutrition and their associations with socio-economic and psychosocial factors among older adults especially in rural areas of Malaysia are yet to be discovered. Therefore, this study aimed to determine the association between socio-economic and psychosocial factors with food insecurity and among older adults people in a rural area of Malaysia, i.e. an agricultural settlement under the Felda Land Development Authority (FELDA). Methods: A total of 289 respondents were recruited with a mean age of 69.7 ± 6.0 years through random sampling. Household visits were conducted to get information on food insecurity, depressive symptoms, stress, social support and functional status using a standardized questionnaire and face-to-face interview. Anthropometric indicators including weight and height were measured. Results: Results indicated that the prevalence of food insecurity was 27.7% (22.4% in men and 29% in women). Mean Body Mass Index (BMI) was 25.1 ± 4.7 kg/m2 with men having a significantly lower BMI (23.1 ± 3.7 kg/m2) and majority of the respondents having normal body weight (40.8%) followed by overweight (36.7%). Risk factors of food insecurity were depressive symptoms [Odd Ratio (OR)=11.132], stress from family (OR=2.470) and BMI (OR=0.911) (p <0.05 for all parameters). Malnutrition as assessed using BMI was influenced by age (ß coefficient=-0.205), being women (ß coefficient=0.182) presence of depressive symptoms (ß coefficient=0.154) and food insecurity (ß coefficient=-0.140). Conclusions: In conclusion, about one third of the respondents experienced food insecurity. However, a substantial number of respondents were overweight. Psychosocial factors including stress and depressive symptoms increased the risk of food insecurity and malnutrition. There is a need to identify individuals at high risk of food insecurity and malnutrition and incorporate strategies and programmes to tackle these issues.

KW - Food insecurity

KW - Malnutrition

KW - Older adults

KW - Psychosocial

KW - Socio-economic

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