Food Insecurity in Older Adults in Canada and the United States: A Concept Analysis
Publication: Canadian Journal of Dietetic Practice and Research
21 July 2021
Abstract
A concept analysis using the method of Walker and Avant was undertaken to clarify the concept of food insecurity in older adults in Canada and the United States. A literature review was undertaken to conduct a concept analysis of food insecurity in older people. Food insecurity is associated with multiple negative health outcomes and may be experienced differently by older adults as compared to younger adults. It is therefore important to understand the concept of food insecurity as is relates to older adults. Four defining attributes of food insecurity in older adults in Canada and the United States were identified: (i) inability to acquire or prepare enough food, (ii) compromising on food quality or preference, (iii) uncertainty or anxiety around the ability to acquire or prepare food, and (iv) socially unacceptable or non-normative practices. These attributes may allow for improved policies and programs aimed at addressing food insecurity in older adults by better meeting the needs of older individuals. Additional research into food insecurity as experienced by Canadian and American older adults could help to further clarify the concept.
Résumé
Une analyse de concept basée sur la méthode de Walker et Avant a été menée pour clarifier le concept de l’insécurité alimentaire chez les aînés au Canada et aux États-Unis. Une revue de littérature a été entreprise afin d’analyser le concept de l’insécurité alimentaire chez les aînés. L’insécurité alimentaire est associée à de multiples effets négatifs sur la santé et peut être vécue différemment par les aînés comparativement aux plus jeunes adultes. Il est donc important de comprendre le concept d’insécurité alimentaire telle que vécue par les aînés. Quatre caractéristiques définissant l’insécurité alimentaire chez les aînés au Canada et aux États-Unis ont été identifiées : (i) l’incapacité de se procurer ou de préparer assez de nourriture, (ii) les compromis sur la qualité ou les préférences alimentaires, (iii) l’incertitude ou l’anxiété quant à la capacité de se procurer ou de préparer de la nourriture, et (iv) les pratiques socialement inacceptables ou hors-norme. La définition de ces caractéristiques pourrait permettre d’améliorer les politiques et les programmes visant à lutter contre l’insécurité alimentaire chez les aînés en répondant mieux à leurs besoins. Des recherches supplémentaires sur l’insécurité alimentaire que vivent les aînés au Canada et aux États-Unis pourraient contribuer à clarifier davantage ce concept.
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Financial support: Christine Mills is supported by a Queen Elizabeth II Graduate Scholarship in Science and Technology.
Conflicts of interest: The author declares that she has no competing interests.
References
1
Power E, St-Germain A-AF, Vanderkooy P. Prevalence, severity and impact of household food insecurity: a serious public health issue. Dietitians of Canada; 2016 [cited 2019 Oct 9]. Available from: https://www.dietitians.ca/DietitiansOfCanada/media/Documents/Resources/HFI-Background-DC-FINAL.pdf.
2
Tarasuk V, Mitchell A, Dachner N. Household food insecurity in Canada, 2014. Toronto, ON: Research to identify policy options to reduce food insecurity (PROOF); 2016 [cited 2019 Oct 9]. Available from: https://proof.utoronto.ca/resources/proof-annual-reports/annual-report-2014/.
3
Tarasuk V, Mitchell A. Household food insecurity in Canada, 2017–2018. Toronto, ON: Research to identify policy options to reduce food insecurity (PROOF); 2020 [cited 2020 Oct 13]. Available from: https://proof.utoronto.ca/resources/proof-annual-reports/household-food-insecurity-in-canada-2017-2018/.
4
Lee JS and Frongillo EA. Nutritional and health consequences are associated with food insecurity among U.S. elderly persons. J Nutr. 2001;131(5):1503–9.
5
Wolfe WS, Frongillo EA, and Valois P. Understanding the experience of food insecurity by elders suggests ways to improve its measurement. J Nutr. 2003;133(9):2762–9.
6
Quandt SA, Arcury TA, McDonald J, Bell RA, and Vitolins MZ. Meaning and management of food security among rural elders. J Appl Gerontol. 2001;20(3):356–76.
7
Duerr L. Prevalence of food insecurity and comprehensiveness of its measurement for older adult congregate meals program participants. J Nutr Elder. 2007;25(3–4):121–46.
8
Gualtieri MC and Donley AM. Senior hunger: the importance of quality assessment tools in determining need. J Appl Soc Sci. 2016;10(1):8–21.
9
Frongillo EA and Horan CM. Hunger and aging. Generations. 2004;28(3):28–33.
10
Wolfe WS, Olson CM, Kendall A, and Frongillo EA. Hunger and food insecurity in the elderly. J Aging Health. 1998;10(3):327–50.
11
Sharkey JR. Nutrition risk screening: the interrelationship of food insecurity, food intake, and unintentional weight change among homebound elders. J Nutr Elder. 2004;24(1):19–34.
12
Hupcey JE and Penrod J. Concept analysis: examining the state of the science. Res Theory Nurs Pract. 2005;19(2):197–208.
13
Foley AS and Davis AH. A guide to concept analysis. Clin Nurse Spec. 2017;31(2):70–3.
14
Walker LO, Avant KC. Concept analysis. In: Strategies for theory construction in nursing. 4th ed. Upper Saddle River, NJ: Pearson/Prentice Hall; 2005. p. 63–84.
15
Yazdani S, Hosseini F, and Ahmady S. System based practice: a concept analysis. J Adv Med Educ Prof. 2016;4(2):45–53.
16
Schroeder K and Smaldone A. Food insecurity: a concept analysis. Nurs Forum. 2015;50:274–84.
17
Tarasuk V and Vogt J. Household food insecurity in Ontario. Can J Public Health. 2009;100(3):184–8.
18
Roshanafshar S, Hawkins E. Food insecurity in Canada. Health at a glance. Catalogue No. 82-624-X. Statistics Canada; 2015 Sep.
19
Leroux J. Household food insecurity among older people in Canada: the exploration of a public health issue rendered invisible [dissertation]. Kingston, ON: Queen’s University; 2018.
20
Leroux J, Morrison K, and Rosenberg M. Prevalence and predictors of food insecurity among older people in Canada. Int J Env Res Public Health. 2018;15(11):2511.
21
Johnson CM, Sharkey JR, and Dean WR. Indicators of material hardship and depressive symptoms among homebound older adults living in North Carolina. J Nutr Gerontol Geriatr. 2011;30(2):154–68.
22
Lee JS, Fischer JG, and Johnson MA. Food insecurity, food and nutrition programs, and aging: experiences from Georgia. J Nutr Elder. 2010;29(2):116–49.
23
Afulani P, Herman D, Coleman-Jensen A, and Harrison G. Food insecurity and health outcomes among older adults: the role of cost-related medication underuse. J Nutr Gerontol Geriatr. 2015;34(3):319–42.
24
Bhargava V, Lee JS, Jain R, Johnson MA, and Brown A. Food insecurity is negatively associated with home health and out-of-pocket expenditures in older adults. J Nutr. 2012;142(10):1888–95.
25
Nuopponen A. Methods of concept analysis—a comparative study. Part 1 of 3. LSP J. 2010;1(1):4–12.
26
Weaver K and Mitcham C. Nursing concept analysis in North America: state of the art. Nurs Philos. 2008;9(3):180–94.
27
Risjord M. Rethinking concept analysis. J Adv Nurs. 2009;65(3):684–91.
28
Taylor A, Hodgson D, Gee M, and Collins K. Compassion in healthcare: a concept analysis. J Radiother Pract. 2017;16:350–60.
29
Health Canada. Income-related household food security in Canada. Canadian Community Health Survey, Cycle 2.2, Nutrition (2004): income-related household food security in Canada; 2007 [cited 2019 Sep 20]. Available from: https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/fn-an/alt_formats/hpfb-dgpsa/pdf/surveill/income_food_sec-sec_alim-eng.pdf.
30
Ramage-Morin PL, Gilmour H, and Rotermann M. Nutritional risk, hospitalization and mortality among community-dwelling Canadians aged 65 or older. Health Rep. 2017;28(9):17–27.
31
Food and Agriculture Organization of the United Nations. Rome declaration on world food security. World Food Summit; 1996 [cited 2019 May 1]. Available from: http://www.fao.org/3/w3613e/w3613e00.htm.
32
FAO, IFAD, UNICEF, WFP, WHO. The state of food security and nutrition in the world 2020. Transforming food systems for affordable healthy diets; 2020 [cited 2020 Oct 13]. Available from: http://www.fao.org/3/ca9692en/online/ca9692en.html.
33
Guthrie JF and Lin B-HH. Overview of the diets of lower- and higher-income elderly and their food assistance options. J Nutr Educ Behav. 2002;34(Suppl. 1):S31–41.
34
Keller HH. Reliance on others for food-related activities of daily living. J Nutr Elder. 2005;25(1):43–59.
35
Kregg-Byers CM. Predictors of food security status in older adults living in the Northeast United States [dissertation]. Pittsburgh, PA: University of Pittsburgh; 2014.
36
Holben DH, Barnett MA, and Holcomb JP. Food insecurity is associated with health status of older adults participating in the commodity supplemental food program in a rural Appalachian Ohio county. J Hunger Environ Nutr. 2008;1(2):89–99.
37
Nord M. Measuring the food security of elderly persons. Fam Econ Nutr Rev. 2003;15(1):33–46.
38
Nord M. Food security rates are high for elderly households. Food Rev. 2002;25(2):19–24.
39
Pierce MB, Sheehan NW, and Ferris AM. Nutrition concerns of low-income elderly women and related social support. J Nutr Elder. 2002;21(3):37–53.
40
Lee JS, Johnson MA, and Brown A. Older Americans Act Nutrition Program improves participants’ food security in Georgia. J Nutr Gerontol Geriatr. 2011;30(2):122–39.
41
Montoya MF, Hite AW, Rohrbeck P, Bawa B, Akinwolemiwa OO, Benson AM, et al. Quality of diet related to food insecurity and food stamps use among older people. Ageing Res. 2011;2(1):e3.
42
Keller HH, Dwyer JJM, Senson C, Edwards V, and Edward G. A social ecological perspective of the influential factors for food access described by low-income seniors. J Hunger Environ Nutr. 2007;1(3):27–44.
43
Nord M and Kantor LS. Seasonal variation in food insecurity is associated with heating and cooling costs among low-income elderly Americans. J Nutr. 2006;136(11):2939–44.
44
Food and Agriculture Organization of the United Nations. Hunger and food insecurity; 2020 [cited 2020 Nov 16]. Available from: http://www.fao.org/hunger/en/.
45
Burris M, Kihlstrom L, Arce KS, Prendergast K, Dobbins J, McGrath E, et al. Food insecurity, loneliness, and social support among older adults. J Hunger Environ Nutr. 2021;16(1):29–44.
46
Dean WR, Sharkey JR, and Johnson CM. Food insecurity is associated with social capital, perceived personal disparity, and partnership status among older and senior adults in a largely rural area of central Texas. J Nutr Gerontol Geriatr. 2011;30(2):169–86.
47
Eggersdorfer M, Akobundu U, Bailey RL, Shlisky J, Beaudreault AR, Bergeron G, et al. Hidden hunger: solutions for America’s aging populations. Nutrients. 2018;10(9):1210.
48
Garcia SP, Haddix A, and Barnett K. Incremental health care costs associated with food insecurity and chronic conditions among older adults. Prev Chronic Dis. 2018;15(8):180058.
49
Jackson JA, Branscum A, Tang A, and Smit E. Food insecurity and physical functioning limitations among older U.S. adults. Prev Med Rep. 2019;14:100829.
50
Pooler JA, Hoffman VA, and Karva FJ. Primary care providers’ perspectives on screening older adult patients for food insecurity. J Aging Soc Policy. 2018;30(1):1–23.
51
Pooler JA, Hartline-Grafton H, Debor M, Sudore RL, and Seligman HK. Food insecurity: a key social determinant of health for older adults. J Am Geriatr Soc. 2019;67(3):421–4.
52
Ziliak JP, Gundersen C. The health consequences of senior hunger in the United States: evidence from the 1999–2014 NHANES; 2017 [cited 2021 Mar 11]. Available from: http://ukcpr.org/sites/ukcpr/files/research-pdfs/health-consequences-of-senior-hunger-in-the-united-states-1999-2014.pdf.
53
Hall B and Brown JL. Food security among older adults in the United States. Top Clin Nutr. 2005;20(4):329–38.
54
Lee JS and Frongillo EA Jr. Understanding needs is important for assessing the impact of food assistance program participation on nutritional and health status in U.S. elderly persons. J Nutr. 2001;131(3):765–73.
55
Lee JS, Frongillo EA Jr, and Frongillo EA. Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol B Psychol Sci Soc Sci. 2001;56(2):S94–9.
56
Gergerich E, Shobe M, and Christy K. Sustaining our nation’s seniors through federal food and nutrition programs. J Nutr Gerontol Geriatr. 2015;34(3):273–91.
57
Schroeder EB, Zeng C, Sterrett AT, Kimpo TK, Paolino AR, and Steiner JF. The longitudinal relationship between food insecurity in older adults with diabetes and emergency department visits, hospitalizations, hemoglobin A1c, and medication adherence. J Diabetes Complicat. 2019;33(4):289–95.
58
Steiner JF, Stenmark SH, Sterrett AT, Paolino AR, Stiefel M, Gozansky WS, et al. Food insecurity in older adults in an integrated health care system. J Am Geriatr Soc. 2018;66(5):1017–24.
59
McIntyre L, Kwok C, Emery JC, and Dutton DJ. Impact of a guaranteed annual income program on Canadian seniors’ physical, mental and functional health. Can J Public Health. 2016;107(2):e176–82.
60
Bergmans RS and Wegryn-Jones R. Examining associations of food insecurity with major depression among older adults in the wake of the Great Recession. Soc Sci Med. 2020;258:113033.
61
Caouette S, Boss L, and Lynn M. The relationship between food insecurity and cost-related medication nonadherence in older adults: a systematic review. Am J Nurs. 2020;120(6):24–36.
62
Emery JC, Fleisch VC, and McIntyre L. Legislated changes to federal pension income in Canada will adversely affect low income seniors’ health. Prev Med. 2013;57(6):963–66.
63
Green-Lapierre RJ, Williams PL, Glanville NT, Norris D, Hunter HC, and Watt CG. Learning from “knocks in life”: food insecurity among low-income lone senior women. J Aging Res. 2012;2012:450630.
64
McIntyre L, Dutton DJ, Kwok C, and Emery JC. Reduction of food insecurity among low-income Canadian seniors as a likely impact of a guaranteed annual income. Can Public Policy. 2016;42(3):274–86.
65
Anderson SA. Core indicators of nutritional state for difficult-to-sample populations. J Nutr. 1990;120:1559–600.
66
Holben DH. Position of the American Dietetic Association: food insecurity in the United States. J Am Diet Assoc. 2010;110(9):1368–77.
67
Ahn S, Smith ML, Hendricks M, and Ory MG. Associations of food insecurity with body mass index among baby boomers and older adults. Food Secur. 2014;6(3):423–33.
68
Bengle R, Sinnett S, Johnson T, Johnson MA, Brown A, and Lee JS. Food insecurity is associated with cost-related medication non-adherence in community-dwelling, low-income older adults in Georgia. J Nutr Elder. 2010;29(2):170–91.
69
Bhargava V and Lee JS. Food insecurity and health care utilization among older adults in the United States. J Nutr Gerontol Geriatr. 2016;35(3):177–92.
70
Brewer DP, Catlett CS, Porter KN, Lee JS, Hausman DB, Reddy S, et al. Physical limitations contribute to food insecurity and the food insecurity-obesity paradox in older adults at senior centers in Georgia. J Nutr Elder. 2010;29(2):150–69.
71
Carlson G. Food insecurity and the elder male: exploring the gap from needing food to the utilization of assistance programs [dissertation]. Cedar Falls, IA: University of Northern Iowa; 2017.
72
Chang Y and Hickman H. Food insecurity and perceived diet quality among low-income older Americans with functional limitations. J Nutr Educ Behav. 2018;50(5):476–84.
73
Frongillo EA. Advancing knowledge of how and why food insecurity is associated with poor well-being in families and individuals across the life course. J Acad Nutr Diet. 2019;119(10):1621–2.
74
Frongillo E, Valois P, and Wolfe W. Using a concurrent events approach to understand social support and food insecurity among elders. Fam Econ Nutr Rev. 2003;15(1):25–32.
75
Frongillo EA, Cantor MH, MacMillan T, Issacman TD, Sherrow R, Henry M, et al. Who are the recipients of Meals-on-Wheels in New York City? A profile of based on a representative sample of Meals-on-Wheels recipients, Part II. Care Manag J. 2010;11(2):129–39.
76
Goldberg SL. Food insecurity among older adults: a social ecological approach [dissertation]. Lowell, MA: University of Massachusetts Lowell; 2013.
77
Goldberg SL and Mawn BE. Predictors of food insecurity among older adults in the United States. Public Health Nurs. 2015;32(5):397–407.
78
Green RJ, Williams PL, Johnson CS, and Blum I. Can Canadian seniors on public pensions afford a nutritious diet? Can J Aging. 2008;27(1):69–79.
79
Green R. Accessing nutritious food: the realities of lone senior women in urban Nova Scotia [dissertation]. Halifax, NS: Mount Saint Vincent University; 2008.
80
Gualtieri MC. The golden years or an age of insecurity?: the experiences of food insecurity among grandfamilies [dissertation]. Raleigh, NC: North Carolina State University; 2019.
81
Hinds HE. The relationships between food insecurity and iron, folate and vitamin B (12) status in the elderly [dissertation]. Washington, DC: Howard University; 2006.
82
Lee JS. Food insecurity and healthcare costs: research strategies using local, state, and national data sources for older adults. Adv Nutr. 2013;4(1):42–50.
83
Pak TY and Kim G. Food stamps, food insecurity, and health outcomes among elderly Americans. Prev Med. 2020;130:105871.
84
Quandt SA and Rao P. Hunger and food security among older adults in a rural community. Hum Organ. 1999;58(1):28–35.
85
Rinehart SW, Folliard JN, and Raimondi MP. Building a connection between senior hunger and health outcomes. J Acad Nutr Diet. 2016;116(5):759–63.
86
Wolfe WS, Olson CM, Kendall A, and Frongillo EA. Understanding food insecurity in the elderly: a conceptual framework. J Nutr Educ. 1996;28(2):92–100.
87
Sattler EL, Lee JS, and Bhargava V. Food insecurity and medication adherence in low-income older Medicare beneficiaries with type 2 diabetes. J Nutr Gerontol Geriatr. 2014;33(4):401–17.
88
Woltil J. The impact of emotional social support on elders’ food security. Sociation Today. 2012;10(2):1–22.
89
Health Canada. Household food insecurity in Canada: overview; 2020 [cited 2020 Apr 30]. Available from: https://www.canada.ca/en/health-canada/services/food-nutrition/food-nutrition-surveillance/health-nutrition-surveys/canadian-community-health-survey-cchs/household-food-insecurity-canada-overview.html.
90
United States Department of Agriculture: Economic Research Service. Food security in the U.S.; 2020 [cited 2020 Apr 30]. Available from: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/.
91
Frith E and Loprinzi PD. Food insecurity and cognitive function in older adults: brief report. Clin Nutr. 2018;37(5):1765–8.
92
Jih J, Stijacic-Cenzer I, Seligman HK, Boscardin WJ, Nguyen TT, and Ritchie CS. Chronic disease burden predicts food insecurity among older adults. Public Health Nutr. 2018;21(9):1737–42.
93
Portela-Parra ET and Leung CW. Food insecurity is associated with lower cognitive functioning in a national sample of older adults. J Nutr. 2019;149(10):1812–7.
94
Strickhouser S, Wright JD, Donley AM. Food insecurity among older adults: a report submitted to AARP Foundation. 2015 update. Washington, DC: AARP Foundation; 2015.
95
Duerr L. Food security status of older adult home-delivered meals program participants and components of its measurement. J Nutr Elder. 2006;26(1–2):1–26.
96
Keller HH, Dwyer JJM, Edwards V, Senson C, and Edward HG. Food security in older adults: community service provider perceptions of their roles. Can J Aging/La Rev Can du Vieil. 2007;26(4):317–28.
97
O’Dare Wilson K. Community food environments and healthy food access among older adults: a review of the evidence for the Senior Farmers’ Market Nutrition Program (SFMNP). Soc Work Health Care. 2017;56(4):227–43.
98
Bergmans RS. Food insecurity transitions and smoking behavior among older adults who smoke. Prev Med. 2019;126:105784.
99
Pirrie M, Harrison L, Angeles R, Marzanek F, Ziesmann A, and Agarwal G. Poverty and food insecurity of older adults living in social housing in Ontario: a cross-sectional study. BMC Public Health. 2020;20(1):1320.
100
Redmond ML, Dong F, Goetz J, Jacobson LT, and Collins TC. Food insecurity and peripheral arterial disease in older adult populations. J Nutr Health Aging. 2016;20(10):989–95.
101
Sattler ELP and Lee JS. Persistent food insecurity is associated with higher levels of cost-related medication nonadherence in low-income older adults. J Nutr Gerontol Geriatr. 2013;32(1):41–58.
102
Torres-Gil FM. Malnutrition and hunger in the elderly. Nutr Rev. 1996;54(1 Pt 2):S7–8.
103
Vieira ER, Vaccaro JA, Zarini GG, and Huffman FG. Health indicators of US older adults who received or did not receive meals funded by the Older Americans Act. J Aging Res. 2017 Oct; 2017:2160819.
104
Wellman NS, Weddle DO, Kranz S, and Brain CT. Elder insecurities: poverty, hunger, and malnutrition. J Am Diet Assoc. 1997;97(10 Suppl. 2):S120–2.
105
Wright L, Vance L, Sudduth C, and Epps JB. The impact of a home-delivered meal program on nutritional risk, dietary intake, food security, loneliness, and social well-being. J Nutr Gerontol Geriatr. 2015;34(2):218–27.
106
Ziliak JP, Gundersen C. The state of senior hunger in America 2018: an annual report; 2018 [cited 2020 Oct 30]. Available from: https://www.feedingamerica.org/sites/default/files/2019-05/state-of-senior-hunger-2017_full-report.pdf.
107
Fitzpatrick K, Greenhalgh-Stanley N, and Ver Ploeg M. The impact of food deserts on food insufficiency and SNAP participation among the elderly. Am J Agric Econ. 2016;98(1):19–40.
108
Chung WT, Gallo WT, Canavan ME, Parikh NS, and Fahs MC. Linking neighborhood characteristics to food insecurity in older adults: the role of perceived safety, social cohesion, and walkability. J Urban Health. 2012;89(3):407–18.
109
Kamp BJ, Wellman NS, and Russell C. Position of the American Dietetic Association, American Society for Nutrition, and Society for Nutrition Education: food and nutrition programs for community-residing older adults. J Nutr Educ Behav. 2010;42(2):72–82.
110
Food Research & Action Center. Hunger is a health issue for older adults: food security, health, and the federal nutrition programs; 2019 [cited 2020 Oct 10]. Available from: https://frac.org/research/resource-library/hunger-is-a-health-issue-for-older-adults-food-security-health-and-the-federal-nutrition-programs.
111
Galson SK. Improving nutrition for older Americans. J Am Diet Assoc. 2009;109(10):1672.
112
Kim K and Frongillo EA. Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders. J Nutr. 2007;137(4):1005–10.
113
Klesges LM, Pahor M, Shorr RI, Wan JY, Williamson JD, and Guralnik JM. Financial difficulty in acquiring food among elderly disabled women: results from the Women’s Health and Aging Study. Am J Public Health. 2001;91(1):68–75.
114
Lyles CR, Schafer AL, and Seligman HK. Income, food insecurity, and osteoporosis among older adults in the 2007–2008 national health and nutrition examination survey (NHANES). J Health Care Poor Underserved. 2014;25(2):1530–41.
115
Mosen DM, Banegas MP, Friedman N, Shuster E, and Brooks N. Food insecurity associated with self-reported falls among Medicare Advantage members. Popul Health Manag. 2019;22(6):536–9.
116
Oemichen M and Smith C. Investigation of the food choice, promoters and barriers to food access issues, and food insecurity among low-income, free-living Minnesotan seniors. J Nutr Educ Behav. 2016;48(6):397–404.e1.
117
Yen PK. Nutrition. Hunger, politics, and the old. Geriatr Nurs. 1984;5(7):333–5.
118
Sharkey JR. Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and implications for service provision. Gerontologist. 2005;45(6):773–82.
119
Sahyoun N and Basiotis PP. Insight 18, May 2000. Food insufficiency and the nutritional status of the elderly population. Fam Econ Nutr Rev. 2001;13(2):58–60.
120
Sharkey JR and Schoenberg NE. Prospective study of Black-White differences in food insufficiency among homebound elders. J Aging Health. 2005;17(4):507–27.
121
Schiller CJ. Teaching concept analysis to graduate nursing students. Nurs Forum. 2018;53(2):248–54.
122
Radimer KL, Olson CM, Greene JC, Campbell CC, and Habicht J-P. Understanding hunger and developing indicators to assess it in women and children. J Nutr Educ. 1992;24(1):36S–44S.
123
Gundersen C, Tarasuk V, Cheng J, de Oliveira C, and Kurdyak P. Food insecurity status and mortality among adults in Ontario, Canada. PLoS ONE. 2018;13(8):e0202642.
124
Government of Canada. Determining food security status; 2020 [cited 2020 Nov 3]. Available from: https://www.canada.ca/en/health-canada/services/food-nutrition/food-nutrition-surveillance/health-nutrition-surveys/canadian-community-health-survey-cchs/household-food-insecurity-canada-overview/determining-food-security-status-food-nutrition-surveillance-health-canada.html.
125
Tarasuk V. Discussion paper on household and individual food insecurity; 2001 [cited 2019 Oct 2]. Available from: https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/fn-an/alt_formats/hpfb-dgpsa/pdf/nutrition/food_sec_entire-sec_aliments_entier-eng.pdf.
126
Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security, revised 2000. Measuring food security in the United States: reports of the federal interagency Food Security Measurement Project. Alexandria, VA: United States Department of Agriculture, Food and Nutrition Service; 2000.
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Canadian Journal of Dietetic Practice and Research
Volume 82 • Number 4 • December 2021
Pages: 200 - 208
Editor: Naomi Cahill Ph.D RD
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Christine MarieMillsRD, MPH, PhD (candidate). 2021. Food Insecurity in Older Adults in Canada and the United States: A Concept Analysis. Canadian Journal of Dietetic Practice and Research.
82(4): 200-208. https://doi.org/10.3148/cjdpr-2021-016
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