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Food insecurity and depressive symptoms of older adults living alone in South Korea

  • YOUNGMI KIM (a1), AELY PARK (a2) and KYEONGMO KIM (a1)

Abstract

In South Korea, the number of older adults living alone is rapidly increasing with the growth of the ageing population. Although there is some evidence of a link between financial strain and depression in this population, there is limited empirical evidence on the relationship between food insecurity and depression in older adults living alone despite the fact that they have a high prevalence of food insecurity and tend to seek food assistance. This study aims to investigate whether food insecurity explains depressive symptoms in Korean older adults living alone. We employed data from the Korea Welfare Panel Study collected from a large-scale national sample in South Korea. Our sample consisted of 815 older adults aged 65 or older who lived alone. Conducting ordinary least square regression analyses, we tested the main effect of food insecurity on depression and the interaction effect of food insecurity and low income. We found that the relationship between food insecurity and depressive symptoms differed by low-income status (b = 6.27, p = 0.047). The association was significant only in the low-income group (b = 1.37, p = 0.04). These findings suggest that protecting access to food may be a promising strategy to lessen depressive symptoms associated with financial strain among older adults living alone.

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Corresponding author

Address for correspondence: Aely Park, Department of Social Welfare, Ewha Womans University, 52 Ewha yeodae-Gil Seodaemun-Gu, Seoul, South Korea 120–750 E-mail: aely337@gmail.com

References

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Alley, D. E., Soldo, B. J., Pagan, J. A., McCabe, J., DeBlois, M., Field, S. H., Asch, D. A. and Cannuscio, C. 2009. Material resources and population health: disadvantages in health care, housing, and food among adults over 50 years of age. American Journal of Public Health, 99, 3, S693701.
Ban, J. H. 2011. Effects of household composition variety on income inequality. Social Welfare Policy, 38, 1, 85111.
Beverly, S. G. 2001. Measures of material hardship: rationale and recommendations. Journal of Poverty, 5, 1, 2341.
Bickel, G., Nord, M., Price, C., Hamilton, W. and Cook, J. 2000. Guide to Measuring Household Food Security. Office of Analysis, Nutrition, and Evaluation, United States Department of Agriculture, Washington DC. Available online at http://hungerfreecommunities.org/wp-content/uploads/2011/04/USDA-guide-to-measuring-food-security.pdf [Accessed 5 December 2017].
Cho, C. Y. 2013. A study on the depression and social support factors that influence suicide ideation among the elderly from an ecological perspective. Korean Journal of Care Management, 8, 121.
Chung, K., Oh, Y., Kang, E., Kim, J., Sun, W., Oh, M., Lee, Y., Hwang, N., Kim, K., Oh, S., Park, B., Shin, H. and Lee, K. 2014. A 2014 Survey on Older Adults. Korean Institute of Social and Health Affairs, Sejong, Korea.
Djernes, J. 2006. Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavica, 113, 5, 372–87.
German, L., Kahana, C., Rosenfeld, V., Zabrowsky, I., Wiezer, Z., Fraser, D. and Shahar, D. R. 2011. Depressive symptoms are associated with food insufficiency and nutritional deficiencies in poor community-dwelling elderly people. Journal of Nutrition and Health Aging, 15, 1, 38.
Gordon, D. 2006. The concept and measurement of poverty. In Pantazis, C., Gordon, D. and Levitas, R. (eds), Poverty and Social Exclusion in Britain. The Policy Press, Bristol, UK.
Hampton, T. 2007. Food insecurity harms health, wellbeing of millions in the United States. Journal of American Medical Association, 298, 16, 1851–3.
Han, H., Oh, E. and Joung, S. 2014. An analysis of variables related to financial satisfaction of one-person households. Financial Planning Review, 7, 1, 173–98.
Heflin, C. and Iceland, J. 2009. Poverty, material hardship, and depression. Social Science Quarterly, 90, 5, 1051–71.
Heflin, C. M., Siefert, K. and Williams, D. R. 2005. Food insufficiency and women's mental health: findings from a 3-year panel of welfare recipients. Social Science Medicine, 61, 9, 1971–82.
Hoe, M., Park, B. and Bae, S. 2015. Testing measurement invariance of the 11-item Korean Version CES-D Scale. Mental Health and Social Work, 43, 2, 313–39.
John, S. T., Blandfor, A. A. and Strain, L. A. 2006. Depressive symptoms among older adults in urban and rural areas. International Journal of Geriatric Psychiatry, 21, 12, 1175–80.
Johnson, C. M., Sharkey, J. R. and Dean, W. R. 2011. Indicators of material hardship and depressive symptoms among homebound older adults living in North Carolina. Journal of Nutrition and Gerontology and Geriatrics, 30, 2, 154–68.
Kim, J. S. and Shin, S. M. 2012. National Workfare Programs and Women's Working Poverty. Korean Women's Development Institute, Seoul.
Kim, K. and Frongillo, E. 2009. Patterns of food insecurity and participation in food assistance programmes over time in the elderly. Public Health Nutrition, 12, 11, 2113–9.
Kim, K. and Kim, M. 2009. Development and validation of food security measure. Korean Journal of Nutrition, 42, 4, 374–85.
Kim, K., Kim, M. K. and Shin, Y. J. 2009. Household food insecurity and its characteristics in Korea. Health Social Welfare Review, 29, 2, 268–92.
Kim, K. and Lee, M. 2015. Depressive symptoms of older adults living alone: the role of community characteristics. International Journal of Aging and Human Development, 80, 3, 248–63.
Korea Centers for Disease Control and Prevention 2013. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey. Ministry of Health and Welfare, Seoul.
Korean Institute of Social and Health Affairs 2009. User's Guide: Korea Welfare Panel Study. Korean Institute of Social Health Affairs, Sejong, South Korea.
Lee, K. I. 2012. Strategic Approach Toward Vitalizing Food Assistance Programs. Korea Rural Economic Institute, Naju, South Korea.
Lee, M., Kang, E. and Lee, J. 2013. Effectiveness of care services designed for older adults living alone: depression, self neglect and social network. Journal of the Korean Gerontological Society, 33, 3, 787803.
Lee, M. and Kim, K. 2014. Prevalence and risk factors for self-neglect among older adults living alone in South Korea. International Journal of Aging and Human Development, 78, 2, 115–31.
Lee, S. S. and Kim, S. H. 2011. A study on the living conditions and social welfare needs of the elderly who lives alone in the farming and fishing communities – focused on the province of Jeollnamdo. Journal of Korean Regional Development, 11, 1, 2360.
Leung, C. W., Epel, E. S., Willett, W. C., Rimm, E. B. and Laraia, B. A. 2015. Household food insecurity is positively associated with depression among low-income supplemental nutrition assistance program participants and income-eligible nonparticipants. Journal of Nutrition, 145, 3, 622–7.
Meals on Wheels America 2017. Hunger in Older Adults: Challenges and Opportunities for the Aging Services Network. Available online at http://www.mealsonwheelsamerica.org/docs/default-source/research/hungerinolderadults-fullreport-feb2017.pdf?sfvrsn=2 [Accessed 11 April 2017].
Ministry of Health and Welfare 2012. Perspective and present state of population alteration on aged society and decreasing childbirth society in 2nd conference. Report paper, Ministry of Health and Welfare, Seoul.
Park, J., Kim, K., Kim, M., Kim, M., Kim, B., Kim, S., Kim, J. L., Moon, S. W., Bae, J. N., Woo, J. I., Ryu, S., Yoon, J. C., Lee, N., Lee, D. Y., Lee, D. W., Lee, S. B., Lee, J. J., Lee, C., Chang, S. M., Jhoo, J. H. and Cho, M. J. 2012. A nationwide survey on the prevalence and risk factors of late life depression in South Korea. Journal of Affective Disorders, 138, 1/2, 3440.
Park, M. J. 2010. The study of daily life of aged women living alone who receive the National Basic Livelihood Security Program. Health Social Welfare Review, 30, 1, 6291.
Radloff, L. S. 1977. The CES-D Scale: a self-report depression scale for research in the general population. Journal of Applied Psychological Measure, 1, 3, 385401.
Rim, C. S., Jang, G. S. and Jeong, M. S. 2013. A study on influential factors for the suicide ideation of the elderly living alone. Han Nam University Social Science Institute, 22, 192223.
Ro, J., Park, J., Lee, J. and Jung, H. 2015. Factors that affect suicidal attempt risk among Korean elderly adults: a path analysis. Journal of Preventative Medicine Public Health, 48, 1, 2837.
Russell, J., Flood, V., Yeatman, H. and Mitchell, P. 2014. Prevalence and risk factors of food insecurity among a cohort of older Australians. Journal of Nutritional Health and Aging, 18, 1, 38.
Russell, J., Flood, V. M., Yeatman, H., Wang, J. J. and Mitchell, P. 2016. Food insecurity and poor diet quality are associated with reduced quality of life in older adults. Nutrition and Dietetics, 73, 1, 5068.
Shin, S. H. and Sok, S. R. 2012. A comparison of the factors influencing life satisfaction between Korean older people living with family and living alone. International Nursing Review, 59, 2, 252–8.
Sim, S. 2013. South Korea Elderly Poverty Rate Highest Among OECD Countries, Report Says. Available online at http://www.ibtimes.com/south-korea-elderly-poverty-rate-highest-among-oecd-countries-report-says-1848010 [Accessed 5 December 2017].
Statistics Korea 2017. 2016 Income Distribution Indicators. Ministry of Strategy and Finance, Daejeon, South Korea.
Strickhouser, S., Wright, J. D. and Donley, A. M. 2014. Food Insecurity Among Older Adults. AARP Foundation, Washington DC. Available online at http://frac.org/blog/older-americans-month-part-1-understanding-food-insecurity-among-older-adults [Accessed 5 December 2017].
Temple, J. B. 2008. Severe and moderate forms of food insecurity in Australia: are they distinguishable? Australian Journal of Social Issues, 43, 4, 649–68.
Tucker-Seeley, R., Li, Y., Subramanian, S. V. and Sorensen, G. 2009. Financial hardship and mortality among older adults using the 1996–2004 Health and Retirement Study. Annals of Epidemiology, 19, 2, 850–7.

Keywords

Food insecurity and depressive symptoms of older adults living alone in South Korea

  • YOUNGMI KIM (a1), AELY PARK (a2) and KYEONGMO KIM (a1)

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