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Cited by 56Health disparities and outcomesAging, Health, and DisabilityFood Security and Health in Diverse Populations

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Material Resources and Population Health: Disadvantages in Health Care, Housing, and Food Among Adults Over 50 Years of Age

Open access
Alley, Dawn E., Soldo, Beth J., Pagán, José A., McCabe, John, deBlois, Madeleine, Field, Samuel H., Asch, David A., Cannuscio, Carolyn·2009·American Journal of Public Health
DOI 10.2105/ajph.2009.161877PMC PMC2774171
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Abstract

Objectives. We examined associations between material resources and late-life declines in health. Methods. We used logistic regression to estimate the odds of declines in self-rated health and incident walking limitations associated with material disadvantages in a prospective panel representative of US adults aged 51 years and older (N = 15 441). Results. Disadvantages in health care (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.23, 1.58), food (OR = 1.69; 95% CI = 1.29, 2.22), and housing (OR = 1.20; 95% CI = 1.07, 1.35) were independently associated with declines in self-rated health, whereas only health care (OR = 1.43; 95% CI = 1.29, 1.58) and food (OR = 1.64; 95% CI = 1.31, 2.05) disadvantage predicted incident walking limitations. Participants experiencing multiple material disadvantages were particularly susceptible to worsening health and functional decline. These effects were sustained after we controlled for numerous covariates, including baseline health status and comorbidities. The relations between health declines and non-Hispanic Black race/ethnicity, poverty, marital status, and education were attenuated or eliminated after we controlled for material disadvantage. Conclusions. Material disadvantages, which are highly policy relevant, appear related to health in ways not captured by education and poverty. Policies to improve health should address a range of basic human needs, rather than health care alone.

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  • Food insecurity (limited access to adequate food due to lack of money or other resources) adversely impacts health and well-being across the life course.

    “food insecurity (FI)restricted access to adequate food due to a lack of money or other resources 1 -adversely impacts health and well-being across the life course. 2-5”

    From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [5]

    The Discussion reports that food disadvantage was strongly associated with health declines, but the study examined adults over 50, not people across the life course. Its life-course statement concerns poverty generally, and its findings describe associations rather than establishing that food insecurity causes poorer health. (LLM, conf=0.87)

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Cited by

Sorted by citations

  • Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review

    De Marchis, E. H., Torres, J. M., Benesch, T., Fichtenberg, C., Allen, I. E., Whitaker, E. M., & Gottlieb, L. M. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2412 · Cited by 195

    “23 Included studies examined outcomes ranging from: (1) process outcomes (eg, number of patients referred), (2) food security status, (3) health, (4) health behaviors and self-efficacy, (5) health care utilization and/ or cost, and (6) patient/caregiver perception of intervention acceptability.”
    Background

Metadata

Authors
Alley, D. E., Soldo, B. J., Pagán, J. A., McCabe, J., deBlois, M., Field, S. H., Asch, D. A., & Cannuscio, C.
Affiliations
University of Maryland, Baltimore (US)
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2009-11
Volume
99
Issue
S3
Pages
S693-S701
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2009.161877
PMC
PMC2774171
OpenAlex
W2046708850
Cited by
56
References
4
Citations by year
2026: 1 · 2025: 6 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 7 · 2019: 7 · 2018: 6 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 3
FWCI
1.73
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5p30ag012836-30)
  • Agency for Healthcare Research and Quality (R24HS017003)
  • National Institute on Aging (P30-AG-012836, R01AG023370)
  • National Center for Chronic Disease Prevention and Health Promotion (H75DP001812, 1H75DP001812-01)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Keywords
material disadvantage, self-rated health, walking limitation, health care access, housing conditions, food insecurity, older adults, functional decline, basic needs, poverty, race and ethnicity, marital status
MeSH terms
Aged, Female, Food Supply, Health Surveys, Housing, Humans, Male, Middle Aged, Poverty, United States, Logistic Models, Health Status Disparities, Healthcare Disparities

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