노인의 식품미보장에 영향을 미치는 요인: 순서로짓회귀분석의 적용 = Factors Associated With Food Insecurity Among the Korean Elderly: Using Ordered Logistic Regression Analysis

다국어 초록 (Multilingual Abstract)

The purpose of this study is to examine the factors associated with food insecurity among the Korean elderly by using representative national data and to provide institutional and practical information to decrease the food insecurity among the elderly. An analysis was conducted on 5,366 elderly aged over 65 from the data of the `Korea Welfare Panel Study`. As a statistical method, ordered logistic regression analysis was used to examine the factors influencing the food insecurity among the elderly. For ordinal dependent variables, like food insecurity, the ordered logistic regression analysis is more appropriate model than the multinomial logistic regression. Food insecurity was higher for the elderly individuals who were living alone, receiving national basic livelihood security benefits, in poor subjective health status, with low level of private transfer income, not consuming self-production food, and not using free meal services. Based on the results, implications were suggested for social policy and practice.

참고문헌 (Reference)

1 김기랑, "한국인의 생애 주기별 교육 수준에 따른 영양 상태와 식품 불충분성-2005년도 국민건강영양조사 자료를 이용하여" 한국영양학회 41 (41): 667-681, 2008

2 한국복지패널, "한국복지패널 9차년도 조사자료 User’s Guide"

3 김기랑, "한국 식품 미보장 현황 및 특성" 한국보건사회연구원 29 (29): 268-292, 2009

4 서윤석, "한국 노인 식사의 탄수화물 에너지비와 채소섭취 빈도에 기초한 만성질환위험성 평가: 2007-2009년 국민건강영양조사 자료 이용" 대한지역사회영양학회 20 (20): 41-52, 2015

5 이계임, "취약계층의 식품소비행태 분석" 한국농촌경제연구원 36 (36): 31-52, 2013

6 김욱진, "지역사회의 참여적 속성이 사회적 고립과 식품미보장 사이의 관계에 미치는 영향에 관한 다층분석" 한국사회보장학회 29 (29): 1-32, 2013

7 서용길, "지역노인들과 비교한 시설노인들의 건강관련 삶의 질" 전남대학교 1998

8 최정숙, "일부 농촌노인의 식품안정성과 사회경제학적 특성, 식생활, 건강상태, 영양소 섭취와의 관련성" 한국지역사회생활과학회 20 (20): 19-32, 2009

9 김선근, "인천중부서, 아사직전 고령의 노인 구조"

10 박석철, "아사 직전 노인 구조...“10일간 두유 2개 먹었다” 울산중부경찰서태화지구대, 생활고에 시달리던 노인 신고 받고 구조"

11 정정호, "아동이 있는 빈곤 가구의 식품 미보장 경험에 대한 질적 연구" 한국사회복지연구회 43 (43): 31-60, 2012

12 강은나, "실업 장애인의 구직행동에 영향을 미치는 요인에 관한 연구: ICF 분석틀 적용" 한국장애인고용공단 고용개발원 21 (21): 103-129, 2011

13 이계임, "식품지원제도 활성화 연구" 한국농촌경제연구원 1-198, 2012

14 심지선, "식품안정성과 식사섭취의 관련성 - 국민건강영양조사 제3기 (2005년) -" 한국영양학회 41 (41): 174-183, 2008

15 남춘호, "식품불안정의 사회경제적 결정요인과 식품불안정이 건강에 미치는 영향" 한국지역사회학회 18 (18): 19-46, 2010

16 김기랑, "식품 보장 측정의 개발과 타당도 연구" 한국영양학회 42 (42): 374-385, 2009

17 김종덕, "식량권 실현과제와 사회복지" 24 : 63-100, 2007

18 김동기, "사회복지조사론" 학지사 2014

19 김욱진, "배고픔은 신뢰 형성에 어떠한 영향을 미치는가? 일반적 사회신뢰와 식품 미보장의 관계에 관한 연구" 한국사회보장학회 30 (30): 1-29, 2014

20 최경희, "도･농노인의 삶의 만족도 분석을 통한 지역별 노인복지정책 우선순위 결정" 한국도시행정학회 26 (26): 49-70, 2013

21 현혜순, "도시 빈곤노인의 영양상태와 영양불량 위험 요인" 한국간호과학회 44 (44): 708-716, 2014

22 김초일, "노인영양개선을 위한 국가영양지원제도체계(안) 도입 연구" 한국보건산업진흥원 2007

23 오세영, "국민기초생활보장사업 수금 가정에서의 식품공급안정성과 아동의 영양상태" 한국영양학회 35 (35): 650-657, 2002

24 김기랑, "국민건강영양조사 식품안정성 측정 도구 개발" 한국영양학회 44 (44): 551-561, 2011

25 김혜련, "고령사회에 대비한 국가영양관리 발전전략 모색" 한국보건사회연구원 2007

26 신영전, "건강불평등 완화를 위한 건강증진 전략 및 사업개발" 보건복지부 2009

27 Bruin, J., "newtest: command to compute new test"

28 USDA, "United States Department of Agriculture Senior Farmers’ Market Nutrition Program"

29 Radimer, K. L., "Understanding hunger and developing indicators to assess it in women and children" 24 (24): 36-44, 1992

30 Wolfe, W. S., "Understanding food insecurity in the elderly : a conceptual framework" 28 (28): 92-100, 1996

31 Savolainen, P. T., "The statistical analysis of highway crash-injury severities : a review and assessment of methodological alternatives" 43 (43): 1666-1676, 2011

32 Jones, S. J., "The modifying effects of Food Stamp Program participation on the relation between food insecurity and weight change in women" 136 (136): 1091-1094, 2006

33 Brown L., "The economic cost of domestic hunger: estimated annual burden to the United States" The Sodexho Foundation 2007

34 Keys, A., "The biology of human starvation.(2 vols)" 1950

35 Food and Agriculture Organization of United Nations, "The State of Food Insecurity in the World 2014. Strengthening the enabling environment for food security and nutrition. Food and Agriculture Organization of United Nations"

36 Hanushek, E. A., "Statistical methods for social scientists" Academic Press 2013

37 Feeding America, National Foundation to End Senior Hunger, "Spotlight on Senior Hunger"

38 Ziliak, J. P., "Spotlight on Food Insecurity among Senior Americans: 2011" National Foundation to End Senior Hunger (NFESH) 2013

39 Vailas, L. I., "Risk indicators for malnutrition are associated inversely with quality of life for participants in meal programs for older adults" 98 (98): 548-553, 1998

40 Loopstra, R., "Rising food insecurity in Europe" 385 (385): 2041-, 2015

41 Dowler, E. A., "Rights-based approaches to addressing food poverty and food insecurity in Ireland and UK" 74 (74): 44-51, 2012

42 Kim, K., "Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders" 137 (137): 1005-1010, 2007

43 Guthrie, J. F., "Overview of the diets of lower-and higher-income elderly and their food assistance options" 34 : S31-S41, 2002

44 Quandt, S. A., "Nutritional self-management of elderly widows in rural communities" 40 (40): 86-96, 2000

45 Olson, C. M., "Nutrition and health outcomes associated with food insecurity and hunger" 129 (129): 521-524, 1999

46 De Marco, M., "In a country as affluent as America, people should be eating : Experiences with and perceptions of food insecurity among rural and urban Oregonians" 19 (19): 1010-1024, 2009

47 Shepard, D. S., "Hunger in America Suffering We All Pay For"

48 Quandt, S., "Hunger and food security among older adults in a rural community" 58 (58): 28-35, 1999

49 Vozoris, N. T., "Household food insufficiency is associated with poorer health" 133 (133): 120-126, 2003

50 Tarasuk, V. S., "Household food insecurity with hunger is associated with women’s food intakes, health and household circumstances" 131 (131): 2670-2676, 2001

51 Maxwell, S., "Household Food Security: concepts, indicators, measurements" IFAD and UNICEF 1992

52 Connelly, J. E., "Health perceptions of primary care patients and the influence on health care utilization" S99-S109, 1989

53 Barrett, C. B., "Handbook of agricultural economics, 2" 2103-2190, 2002

54 Bickel, G., "Guide to measuring household food security"

55 Williams, R., "Generalized ordered logit/partial proportional odds models for ordinal dependent variables" 6 (6): 58-82, 2006

56 Duerr, L., "Food security status of older adult home-delivered meals program participants and components of its measurement" 26 (26): 1-26, 2007

57 Duncan, R. C., "Food security and the world food situation" 2 : 2191-2213, 2002

58 Kempson, K. M., "Food management practices used by people with limited resources to maintain food sufficiency as reported by nutrition educators" 102 (102): 1795-1799, 2002

59 Oh, S. Y., "Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas" 57 (57): 1598-1604, 2003

60 Tingay, R. S., "Food insecurity and low income in an English inner city" 25 (25): 156-159, 2003

61 Campbell, C. C., "Food insecurity : a nutritional outcome or a predictor variable?" 121 (121): 408-415, 1991

62 Acker, D., "Food aid programs, food consumption, and incentives for the agriculture of less developed countries and the United States" Iowa State University Press 1989

63 Barrett, C. B., "Food aid after fifty years: recasting its role" Routledge 2007

64 Yen, S. T., "Food Stamp Program participation and food insecurity : an instrumental variables approach" 90 (90): 117-132, 2008

65 Lee, J. S., "Food Insecurity and Healthcare Costs : Research Strategies Using Local, State, and National Data Sources for Older Adults" 4 : 42-50, 2013

66 Ziliak, J. P., "Food Insecurity Among Older Adults" American Association of Retired Persons Foundation (AARP) 2011

67 Strickhouser, S., "Food Insecurity Among Older Adults" American Association of Retired Persons Foundation (AARP) 2015

68 Klesges, L. M., "Financial difficulty in acquiring food among elderly disabled women : results from the Women’s Health and Aging Study" 91 (91): 68-75, 2001

69 United States Agency for International Development, "Feed the future guide"

70 Lee, J. S., "Factors Associated With Food Insecurity Among US Elderly Persons Importance of Functional Impairments" 56 (56): S94-S99, 2001

71 Wellman, N. S., "Elder insecurities:poverty, hunger, and malnutrition" 97 (97): S120-S122, 1997

72 Greene, W. H., "Econometric analysis" Pearson Education India 2003

73 German, L., "Depressive symptoms are associated with food insufficiency and nutritional deficiencies in poor community-dwelling elderly people" 15 (15): 3-8, 2011

74 Food and Agriculture Organization, "An Introduction to the Basic Concepts of Food Security"