Older family caregivers' diet‐related disparities: Cross‐sectional evidence from Finland

Background Some older family caregivers experience financial vulnerabilities due to their caregiving role, which may affect their ability to afford appropriate food. This study aimed to assess the extent to which there are diet‐related disparities among older family caregivers in Eastern Finland. Me...

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Veröffentlicht in:International journal of older people nursing 2023-11, Vol.18 (6), p.e12570-n/a
Hauptverfasser: Savela, Roosa‐Maria, Nykänen, Irma, Koponen, Sohvi, Suominen, Anna Liisa, Schwab, Ursula, Välimäki, Tarja
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container_issue 6
container_start_page e12570
container_title International journal of older people nursing
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creator Savela, Roosa‐Maria
Nykänen, Irma
Koponen, Sohvi
Suominen, Anna Liisa
Schwab, Ursula
Välimäki, Tarja
description Background Some older family caregivers experience financial vulnerabilities due to their caregiving role, which may affect their ability to afford appropriate food. This study aimed to assess the extent to which there are diet‐related disparities among older family caregivers in Eastern Finland. Methods This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet‐related disparities were assessed using the independent samples t‐test, ANOVA‐test, χ2‐tests and binary logistic regression. Results The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet‐related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis. Conclusions Older family caregivers have diet‐related disparities, further associated with health inequalities. Family caregivers' diet‐related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. Lack of assessment of diet‐related disparities will only deepen health inequalities.
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This study aimed to assess the extent to which there are diet‐related disparities among older family caregivers in Eastern Finland. Methods This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet‐related disparities were assessed using the independent samples t‐test, ANOVA‐test, χ2‐tests and binary logistic regression. Results The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet‐related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis. Conclusions Older family caregivers have diet‐related disparities, further associated with health inequalities. Family caregivers' diet‐related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. Lack of assessment of diet‐related disparities will only deepen health inequalities.</description><identifier>ISSN: 1748-3735</identifier><identifier>EISSN: 1748-3743</identifier><identifier>DOI: 10.1111/opn.12570</identifier><language>eng</language><publisher>Oxford: Wiley Subscription Services, Inc</publisher><subject>Caregivers ; Comorbidity ; Diabetes ; Diet ; diet‐related disparities ; family caregivers ; Food security ; Health disparities ; Health status ; Healthy food ; Insecurity ; Interdisciplinary aspects ; Malnutrition ; Money ; nursing ; Nutrition ; Nutrition research ; Nutritional status ; Obesity ; older adults ; Older people ; Oral health ; Osteoporosis ; Poverty ; Risk assessment ; social disparities ; Sociodemographics ; Tests ; Vegetables</subject><ispartof>International journal of older people nursing, 2023-11, Vol.18 (6), p.e12570-n/a</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2023. 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This study aimed to assess the extent to which there are diet‐related disparities among older family caregivers in Eastern Finland. Methods This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet‐related disparities were assessed using the independent samples t‐test, ANOVA‐test, χ2‐tests and binary logistic regression. Results The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet‐related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis. Conclusions Older family caregivers have diet‐related disparities, further associated with health inequalities. Family caregivers' diet‐related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. 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This study aimed to assess the extent to which there are diet‐related disparities among older family caregivers in Eastern Finland. Methods This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet‐related disparities were assessed using the independent samples t‐test, ANOVA‐test, χ2‐tests and binary logistic regression. Results The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. 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subjects Caregivers
Comorbidity
Diabetes
Diet
diet‐related disparities
family caregivers
Food security
Health disparities
Health status
Healthy food
Insecurity
Interdisciplinary aspects
Malnutrition
Money
nursing
Nutrition
Nutrition research
Nutritional status
Obesity
older adults
Older people
Oral health
Osteoporosis
Poverty
Risk assessment
social disparities
Sociodemographics
Tests
Vegetables
title Older family caregivers' diet‐related disparities: Cross‐sectional evidence from Finland
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