Food Insecurity Among Older Adults: A Multilevel Analysis of State-Level Interventions

Pablo Gaitán-Rossi, Ida Caterina García-Appendini, Lucía Félix-Beltrán, Mireya Vilar-Compte

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objective: To analyze whether state-level social programs for older adults (OAs) in Mexico are associated with a reduction: (a) in the prevalence of severe food insecurity (SFI) and (b) in the magnitude of the effect of municipal marginalization on SFI. Method: Cross-sectional study based on urban OAs (65–100 years) from the 2010 census. Three-level logistic multilevel regression models were estimated to explain SFI. Results: Controlling for individual and municipal characteristics, states with social programs for OAs are generally associated with lower SFI prevalences (odds ratio [OR] = 0.68 [0.48, 0.95]) and mitigate the effect of marginalization on SFI when compared with states with no programs. Compared with in-kind food programs and voucher-based programs, monetary transfers are associated with a significant reduction in SFI prevalence (OR = 0.68 [0.46, 0.99]). Conclusion: States with programs for OAs, mainly monetary transfers, are associated with lower SFI prevalences.

Original languageEnglish
Pages (from-to)170-178
Number of pages9
JournalJournal of Applied Gerontology
Issue number2
StatePublished - Feb 2021


  • aging
  • food insecurity
  • older adults
  • social programs


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