Food Insecurity and Outpatient Care Utilization Among Indonesian Older Adults.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asia-Pacific Journal of Public Health Pub Date : 2024-07-01 Epub Date: 2024-05-09 DOI:10.1177/10105395241252869

Mardiana Dwi Puspitasari, Mugia Bayu Rahardja, Indra Murty Surbakti

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引用次数: 0

Abstract

This study aims to examine the complex relationship between household food insecurity and outpatient care utilization among Indonesian older adults. Individual-level data from the 2020 National Socioeconomic Survey (SUSENAS; n = 29 950 older adults aged 60 and over in poor self-rated health who are unable to do daily activities) and environmental-level data (n = 84 096 villages in a data aggregation across 514 municipalities) from the 2021 Village Potential Data Census Collection Survey (PODES) are used in a two-level binary logistic regression model. Older adults who live in severely food insecure households (odds ratio [OR] 1.963) and lack of health insurance (OR 1.654) are more likely of not utilizing outpatient care. The interclass correlation coefficient value is 0.162, indicating that primary health care services in every village improve outpatient care utilization. Food insecurity is the major determinant of reduced likelihood of outpatient care utilization, which can be explained by household resource constraints.

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印度尼西亚老年人的食物不安全与门诊护理使用情况。

本研究旨在探讨家庭粮食不安全与印度尼西亚老年人门诊护理利用率之间的复杂关系。该研究将 2020 年全国社会经济调查（SUSENAS；n = 29 950 名 60 岁及以上、自我评定健康状况较差、无法从事日常活动的老年人）中的个人层面数据和 2021 年村庄潜在数据普查收集调查（PODES）中的环境层面数据（n = 84 096 个村庄，数据汇总范围覆盖 514 个市）用于两级二元逻辑回归模型。生活在严重粮食不安全家庭（几率比 [OR] 1.963；CI [1.658，2.319]）和缺乏医疗保险（OR 1.654；CI [1.556，1.747]）的老年人更有可能不使用门诊护理。类间相关系数为 0.162，表明每个村庄的初级卫生保健服务提高了门诊护理的利用率。粮食不安全是降低门诊医疗利用率的主要决定因素，这可以用家庭资源限制来解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.