{"title":"印度尼西亚老年人的食物不安全与门诊护理使用情况。","authors":"Mardiana Dwi Puspitasari, Mugia Bayu Rahardja, Indra Murty Surbakti","doi":"10.1177/10105395241252869","DOIUrl":null,"url":null,"abstract":"<p><p>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; <i>n</i> = 29 950 older adults aged 60 and over in poor self-rated health who are unable to do daily activities) and environmental-level data (<i>n</i> = 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.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"471-477"},"PeriodicalIF":1.4000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Food Insecurity and Outpatient Care Utilization Among Indonesian Older Adults.\",\"authors\":\"Mardiana Dwi Puspitasari, Mugia Bayu Rahardja, Indra Murty Surbakti\",\"doi\":\"10.1177/10105395241252869\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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; <i>n</i> = 29 950 older adults aged 60 and over in poor self-rated health who are unable to do daily activities) and environmental-level data (<i>n</i> = 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.</p>\",\"PeriodicalId\":55570,\"journal\":{\"name\":\"Asia-Pacific Journal of Public Health\",\"volume\":\" \",\"pages\":\"471-477\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asia-Pacific Journal of Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10105395241252869\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia-Pacific Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10105395241252869","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/9 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Food Insecurity and Outpatient Care Utilization Among Indonesian Older Adults.
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.
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.
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