Food insecurity is associated with cost-related medication non-adherence in community-dwelling, low-income older adults in Georgia

J Nutr Elder. 2010 Apr;29(2):170-91. doi: 10.1080/01639361003772400.


Low-income older adults are at increased risk of cutting back on basic needs, including food and medication. This study examined the relationship between food insecurity and cost-related medication non-adherence (CRN) in low-income Georgian older adults. The study sample includes new Older Americans Act Nutrition Program participants and waitlisted people assessed by a self-administered mail survey (N = 1000, mean age 75.0 + so - 9.1 years, 68.4% women, 25.8% African American). About 49.7% of participants were food insecure, while 44.4% reported practicing CRN. Those who were food insecure and/or who practiced CRN were more likely to be African American, low-income, younger, less educated, and to report poorer self-reported health status. Food insecure participants were 2.9 (95% CI 2.2, 4.0) times more likely to practice CRN behaviors than their counterparts after controlling for potential confounders. Improving food security is important inorder to promote adherence to recommended prescription regimens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Black or African American / statistics & numerical data
  • Drug Costs*
  • Female
  • Food Supply / standards*
  • Georgia
  • Health Status
  • Humans
  • Hunger* / ethnology
  • Male
  • Middle Aged
  • Nutritional Status
  • Patient Compliance* / psychology
  • Poverty* / ethnology
  • Sex Factors
  • White People / statistics & numerical data