Published Date: October 31, 2020

Summary: This study examined the association between food insecurity status and health care access, utilization, and quality among adults aged 55 years and older. Data collected between 2011 and 2016 for the California Health Interview Survey were used. The sample included 72,212 individuals who were divided into three groups: food secure (FS), low food security (L-FS), and very low food security (VL-FS). 

Findings: Food insecurity was associated with decreased access to and quality of care and increased utilization. Specifically, VL-FS was more likely to delay care than FS. Additionally, VL-FS and L-FS had greater odds of visiting an emergency room than FS. Furthermore, VL-FS and L-FS were more likely to have a doctor who did not always explain aspects of care carefully compared to FS. These findings suggest a need for increased screening for food insecurity in health care settings.

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