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http://dx.doi.org/10.14373/JKDA.2019.25.4.295

Meal and Food Provision Services for Community-dwelling Vulnerable Older Adults Perceived by Health & Welfare Service Providers in Seoul  

Jang, So-Mang (Dept. of Food & Nutrition, Seoul Women's University)
Bae, Jeong-Sook (Dept. of Food & Nutrition, Seoul Women's University)
Lee, Kyung-Eun (Dept. of Food & Nutrition, Seoul Women's University)
Publication Information
Journal of the Korean Dietetic Association / v.25, no.4, 2019 , pp. 295-309 More about this Journal
Abstract
The purpose of this study were to identify the dietary practices of vulnerable older adults and to assess the foodservice and food provision service programs perceived by the health and welfare service providers in the community. A survey was conducted on health and welfare service providers working in outreach community centers and community health centers in Seoul. A total of 260 nurses and social workers participated in the survey and 224 responses were used for data analysis after excluding significant missing data. The respondents consisted of nurses (58.5%) and social workers (41.5%). In terms of the dietary life of the vulnerable older adults, they perceived that the food cost was burdensome to the older adults and poor dental conditions prohibited them from eating various foods. The health and welfare service providers rated highly for 'home-delivered meal and side dish services are effective for checking older adults' conditions' but rated low for availability of menu choices. In targeting vulnerable older adults for food and nutrition service programs, the home-delivered meal service was found to be suitable for older adults living alone, those over age of 80 years, those with mobility difficulties, and those with economic difficulties. The food provision service was appropriate for older adults living with their spouse or other family members. Vulnerable older adults are a heterogeneous population with diverse needs related to food and nutrition. Home-delivered meal/side dish service and food provision services will achieve their goals when they reach the correct targets with a customized service.
Keywords
vulnerable older adults; food provision; home-delivered meal service; community; dietary life;
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1 Hong SY (2010): Job frequency analysis of dietitians in the elderly health care facilities and the analysis of job education necessity for them. Masters degree thesis. Ewha Woman's University. pp.114-121
2 Hwang JY, Kim BK, Kim KR (2014): A qualitative study on attitude, acceptability, and adaptation for home-delivered meal services in the Korean elderly from the perspective of life context. Korean J Community Nutr 19(5):459-467   DOI
3 Iizaka S, Tadaka E, Sanada H (2008): Comprehensive assessment of nutritional status and associated factors in the healthy, community-dwelling elderly. Geriatr Gerontol Int 8(1):24-31   DOI
4 Ju OJ, Kim IJ (2015): Correlation of Korean elderly dental health capacity and preferred foods. J Dent Hyg Sci 15(6): 712-720   DOI
5 Kamp BJ, Wellman NS, Russell C (2010): Position of the American Dietetic Association, American Society for Nutrition, and Society for Nutrition Education: Food and nutrition programs for community-residing older adults. J Am Diet Assoc 110(3):463-472   DOI
6 Kim CS, Bae SM, Shin BM (2011): Nutritional status of Korean elderly by oral health Level -based on 2009 national health and nutrition survey data. J Dent Hyg Sci 11(6): 833-841
7 Kim JG (2011): The impact of family type on health behavior of elderly people. J Welf Aged 51:35-55
8 Kim KR, Kim MJ, Shin YJ (2009): Household food insecurity and its characteristics in Korea. Health Soc Welf Rev 29(2):268-292   DOI
9 Kim MH, Chung HK (2015): Relationship between sense of belonging, powerlessness and nutritional status of elderly people. J Korean Soc Diet Cult 30(1):118-128   DOI
10 Lee BH, Yang SR (2015): Food consumption behaviors of the poor elderly single-person households. Korean Agric Policy Rev 42(3):575-597
11 Lee HS (2015): Food insecurity and related risk factors in the elderly: Korea National Health and Nutrition Examination Survey 2013 data. J Korean Diet Assoc 21(4):308-319   DOI
12 Lee KE, Yoo CH, Bae JS, Seong SB, Jang SM, Sa IR, Kim KR, Jung MJ, Yang NR (2017a): Development of model for customized nutrition care program for vulnerable older adults. Unpublished Research Report. pp.33-240
13 Lee KI, Lee DS, Lee YN (2013): Analysis of food consumption behavior in vulnerable group. J Rural Dev 36(4):31-52
14 Lee YM, Choi Y, Park HR, Song KH, Lee KE, Yoo CH, Lim YS (2017b): Comparative analysis of dietary behavior and nutrient intake of elderly in urban and rural areas for development of "Village Lunch Table" program - based on 2014 Korea National Health and Nutrition Examination Survey data -. J Nutr Health 50(2):171-179   DOI
15 Meals on Wheels America (2019). Available from: https://www.mealsonwheelsamerica.org/learn-more/what-we-deliver. Accessed September 5, 2019
16 Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention (2019a). Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Ministry of Health and Welfare; 2019 Jan. 11-1351159-000027-10. 2005-3662
17 Park JE, Baik HW (2013): Aging and nutrition. J Korean Soc Parenter Enteral Nutr 5(2):42-49
18 Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention (2019b): 2019 Guide to health and welfare service for older adults (II). Ministry of Health & Welfare. Sejong. p.199
19 Ministry of Health & Welfare, Korea Health Promotion Foundation (2015): National health plan 2020 in Korea (2016-2020). Ministry of Health & Welfare, Korea Health Promotion Foundation. pp.105-108
20 Park HJ, Lim BK, Kim WY (2007): Effect of food commodity supplementary program for low income elderly people. J Korean Soc Diet Cult 22(1):149-156
21 Park JY, Lee KE, Yi NY, Kwak TK (2010): Clients' handling and consumption of home-delivered meals at home and their perceptions on home-delivered meal services for older adults. Korean J Community Nutr 15(3):379-392
22 Saffel-Shrier S, Johnson MA, Francis SL (2019): Position of the academy of nutrition and dietetics and the society for nutrition education and behavior: food and nutrition programs for community-residing older adults. J Nutr Educ Behav 51(7):781-797   DOI
23 Seo SH, Yu EJ, Kim OY (2013): Qualitative study on home delivery meal services for the elderly. J Nutr Health 46(6): 589-596   DOI
24 Son SM, Park JK (2005): The changes of dish consumption frequencies, dietary attitudes and health-nutrition risk for single living female elderly on food-aid program. J Korean Diet Assoc 11(3):286-298
25 Chung KH, Oh YH, Kang EN, Kim KR, Lee YK, Oh MA, Hwang NH, Kim SJ, Lee SH, Lee SK, Hong SY (2017): Survey on status of the elderly - 2017. Korean Institute for Health and Social Affair. pp.273-280
26 Statistics Korea (2019a). Estimation of future households (2017- 2047). Available from: https://meta.narastat.kr/metasvc/index.do?confmNo=101062&inputYear=2017. Accessed September 25, 2019
27 Bae JS, Kim MH, Kim SB (2013): Effects of nutrition education and personalized lunch service program for elderly at senior welfare center in Jeonju. Korean J Community Nutr 18(1):65-76   DOI
28 Bae JS, Seong SB, Jang SM, Yoo CH, Lim YS, Lee YM, Park HR, Lee KE (2019): Operation and process evaluation of a community meal program for the elderly in rural areas during agricultural off-season perceived by cooking volunteers. Korean J Community Nutr 24(4):277-289   DOI
29 Brownie S (2006): Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12(2):110-118   DOI
30 Chae IS, Yang IS, Lee HY, Park MK (2000): Evaluation of home-delivered meals service program for home-bound elderly with low income class. J Korean Diet Assoc 6(2):57-70
31 Collins O, Bogue J (2015): Designing health promoting foods for the ageing population: a qualitative approach. British Food J 117(12):3003-3023   DOI
32 Do HJ, Lee Y (2011): A study on customized nutrition intervention program design and application for the low-income elderly. Korean J Community Nutr 16(6):716-729   DOI
33 Hidrobo M, Hoddinott J, Peterman A, Margolies A, Moreira V (2014): Cash, food, or vouchers? Evidence from a randomized experiment in northern Ecuador. J Dev Econ 107: 144-156   DOI
34 Yi NY, Choi JH (2019): Nutritional risk of the elderly receiving a home-delivered meal service program and the factors for nutritional risk. Korean J Community Nutr 24(3):197-207   DOI
35 Statistics Korea (2019b). Proportion of older adults (Province/city/county). Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631. Accessed September 25, 2019
36 Thomas KS, Akobundu U, Dosa D (2015): More Than A Meal? A Randomized Control Trial Comparing the Effects of Home-Delivered Meals Programs on Participants' Feelings of Loneliness. J Gerontol B Psychol Sci Soc Sci 71(6):1049-1058   DOI
37 Wang KYT, Lyu LC (2013): The emergence of food bank/ voucher programs in Taiwan: a new measure for combating poverty and food insecurity? Asia Pac J Soc Work Dev 23(1):48-58   DOI