Prevalence and Factors Associated with Food Insecurity among Older Adults in Sub-Saharan Africa: A Systematic Review

J Nutr Gerontol Geriatr. 2021 Oct-Dec;40(4):171-196. doi: 10.1080/21551197.2021.1988027. Epub 2021 Oct 20.

Abstract

Food insecurity has been undermining the health and well-being of a growing number of older adults in Sub-Saharan Africa. This review aimed to examine the prevalence of food insecurity and the related contributing factors of food insecurity among older adults in Sub-Saharan Africa. We used PubMed, Scopus, ScienceDirect, and Web of Science Core Collection as our search engines and included 22 articles for data extraction. Prevalence of severe and moderate food insecurity in households with older adults ranged from 6.0 to 87.3% and from 8.3 to 48.5%, respectively. Various socio-economic (e.g., low education level, being widowed, low income, lower wealth position of households, living in a rental house, living in rural areas, lack of social grants or pensions), demographic (e.g., female, Black racial group, larger family size), and health and nutrition status-related (e.g., self-reported poor health status, having a functional and mobility-related disability, psychological disorders) factors influence food insecurity in older adults in Sub-Saharan Africa. The findings of this review can help stakeholders to prioritize the issue of food insecurity, design and implement policies and programs to improve food security among older adults in Sub-Saharan Africa.

Keywords: Older adults; Sub-Saharan Africa; factors; food insecurity; prevalence.

Publication types

  • Systematic Review

MeSH terms

  • Aged
  • Family Characteristics*
  • Female
  • Food Insecurity*
  • Food Supply
  • Humans
  • Nutritional Status
  • Poverty
  • Prevalence
  • Socioeconomic Factors