{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T16:04:26Z","timestamp":1785945866449,"version":"3.56.0"},"reference-count":63,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014736","name":"Lingnan University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Social isolation (SI) and food insecurity (FI) are important social determinants of health that can negatively impact well\u2010being in old age. While research on the association between FI and SI is limited in LMICs, the mediators of this association are largely unknown. This cross\u2010sectional study examined whether FI is associated with SI among older adults in Ghana and whether psychological factors (i.e., depression, anxiety, and sleep problems) mediated the association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our study consisted of adults aged \u226550\u00a0years in the Aging, Health, Well\u2010being, and Health\u2010seeking Behavior Study. SI was assessed with the Berkman\u2010Syme Social Network Index, while FI was assessed with dietary inadequacy\u2010related items. We used an ordinary least squares regression\u00a0(OLS), logistic regressions, and bootstrapping modeling approach to examine our hypotheses with <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis included 1201 individuals (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a066 [SD\u00a0=\u00a012], women\u00a0=\u00a063%). In the full sample (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.21; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and in women (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.30, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) but not in men, FI was independently associated with SI. FI was comparably associated with increases in SI for the 50\u201364 age group (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.21, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and \u226565 age cohort (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.19, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). Moreover, FI showed differential associations with specific domains of SI (OR\u00a0=\u00a01.81 to 1.45, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Finally, the FI\u2010SI association was mediated by depressive symptoms (65.16%), anxiety symptoms (30.16%), and sleep problems (9.50%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data highlight the fundamental role of FI in SI among older adults, and the effect is explained by psychosocial factors. Interventions targeted toward strengthening interpersonal ties in old age should include addressing FI and older adults' psychosocial outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.6134","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T03:13:12Z","timestamp":1724296392000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Later Life Food Insecurity and Social Isolation in Ghana: The Importance of Psychological Factors"],"prefix":"10.1002","volume":"39","author":[{"given":"Razak M.","family":"Gyasi","sequence":"first","affiliation":[{"name":"Aging and Development Unit African Population and Health Research Center  Nairobi Nairobi County Kenya"},{"name":"National Centre for Naturopathic Medicine Faculty of Health Southern Cross University  Lismore Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David 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