{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:13:03Z","timestamp":1784542383765,"version":"3.55.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Pepper Incubation Award, Duke Claude D. Pepper Older American Independence Center","award":["Grant NIA P30 AG028716"],"award-info":[{"award-number":["Grant NIA P30 AG028716"]}]},{"name":"U.S. Department of Veterans Affairs Rehabilitation Research and Development Service Program","award":["Grant RR&D IK2 RX002348"],"award-info":[{"award-number":["Grant RR&D IK2 RX002348"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Objective: Our aim was to evaluate relationships between swallowing difficulty (dysphagia) and social determinants of health (SDOH) in older adults \u226565\u00a0years. Method: Cross-sectional analyses were performed in community-dwelling Medicare beneficiaries from the National Health &amp; Aging Trends Study (NHATS). The primary exposure was self-reported difficulty chewing\/swallowing in the prior month. Dependent measures included a variety of SDOH outcomes (e.g., food insecurity [FI]). Weighted logistic regression models were estimated to determine associations between dysphagia and SDOH outcomes. Results: Of 4041 participants, 428 (10.6%) self-reported dysphagia. In the adjusted model, dysphagia was associated with significantly increased odds for FI (odds ratio [OR] = 1.48, 95% confidence interval [CI] = 1.06, 2.07, p = .023) and being homebound (OR = 1.32, 95% CI = 1.13, 1.55, p= &lt; .001). Discussion: Older adults with dysphagia had increased odds of FI and being homebound. These associations have implications for health-promoting interventions at the individual and policy levels in older adults.<\/jats:p>","DOI":"10.1177\/07334648231177568","type":"journal-article","created":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T08:52:12Z","timestamp":1685436732000},"page":"1993-2002","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Dysphagia in Older Adults is Associated With Food Insecurity and Being Homebound"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4171-980X","authenticated-orcid":false,"given":"Harrison N.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Leiman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Duke University School of Medicine, Durham, NC, USA"},{"name":"Duke Clinical Research Institute, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn N.","family":"Porter Starr","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, NC, USA"},{"name":"Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA"},{"name":"Durham VA Geriatric Research, Education, and Clinical Center, Durham VA Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"North","sequence":"additional","affiliation":[{"name":"Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl F.","family":"Pieper","sequence":"additional","affiliation":[{"name":"Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA"},{"name":"Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-0769","authenticated-orcid":false,"given":"Raele D.","family":"Robison","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Wisconsin-Madison, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth M.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"bibr1-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9739-1"},{"key":"bibr2-07334648231177568","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S107750"},{"key":"bibr3-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.01.002"},{"key":"bibr4-07334648231177568","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.306724"},{"key":"bibr5-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2016.1200334"},{"key":"bibr6-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031210-101218"},{"key":"bibr7-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"bibr8-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10889"},{"key":"bibr9-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.04.014"},{"key":"bibr10-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1123\/kr.2015-0052"},{"key":"bibr11-07334648231177568","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2021.1929644"},{"key":"bibr12-07334648231177568","doi-asserted-by":"publisher","DOI":"10.4102\/sajcd.v67i1.777"},{"key":"bibr13-07334648231177568","unstructured":"DeMatteis J., Freedman V. 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