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ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 |
doi: 10.3389/fpubh.2025.1520925
A socioeconomic disadvantage index for informing policy, systems, and environmental change interventions for senior nutrition programs
Provisionally accepted- Texas State University, San Marcos, United States
Identifying socioeconomic disparities within a local area is critical for tailoring policy solutions to older adult populations. However, a comprehensive index for characterizing socioeconomic disadvantage for older adult households in the U.S. is yet to be developed. This study is the first of its kind and used secondary data from the U.S. Census to develop and conduct a preliminary validation of a new socioeconomic disadvantage index for adults older than 60 years, with a focus on food insecurity, for a large region in Central Texas. The Older Adult Socioeconomic Disadvantage Index (OASDI) includes 12 variables related to unmet needs for food, housing, healthcare access, and transportation, and others at the census tract level. For each variable, the values were ranked based on quintiles using ArcGIS Pro 3.2. An unweighted sum was used to create the OASDI, where a higher score indicated greater socioeconomic disadvantage. Choropleth maps were used to visualize the OASDI and persistent poverty for all census tracts within the study area. OASDI was used to statistically compare two local policy regions for senior nutrition programs in the Austin and San Antonio, Texas Metro areas. Results showed a greater socioeconomic disadvantage in the San Antonio region compared to the Austin region (Mann-Whitney-U = 198303; p < 0.0001). The statistical analysis identified an area with extreme disadvantage relative to the local policy region and confirmed with member checking. Findings provided initial evidence for the validityinsights into local socioeconomic disparities of this new index for characterizing socioeconomic disadvantage at different levels and can be applied to advocate for policies, systems, and environmental changes for senior nutrition.
Keywords: GIS, Food insecurity, Risk factors, Basic needs, descriptive study Font: Complex Script Font: 12 pt Formatted: Font: Complex Script Font: 12 pt Formatted: Font: (Default) Times New Roman, 12 pt, Complex Script Font: Times New Roman, 12 pt Formatted: Font: (Default) Times New Roman
Received: 31 Oct 2024; Accepted: 02 Jan 2025.
Copyright: © 2025 Maleki, Johnson, Méndez Mediavilla, Shanmugam and Biediger-Friedman. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Shadi Maleki, Texas State University, San Marcos, United States
Cassandra M Johnson, Texas State University, San Marcos, United States
Francis A Méndez Mediavilla, Texas State University, San Marcos, United States
Ramalingam Shanmugam, Texas State University, San Marcos, United States
Lesli Biediger-Friedman, Texas State University, San Marcos, United States
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