Food stamps and the iron status of the U.S. elderly poor

With the use of data from NHANES I and II, the iron status of poor elderly persons was examined by comparing it with that of nonpoor elderly persons. Within the poor group, the iron status of Food Stamp Program participants was compared with that of nonparticipants. The poor were those below the poverty line; the nonpoor were those with incomes at least twice the poverty line. The indicators of iron status were: hemoglobin, hematocrit, free erythrocyte protoporphyrin, transferrin saturation, total iron-binding capacity, serum iron, and iron intake. Iron status was examined by analyses of variance. The effects associated with sex, race, age, geographic region, and other potentially confounding factors were included in the model. In both surveys, there were interactions with race. That is, the poor whites had lower transferrin saturation and iron intake means than the nonpoor whites, while the Food Stamp Program participants were no different from the nonparticipants in transferrin saturation. Within the nonwhites, the poor had a lower hemoglobin mean than the nonpoor, and the program participants had a lower hemoglobin mean than the nonparticipants. Therefore, the Food Stamp Program was not consistently associated with better iron nutrition of the elderly poor in NHANES I and II.