The Meals On Wheels Association of America Foundation (MOWAAF) has found that hunger is a serious threat facing millions of seniors in the United States, and that understanding the problem is a critical first step to developing remedies. In 2007, MOWAAF, underwritten by the Harrah's Foundation, commissioned a research study entitled "The Causes, Consequences and Future of Senior Hunger in America". The report was released at a hearing of the U.S. Senate Special Committee on Aging in March 2008 in Washington, D.C. 

The study found that in the United States, over 5 million seniors, (11.4% of all seniors), experience some form of food insecurity (i.e., were marginally food insecure). Of these, about 2.5 million are at-risk of hunger, and about 750,000 suffer from hunger due to financial constraints. Some groups of seniors are more likely to be at-risk of hunger. Relative to their representation in the overall senior population, those with limited incomes, under age 70, African American, Hispanic, never-married, renters, and seniors living in the Southern United States are all more likely to be at-risk of hunger. While certain groups of seniors are at greater-risk of hunger, hunger cuts across the income spectrum. For example, over 50% of all seniors who are at-risk of hunger have incomes above the poverty threshold. Likewise, it is present in all demographic groups. For example, over two-thirds of seniors at-risk of hunger are Caucasian. There are marked differences in the risk of hunger across family structure, especially for those seniors living alone, or those living with a grandchild. Those living alone are twice as likely to experience hunger compared to married seniors. One in five senior households with a grandchild (but no adult child) present is at-risk of hunger, compared to about one in twenty households without a grandchild present. Seniors living in non-metropolitan areas are as likely to experience food insecurity as those living in metropolitan areas, suggesting that food insecurity cuts across the urban-rural continuum.

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