Home-Delivered Meals for Older AdultsFood Safety Practices of Homebound Seniors Receiving Home-Delivered MealsMcWilliams, Rita M. PhD, MPH; Hallman, William K. PhD; Cuite, Cara L. PhD; Senger-Mersich, Angela MS; Sastri, Natasha MPH; Netterville, Linda MA, RD, LD; Byrd-Bredbenner, Carol PhD, RD, FANDAuthor Information Departments of Human Ecology (Drs McWilliams, Hallman, and Cuite and Mss Senger-Mersich and Sastri) and Nutritional Sciences (Dr Byrd-Bredbenner), School of Environmental and Biological Sciences, Rutgers University, New Brunswick, New Jersey; and National Resource Center on Nutrition and Aging, Meals on Wheels America, Alexandria, Virginia (Ms Netterville). Correspondence: William K. Hallman, PhD, Department of Human Ecology, Rutgers University School of Environmental and Biological Sciences, 55 Dudley Rd, New Brunswick, NJ 08901 ([email protected]). The authors thank the Meals on Wheels America and the staff and clients at their 5 partner agencies. They also thank those at Rutgers University who helped throughout the data collection, cleaning, and analysis of this very large and involved study: Fred Giliberti, Scott Schefske, Mingyue Zhang, Albert Nedelman, Meera Dhawan, and the database experts Lucas Marxen and Dan Farnsworth.This study was funded by National Integrated Food Safety Initiative grant from the United States Department of Agriculture (USDA NIFSI # 2010-51110-21078).The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (http://topicsinclinicalnutrition.com). Topics in Clinical Nutrition: October/December 2017 - Volume 32 - Issue 4 - p 268-281 doi: 10.1097/TIN.0000000000000117 Buy SDC Metrics Abstract Little is known about the food safety knowledge, behaviors, environments, and in-home food supplies of the growing population of homebound US seniors who are dependent on home-delivered meals. This cross-sectional study of 725 home-delivered meal recipients used in-home interviews, food inventories, and kitchen audits to examine potential food safety vulnerabilities. Seniors' food safety was compromised by poor home kitchen conditions, inadequate refrigerator/freezer temperatures, vision problems, and a lack of understanding of safe food storage times. The results identify conditions that may place seniors at greater risk for foodborne disease and suggest areas for interventions to reduce this risk. © 2017 Wolters Kluwer Health, Inc. All rights reserved.