Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity

Hager, Erin R.; Quigg, Anna M.; Black, Maureen M.; Coleman, S. M.; Heeren, Timothy; Rose-Jacobs, Ruth; Cook, John T.; Cuba, Stephanie A. Ettinger de; Casey, Patrick H.; Chilton, Mariana; Cutts, Diana; Meyers, Alan; Frank, Deborah A.

doi:10.1542/peds.2009-3146

Cited by 1,064 publications

(819 citation statements)

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“…[33][34][35][36] Further, cultural context is likely an important factor that makes cultural adaptation and context specific validation studies necessary. Hence, there is a need for greater knowledge concerning the validity and reliability of short screening tools.…”

Section: The Study Results In Light Of Previous Researchmentioning

confidence: 99%

“…Hence, there is a need for greater knowledge concerning the validity and reliability of short screening tools. Hager et al 33 recommend a 2-item food security screen on the basis of a combination of the following questions of the 18-item HFSSM: "In the past 12 months, did you ever worry whether the food for you and your family would run out before you have enough money to buy more?" and "In the past 12 months, were there times when the food for you and your family just did not last and there was no money to buy more?"…”

Section: The Study Results In Light Of Previous Researchmentioning

confidence: 99%

“…33 Young et al 34 tested a 2-item food security tool comprising 1 question from the USDA 18-item HFSSM: "In the past 12 months, were there times when the food for you and your family just did not last and there was no money to buy more? ", and a question about how often money could not buy balanced meals.…”

Section: The Study Results In Light Of Previous Researchmentioning

confidence: 99%

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Validity of a Single Item Food Security Questionnaire in Arctic Canada

Urke¹,

Cao²,

Egeland³

2014

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Food insecurity is best measured by comprehensive assessments. However, rapid assessments can be useful in certain circumstances, but their validity is not characterized. WHAT THIS STUDY ADDS:Rapid assessment of food insecurity is feasible among Inuit adults and children. abstract OBJECTIVES: Assess sensitivity and specificity of each of the 18 US Department of Agriculture (USDA) Household Food Security Scale Module (HFSSM) questionnaire items to determine whether a rapid assessment of child and adult food insecurity is feasible in an Inuit population. METHODS:Food insecurity prevalence was assessed by the 18-item USDA HFSSM in a randomized sample of Inuit households participating in the Inuit Health Survey and the Nunavut Inuit Child Health Survey. Questions were evaluated for sensitivity, specificity, predictive value (+/2), and total percent accuracy for adult and child food insecurity (yes/no). Child food security items were evaluated for both surveys.RESULTS: For children, the question "In the last 12 months, were there times when it was not possible to feed the children a healthy meal because there was not enough money?" had the best performance in both samples with a sensitivity and specificity of 92.3% and 97.3%, respectively, for the Inuit Health Survey, and 88.5% and 95.4% for the Nunavut Inuit Child Health Survey. For adults, the question "In the last 12 months, were there times when the food for you and your family just did not last and there was no money to buy more?" demonstrated a sensitivity of 93.0% and a specificity of 93.4%.CONCLUSIONS: Rapid assessment of child and adult food insecurity is feasible and may be a useful tool for health care and social service providers. However, as prevalence and severity of food insecurity change over time, rapid assessment techniques should not replace periodic screening by using the full USDA HFSSM questionnaire. Pediatrics 2014;133:e1616-e1623 AUTHORS:

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Section: The Study Results In Light Of Previous Researchmentioning

confidence: 99%

Section: The Study Results In Light Of Previous Researchmentioning

confidence: 99%

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Validity of a Single Item Food Security Questionnaire in Arctic Canada

Urke¹,

Cao²,

Egeland³

2014

PEDIATRICS

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“…In the policy statement "Promoting Food Security for All Children, " the AAP recommends the use of a 2-question survey that has a high sensitivity to detect food insecurity. 79,80 A single question, "Do you have difficulty making ends meet at the end of the month?" may be enough to alert the pediatrician with 98% sensitivity to a need for linking families to community resources.…”

Section: Early Identifi Cation Of Families In Need Of Servicesmentioning

confidence: 99%

Poverty and Child Health in the United States

Gitterman¹,

Flanagan²,

Cotton³

et al. 2016

Pediatrics

496

171

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Almost half of young children in the United States live in poverty or near poverty. The American Academy of Pediatrics is committed to reducing and ultimately eliminating child poverty in the United States. Poverty and related social determinants of health can lead to adverse health outcomes in childhood and across the life course, negatively affecting physical health, socioemotional development, and educational achievement. The American Academy of Pediatrics advocates for programs and policies that have been shown to improve the quality of life and health outcomes for children and families living in poverty. With an awareness and understanding of the effects of poverty on children, pediatricians and other pediatric health practitioners in a family-centered medical home can assess the financial stability of families, link families to resources, and coordinate care with community partners. Further research, advocacy, and continuing education will improve the ability of pediatricians to address the social determinants of health when caring for children who live in poverty. Accompanying this policy statement is a technical report that describes current knowledge on child poverty and the mechanisms by which poverty influences the health and well-being of children.

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“…A similar 2-item food insecurity screen was validated among low-income families with young children. 32 …”

Section: Independent Variablementioning

confidence: 99%

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Food insecurity has been linked to childhood obesity in a number of studies. Few studies have explored potential pathways through which food insecurity is related to child weight, especially in low-income families with young infants. WHAT THIS STUDY ADDS:We found that food insecurity was related to maternal controlling feeding styles and concerns about the infants' future weight. Early obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. abstract OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental FoodProgram for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. ). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. RESULTS:CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. Pediatrics 2012;130:254-261

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Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity

Abstract: A 2-item FI screen was sensitive, specific, and valid among low-income families with young children. The FI screen rapidly identifies households at risk for FI, enabling providers to target services that ameliorate the health and developmental consequences associated with FI.

Cited by 1,064 publications

References 19 publications

Validity of a Single Item Food Security Questionnaire in Arctic Canada

Validity of a Single Item Food Security Questionnaire in Arctic Canada

Poverty and Child Health in the United States

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

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