Objective
To examine test-retest reliability and internal consistency of a 5-question food insecurity survey used in the National Health and Nutrition Examination Survey.
Methods
Researchers administered the National Health and Nutrition Examination Survey in the classroom to 92 fourth-grade children (74 African American; 48 girls) in 2 sessions 27–30 days apart in spring, 2011. Each classroom administration lasted 5–10 minutes.
Results
Test-retest reliability was 0.66 (Kendall tau), which is modest. Internal consistency (Cronbach alpha) was .67 and .70 for respective administrations. Food insecurity scores were related to gender (adjusted P = .05) and academic achievement (adjusted P = .004) but not to socioeconomic status or body mass index percentile (binomial regression). On average, boys reported higher food insecurity than girls. Children with lower academic achievement scores reported higher food insecurity than children with higher academic achievement scores.
Conclusions and Implications
The National Health and Nutrition Examination 5-question survey may be group administered to assess food insecurity efficiently as reported by individual fourth-grade children.