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Preliminary validation and piloting of a comprehensive measure of household food security in Australia

  • Sue Kleve (a1), Danielle Gallegos (a2), Stephanie Ashby (a1), Claire Palermo (a1) and Rebecca McKechnie (a2)...

Abstract

Objective

To investigate the psychometric properties, validity and reliability of a newly developed measure of food insecurity, the Household Food and Nutrition Security Survey (HFNSS), among an Australian population.

Design

Cross-sectional study.

Setting

Metropolitan areas of Melbourne, Australia, identified as very high, high or medium vulnerability in the 2008 Vulnerability Assessment for Mortgage, Petrol and Inflation Risks and Expenditure index.

Subjects

A convenience sample of 134 adults (117 females and fifteen males, aged over 18 years).

Results

Rasch modelling and factor analysis identified four items for exclusion. The remaining items yielded excellent reliability among the current sample and assessed three underlying components: the adult experience of food insecurity (component one), initial/periodic changes to children’s food intakes (component two) and progressive/persistent decreases in children’s food intakes (component three). Compared with the widely used US Department of Agriculture Food Security Survey Module, the HFNSS identified a significantly higher proportion of food insecurity; this is likely due to the HFNSS’s identification of food insecurity due to reasons other than (and including) limited financial access.

Conclusions

The HFNSS may be a valid and reliable tool for the assessment of food insecurity among the Australian population and provides a means of assessing multiple barriers to food security beyond poor financial access (which has been identified as a limitation of other existing tools). Future research should explore the validity and reliability of the tool among a more representative sample, as well as specifically among vulnerable population subgroups.

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Copyright

Corresponding author

* Corresponding author: Email danielle.gallegos@qut.edu.au

References

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1. Food and Agriculture Organization of the United Nations(2012) Committee on World Food Security, Thirty-ninth Session, Rome, Italy, 15–20 October 2012. Coming to Terms with Terminology: Food Security, Nutrition Security, Food Security and Nutrition, Food and Nutrition Security. http://www.fao.org/docrep/meeting/026/MD776E.pdf (accessed June 2016).
2. Gross, R, Schoeneberger, H, Pfeifer, H et al. (2000) The Four Dimensions of Food and Nutrition Security: Definitions and Concepts. www.fao.org/elearning/course/FA/en/pdf/P-01_RG_Concept.pdf (accessed April 2017).
3. Barrett, CB (2010) Measuring food insecurity. Science 327, 825828.
4. Innes-Hughes, C, Bowers, K, King, L et al. (2013) Food Security: The What, How, Why and Where to of Food Security in NSW. Discussion Paper. Sydney, NSW: PANORG, Heart Foundation NSW and Cancer Council NSW.
5. Coleman-Jensen, A, Rabbitt, MP, Gregory, CA et al. (2016) Household Food Security in the United States in 2015. Economic Research Report no. ERR-215. Washington, DC: US Department of Agriculture, Economic Research Service.
6. Tarasuk, V, Mitchell, A & Dachner, N (2016) Household Food Insecurity in Canada, 2014. Research to Identify Policy Options to Reduce Food Insecurity (PROOF). http://www.proof.utoronto.ca/ (accessed April 2016).
7. Girard, A & Sercia, P (2013) Immigration and food insecurity: social and nutritional issues for recent immigrants in Montreal, Canada. Int J Migrat Health Soc Care 9, 3245.
8. Melchior, M, Chastang, JF, Falissard, B et al. (2012) Food insecurity and children’s mental health: a prospective birth cohort study. PLoS One 7, e52615.
9. Weiser, SD, Bangsberg, DR, Kegeles, S et al. (2009) Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDS Behav 13, 841848.
10. Lee, JS & Frongillo, EA Jr (2001) Understanding needs is important for assessing the impact of food assistance program participation on nutritional and health status in US elderly persons. J Nutr 131, 765773.
11. Tarasuk, VS (2001) Household food insecurity with hunger is associated with women’s food intakes, health and household circumstances. J Nutr 131, 26702676.
12. Seligman, HK, Laraia, BA & Kushel, MB (2010) Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 140, 304310.
13. Cook, JT, Frank, DA, Levenson, SM et al. (2006) Child food insecurity increases risks posed by household food insecurity to young children’s health. J Nutr 136, 10731076.
14. Kleinman, RE, Murphy, JM, Little, M et al. (1998) Hunger in children in the United States: potential behavioral and emotional correlates. Pediatrics 101, e3e3.
15. Shankar, P, Chung, R & Frank, DA (2017) Association of food insecurity with children’s behavioral, emotional, and academic outcomes: a systematic review. J Dev Behav Pediatr 38, 135150.
16. Australian Bureau of Statistics (2015) Australian Health Survey: Nutrition – State and Territory Results, 2011–12. http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0092011-12?OpenDocument (accessed June 2015).
17. Ramsey, R, Giskes, K, Turrell, G et al. (2012) Food insecurity among adults residing in disadvantaged urban areas: potential health and dietary consequences. Public Health Nutr 15, 227237.
18. Ramsey, R, Gallegos, D & Turrell, G (2012) Assessing food insecurity: current underestimations in Australia, alternative measures and reflections on their use. Presented at 16th International Congress of Dietetics, Sydney Convention & Exhibition Centre, Sydney, NSW, 5–8 September 2012.
19. Nolan, M, Rikard-Bell, G, Mohsin, M et al. (2006) Food insecurity in three socially disadvantaged localities in Sydney, Australia. Health Promot J Aust 17, 247.
20. Chi, DL, Masterson, EE, Carle, AC et al. (2014) Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007–2008. Am J Public Health 104, 860864.
21. Tarasuk, V, Mitchell, A, Mclaren, L et al. (2013) Chronic physical and mental health conditions among adults may increase vulnerability to household food insecurity. J Nutr 143, 17851793.
22. Langellier, BA, Chaparro, MP, Sharp, M et al. (2013) Trends and determinants of food insecurity among adults in low-income households in California. J Hunger Environ Nutr 7, 401413.
23. Marques, ES, Reichenheim, ME, de Moraes, CL et al. (2015) Household food insecurity: a systematic review of the measuring instruments used in epidemiological studies. Public Health Nutr 18, 877892.
24. Ashby, S, Kleve, S, McKechnie, R et al. (2016) Measurement of the dimensions of food insecurity in developed countries: a systematic literature review. Public Health Nutr 19, 28872896.
25. Coates, J, Frongillo, EA, Rogers, BL et al. (2006) Commonalities in the experience of household food insecurity across cultures: what are measures missing? J Nutr 136, issue 5, 1438S1448S.
26. Melgar-Quinonez, H, Nord, M, Perez-Escamilla, R et al. (2008) Psychometric properties of a modified US-household food security survey module in Campinas, Brazil. Eur J Clin Nutr 62, 665673.
27. Archer, C, Gallegos, D & McKechnie, R (2017) Developing measures of food and nutrition security within an Australian context. Public Health Nutr 20, 25132522.
28. Dodson, J & Sipe, N (2008) Unsettling Suburbia: The New Landscape of Oil and Mortgage Vulnerability in Australian Cities. Brisbane, QLD: Urban Research Program, Griffith University.
29. Rossimel, A, Han, SS, Larsen, K et al. (2016) Access and affordability of nutritious food in metropolitan Melbourne. Nutr Diet 73, 1318.
30. Harrington, J, Friel, S, Thunhurst, C et al. (2008) Obesogenic island: the financial burden of private transport on low-income households. J Public Health 30, 3844.
31. Engels, B, Nissim, R & Landvogt, K (2012) Financial hardship and emergency relief in Victoria. Aust Soc Work 65, 5472.
32. Lambie-Mumford, H & Dowler, E (2014) Rising use of ‘food aid’ in the United Kingdom. Br Food J 116, 14181425.
33. Victorian Department of Health (2010) Victorian Population Health Survey 2008. Melbourne, VIC: Victorian Government Department of Health.
34. Australian Council of Social Service (2016) Poverty in Australia. Strawberry Hills, NSW: Australian Council of Social Service.
35. Bickel, GW, Nord, M, Price, C et al. (2000) Guide to Measuring Household Food Security. Revised 2000 . Alexandria, VA: US Department of Agriculture, Food and Nutrition Service.
36. Ramsey, R (2011) Food and Brisbane households: dietary, social and health consequences of food insecurity. PhD Thesis, Queensland University of Technology.
37. Gundersen, C, Kreider, B & Pepper, J (2011) The economics of food insecurity in the United States. Appl Econ Perpect Policy 33, 281303.
38. Tabachnick, BG & Fidell, LS (2007) Using Multivariate Statistics, 5th ed. Boston, MA: Pearson/Allyn & Bacon.
39. Hair, JF, Anderson, RE, Tatham, RL et al. (1998) Multivariate Data Analysis. Upper Saddle River, NJ: Prentice Hall.
40. Wright, BD, Linacre, JM, Gustafson, J et al. (1994) Reasonable mean-square fit values. Rasch Meas Trans 8, 370.
41. McIntyre, L, Glanville, NT, Officer, S et al. (2002) Food insecurity of low-income lone mothers and their children in Atlantic Canada. Can J Public Health 93, 411415.
42. Dinour, LM, Bergen, D & Yeh, M-C (2007) The food insecurity–obesity paradox: a review of the literature and the role food stamps may play. J Am Diet Assoc 107, 19521961.
43. Nt, G & L, M (2006) Diet quality of Atlantic families headed by single mothers. Can J Diet Pract Res 67, 2835.
44. Nord, M (2013) Youth are less likely to be food insecure than adults in the same household. J Hunger Environ Nutr 8, 146163.
45. Hadley, C & Crooks, DL (2012) Coping and the biosocial consequences of food insecurity in the 21st century. Am J Phys Anthropol 149, Suppl. 55, 7294.
46. Galesic, M & Bosnjak, M (2009) Effects of questionnaire length on participation and indicators of response quality in a web survey. Public Opin Q 73, 349360.
47. Australian Bureau of Statistics (2011) 2011 Census QuickStats. http://www.censusdata.abs.gov.au/census_services/getproduct/census/2011/quickstat/2?opendocument&navpos=220 (accessed October 2017).
48. Parnell, WR & Gray, AR (2014) Development of a food security measurement tool for New Zealand households. Br J Nutr 112, 13931401.
49. Nord, M & Hopwood, H (2007) Does interview mode matter for food security measurement? Telephone versus in-person interviews in the Current Population Survey Food Security Supplement. Public Health Nutr 10, 14741480.

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