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

2017 ◽  
Vol 21 (03) ◽  
pp. 526-534 ◽  
Author(s):  
Sue Kleve ◽  
Danielle Gallegos ◽  
Stephanie Ashby ◽  
Claire Palermo ◽  
Rebecca McKechnie

AbstractObjectiveTo 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.DesignCross-sectional study.SettingMetropolitan 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.SubjectsA convenience sample of 134 adults (117 females and fifteen males, aged over 18 years).ResultsRasch 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.ConclusionsThe 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.

Author(s):  
Pamela Clarke ◽  
Mthokozisi Kwazi Zuma ◽  
Ayuk Betrand Tambe ◽  
Liana Steenkamp ◽  
Xikombiso Gertrude Mbhenyane

Amongst the problems facing South Africa today are malnutrition and food insecurity, and there is a need for interventions and innovative strategies to address these. The aim of the study was to determine the contribution of caregivers’ knowledge of nutrition and household food security among children aged 0 to 60 months. A cross-sectional study design was applied using a quantitative approach. A convenience sample (n = 184) of caregiver–child pairs (for children 0 to 60 months) from the Dora Nginza Hospital Paediatric Outpatient Department was used. A structured questionnaire was applied to collect data on socio-economic factors, health status, household food security, and caregivers’ knowledge. In addition, interviews were conducted, and anthropometric measurements of children were taken to determine their nutritional status. The results indicate that most caregivers were female, and more than half completed high school, yet almost 75% were unemployed. Most of the caregivers (58.2%) were either overweight or obese. The results also show that only 33.2% of households were food secure, 29.3% were at risk of hunger, and 37.5% experienced hunger. The prevalence of stunting, underweight, and wasting among children in the study was high. A significant, slightly positive correlation was found between the body mass index of the caregiver and height for age. Poor socio-economic status and food inaccessibility were identified as possible underlying contributing factors to malnutrition, contributing to food insecurity and therefore poor dietary intake.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zinat Mortazavi ◽  
Ahmad Reza Dorosty ◽  
Mohammad Reza Eshraghian ◽  
Mohtasham Ghaffari ◽  
Alireza Ansari-Moghaddam ◽  
...  

Background.Today, more than one billion people globally suffer from poverty and food insecurity. This study aimed to determine the severity of and factors related to household food insecurity in Zahedan, Southeastern Iran.Methods.This cross-sectional study was conducted on a total of 2,160 households between November 2014 and December 2015. Demographic and socioeconomic data were collected through interviewing the household mothers. Household food security status was assessed through the USDA 18-item questionnaire. The data were analyzed using chi-square test, one-way ANOVA, and logistic regression model.Results.Total food insecurity in the households investigated was 58.8%. There were significant associations (P<0.001) between household food insecurity status and the socioeconomic status of the households, ethnicity, education, age, and employment status of the head of the household and the mother of the household.Discussion.The results showed that more than half of the households examined suffer from food insecurity. Interventions to improve the food security status of people should be designed and implemented to improve people’s knowledge, skills, and attitudes related to healthy eating and food preparation. People’s access to healthy foods and knowledge of how to select healthy foods (especially on a limited budget) should also be improved.


2018 ◽  
Vol 11 (4) ◽  
pp. 272-282 ◽  
Author(s):  
Conor M McWade ◽  
Sheau-Chiann Chen ◽  
Fei Ye ◽  
Douglas C Heimburger ◽  
Troy D Moon ◽  
...  

Abstract Background To identify individual and household characteristics associated with food security and dietary diversity in seven Haitian–Dominican bateyes. Methods A cross-sectional sample of 667 households were surveyed. Novel household food security scores were calculated from components of the Household Food Insecurity Assessment Scale, while the Food and Agricultural Organization’s Household Dietary Diversity Score was utilized to calculate individual dietary diversity scores. Multivariable analyses were performed using ordinal logistic regression models to estimate the association between these scores and the covariate variables. Secondary dietary diversity analyses were performed after removing non-nutritious food groups. Results Food security was significantly associated with being above the poverty line (OR 3.14, 95% CI 1.92 to 5.14), living in a rural batey (OR 1.44, 95% CI 1.02 to 2.03), receiving gifts and/or donations (OR 1.76, 95% CI 1.03 to 3.00) and having a salaried job (i.e., not being paid hourly; OR 1.67, 95% CI 1.05 to 2.64). Dietary diversity was significantly associated with living in a semi-urban batey (OR 1.70, 95% CI 1.26 to 2.30), living with a partner (OR 1.47, 95% CI 1.08 to 2.00), growing at least some of one’s own food (OR 1.62, 95% CI 1.17 to 2.23), and receiving gifts and/or donations (OR 1.72, 95% CI 1.08 to 2.73). Conclusions Food insecurity and low dietary diversity are highly prevalent in Haitian–Dominican bateyes. The inclusion of sweets and non-milk beverages in dietary diversity calculations appear to skew scores towards higher levels of diversity, despite limited nutritional gains.


2017 ◽  
Vol 21 (6) ◽  
pp. 1200-1208 ◽  
Author(s):  
Salome Nduku Kasimba ◽  
Boitumelo Stokie Motswagole ◽  
Namukolo Margaret Covic ◽  
Nicole Claasen

AbstractObjectiveTo determine access to traditional and indigenous foods (TIF) and the association with household food security, dietary diversity and women’s BMI in low socio-economic households.DesignSequential explanatory mixed-methods design, including a random household cross-sectional survey on household food insecurity access (HFIA), household dietary diversity (HDD) and women’s BMI, followed by focus group discussions.SettingTwo rural and two urban areas of Botswana.SubjectsPersons responsible for food preparation or an adult in a household (n400); for BMI, non-pregnant women aged 18–49 years (n253).ResultsAlmost two-thirds of households experienced moderate or severe food insecurity (28·8 and 37·3 %, respectively), but more than half of women were overweight or obese (26·9 and 26·9 %, respectively). Median HDD score was 6 (interquartile range 5–7) out of a total of 12. A positive correlation was found between number of TIF accessed and HDD score (r=0·457;P<0·001) and a negative correlation between number of TIF accessed and HFIA score (r=−0·272;P<0·001). There was no correlation between number of TIF accessed and women’s BMI (r=−0·066;P=0·297). TIF were perceived as healthy but with declining consumption due to preference for modern foods.ConclusionsTIF may potentially have an important role in household food security and dietary diversity. There is need to explore potential benefits that may be associated with their optimal use on food security and nutrition outcomes.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Lucas Gosdin ◽  
Diane Baik ◽  
Kate Reinsma ◽  
David Raminashvili ◽  
Hen Heang ◽  
...  

Abstract Objectives The Household Food Insecurity Access Scale (HFIAS) is widely used though it has limited cross-cultural applicability. Among families with underweight children in three Cambodian districts, the HFIAS-derived prevalence of moderate/severe food insecurity was about 45%, though interviewers reported that caregivers have difficulty understanding the questions.This study seeks to develop a locally appropriate tool for measuring household food security in Cambodia. Methods Caregivers of children ages 6–24 months were screened using the Household Hunger Scale. Following Coping Strategies Index (CSI) guidance, three focus group discussions (FGD) were held with 25 food insecure caregivers from 10 villages. Participants developed a list of coping strategies in response to the question, “What do you do when you do not have enough food, and do not have enough money to buy food?” By consensus, participants weighted coping strategies in order of increasing severity. Strategies were assessed for inclusion using CSI criteria. The research and local teams combined the three lists into a single tool maintaining much of the local vocabulary. Results FGD 1 identified 16 coping strategies: one was excluded because it could not be done readily, and two were combined. FGD 2 identified 16: one was excluded because it was not repeatable, and four were combined into two. FGD 3 identified 19: six were combined into three. Seven strategies were identified in all three FGDs and seven were identified in two FGDs. Four strategies were identified in only one FGD. The resulting index is comprised of 18 coping strategies. Three strategies were weighted least severe (1). Example: “Eat rice without fish or meat.” Seven were weighted somewhat severe (2). Example: “Make food last longer by eating smaller portions and keeping it for longer than intended.” Five were weighted as more severe (3). Example: “Sell or consume seed stock held for next season.” Three strategies were weighted as most severe (4). Example: “Borrow rice or money from a lender or employer with high interest.” Conclusions Context-specific coping strategies may be useful in measuring food security in Cambodia. Future research is needed to examine the validity of this tool in comparison to established food insecurity experiences scales. Funding Sources World Vision Hong Kong. Supporting Tables, Images and/or Graphs


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


2020 ◽  
Vol 4 (2) ◽  
pp. 132-143
Author(s):  
Nurwulan Purnasari ◽  
Titisari Juwitangtyas ◽  
Iman Sabarisman

Household food security in Indonesia depends on many factors. This study aims to describe household food security during the Covid-19 pandemic in Daerah Istimewa Yogyakarta (DIY). This research was conducted using a questionnaire for taking data. This study showed that there was a difference in household food security between the pre-pandemic of Covid-19 and during the pandemic of Covid-19. The hunger scale di DIY at the pre-pandemic of Covid-19 was 6% and increased during the pandemic of Covid-19 to 11%. It is showed that the financial crisis because of Covid-19 also influenced at increasing household food insecurity. As far as future research is concerned, the impact of food insecurity in vulnerable groups within the studied communities needs to be determined.


2018 ◽  
Vol 2 (1) ◽  
pp. 44
Author(s):  
Devi Eka Jayarni ◽  
Sri Sumarmi

Background: Households experiencing food insecurity in Indonesia is 30%, while vulnerable to food is 11%. Food insecurity is related to nutrional status. Based on Riskesdas Indonesia data in 2007 the prevalence of underfive children less than 19.6%, decreased to 18.4% in 2010, but increased to 19.6% in 2013.Objective: The purpose of this study was to analyze relationship between food security, family characteristics with nutritional status of children aged 2-5 years old at area Puskesmas Wonokusumo Kota Surabaya.Methods: This study was an observasional analytic using cross sectional design. Sample size of 97 from 4101 of underfive children used Lemeshow with simple random sampling method. Collecting data used US-HFSSM questionnary for examine household food security, weight- age index for measuring nutritional status of children. Statistical analysis test used Spearman correlate test and chi square test.Results:Most of mother graduated from primary school by 38.1%, mostly mothers doesn’t work by 85.6%, most of parents income are below average amount IDR 2,363,092 by 53.6%, as well as spending on food consumption expenditure amount IDR 1,724,943 by 7.3%, while mostly household have food insecurity by 54.9%. However, there is relationship between parents incomes (p=0.006) and household food security (p=0.045) with nutritional status of children under five years old.Conclusion: The higher household income the higher food expenditure. Household’s food insecurity is mostly below average expenditure.ABSTRAKLatar Belakang : Rumah tangga yang mengalami rawan pangan di Indonesia sebesar 30%, sedangkan sangat rawan sebesar 11%.Ketahanan pangan erat kaitannya dengan masalah gizi. Berdasarkan data Riskesdas tahun 2007 prevalensi balita mengalami gizi kurang di Indonesia sebesar 19,6%, menurun menjadi 18,4% tahun 2010, namun meningkat menjadi 19,6% tahun 2013.Tujuan : Tujuan pada penelitian ini untuk menganalisis hubungan ketahanan pangan dan karakteristik keluarga dengan status gizi balita di wilayah kerja Puskesmas Wonokusumo Kota Surabaya.Metode : Jenis penelitian ini menggunakan observasional analitik dengan studi desain cross sectional. Besar sampel 97 dari 4101 balita menggunakan rumus Lemeshow dengan metode simple random sampling. Pengumpulan data menggunakan kuisioner US – HFSSM untuk mengukur status ketahanan pangan rumah tangga, indeks BB/U digunakan untuk menilai status gizi balita. Uji statistik yang digunakan adalah uji korelasi spearman dan uji chi-square.Hasil : sebagian besar ibu balita pendidikan terakhir tamat SD/ sederajat sebesar 38,1%, sebagian besar ibu balita tidak bekerja sebesar 85,6%, pendapatan keluarga sebagian besar kurang dari rata –rata Rp 2.363.092 sebesar 53,6%, sebagian besar pengeluaran rumah tangga kurang dari rata – rata Rp 1.724.943 sebesar 75,3%, sebagian besar rumah tangga rawan pangan derajat kelaparan sedang sebesar 54,9%, Terdapat hubungan antara pendapatan keluarga (p=0,006) dan ketahanan pangan rumah tangga (p=0,045) dengan status gizi balita.Kesimpulan : tingginya pendapatan rumah tangga maka mempengaruhi pengeluaran untuk pangan. Rumah tangga rawan pangan sebagian besar penegeluaran untuk pangan dibawah rata – rata. 


2020 ◽  
Author(s):  
Naser Kalantari ◽  
Neda Ezzeddin ◽  
Hassan Eini-Zinab

Objective: The aim of this study was to investigate the association of food insecurity score with the status of Covid-19 infection. Design: An online cross-sectional study. Demographic and socio-economic information were collected by questionnaire. Household Food Insecurity Access Scale (HFIAS) was used in assessing household food security status. The analysis data was done by IBM SPSS 22.0, using Chi-square test, ANOVA test and Multinomial logistic regression model. Setting: Iran Participants: 2871 Iranian adults (over 18 years old) Results: findings indicated that men [OR=0.60, CI= (0.41, 0.87), P<0.05], and healthcare personnel [OR=3.66, CI= (1.90, 7.05), P<0.001] were at higher risk for Covid-19. It was also shown that the food insecurity score is significantly higher among infected people compared to not-infected [OR=1.03, CI= (1.00, 1.05), P<0.05]. The comparison between suspected and not-infected individuals only indicated the significant differences in perceived COVID-19 prevention score, which was higher among not-infected people [OR=0.88, CI=(0.84,0.93), P<0.001]. Conclusion: Based on the results, in addition to long-term policies to improve food security, policymakers and planners need to plan and implement short-term policies (financial or food assistance) to reduce society vulnerability to the Covid-19.


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