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Brief assessment of food insecurity accurately identifies high-risk US adults

Bibliographic Data

ID15097386
AuthorsCraig Gundersen (0000-0001-9264-6914, University of Illinois Urbana-Champaign), Emily Engelhard (Feeding America), Emily E Engelhard, Amy S Crumbaugh (Feeding America), Hilary K Seligman (0000-0003-2292-5189, Feeding America, corresponding author)
Year2017
Volume20
Issue8
Pages1367-1371
Publication date2017-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980017000180
PMID28215190
OpenAlexW2591269335
LanguageEN
Citations received45
References cited8

Objective To facilitate the introduction of food insecurity screening into clinical settings, we examined the test performance of two-item screening questions for food insecurity against the US Department of Agriculture’s Core Food Security Module. Design We examined sensitivity, specificity and accuracy of various two-item combinations of questions assessing food insecurity in the general population and high-risk population subgroups. Setting 2013 Current Population Survey December Supplement, a population-based US survey. Subjects All survey participants from the general population and high-risk subgroups. Results The test characteristics of multiple two-item combinations of questions assessing food insecurity had adequate sensitivity (>97 %) and specificity (>70 %) for widespread adoption as clinical screening measures. Conclusions We recommend two specific items for clinical screening programmes based on their widespread current use and high sensitivity for detecting food insecurity. These items query how often the household ‘worried whether food would run out before we got money to buy more’ and how often ‘the food that we bought just didn’t last and we didn’t have money to get more’. The recommended items have sensitivity across high-risk population subgroups of ≥97 % and a specificity of ≥74 % for food insecurity

Agriculture · Biology · Environmental health · Food insecurity · Food security · Geography · Population · Test (biology · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Psychology

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Unique citing works45
Citations per year5
Citation span2017 - 2026 (10)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 45

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