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Serenity Café, Edinburgh 13th December, 2016

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Presentation on theme: "Serenity Café, Edinburgh 13th December, 2016"— Presentation transcript:

1 Serenity Café, Edinburgh 13th December, 2016
Interim findings from systematic review of Household Food Insecurity Measures used in high income countries Giang Nguyen Flora Douglas Geraldine McNeill Lorna Aucott Household food insecurity measurement in Scotland: Dec 2016 update and workshop Serenity Café, Edinburgh 13th December, 2016

2 Systematic search to identify HFI measures used in high income countries
Study question: “Which HFI measurement will be applicable to use in the Scottish context?” Study aim: Identify existing empirical studies which have measured HFI in high income countries (classified by the World Bank) Search strategy: 3 key terms: food insecurity; high-income countries measurement Time period restriction: Electronic databases searched : Medline, Embase, CINAHL English Language only One important part of my PhD is to do the systematic search to identify the HFI measurements which have been used in developed countries. The search focused on 3 main facets: food insecurity; high-income countries (classified by the World Bank) and measurement Electronic databases including Medline, EMBASE, CINAHL will be considered for this systematic search. No language restriction will be imposed and the searches will be limited to between At this time, we have done our first screen through titles and abstracts for 2,070 records identify after removing duplicated. 572 records have been gone through to further data extraction process. Due to the large amount of records obtained, information from abstract will be extracted.

3 Papers retrieved

4 Systematic search to identify HFI measures used in high income countries
572 is too many to get full text for Most would not answer our RQ anyway (identify different HFI measures) Instead we extracted a fair amount of information from just the abstracts Data extraction (abstracts and papers) Country Study focus (gender, age, study population, income level) Food insecurity measure? Full or short form? Study aim Study method… etc If without citation or was a different HFI measures was further investigated: If from USA or CANADA within the last 10 years were assumed to be USDA or the Canadian tool (to be verified) Otherwise the Full text papers was obtained to id any new HFI tools for further reading and information In order to identify the new HFI tools, we created a form to extract data from the abstracts, the data extraction form will yield information including: Country of the conducted study; Study subject (gender, age, study population, income); Food insecurity measurement used? Full or short form?… etc Analysis: It is not traditional systematic review because it will only look at how HFI measurement has been used in developed/ high income countries rather than looking at any results of HFI prevalence. So, the results will take on a descriptive narrative about what measures were used, what is the target population they were used and how the results were used and is it any change in policy?

5 Household food insecurity measurement- data extraction form

6 Analysis Not a traditional systematic review Review aims to identify:
which HFI measure was used in what context, with which group, for what purpose Not concerned with prevalence or any health or social outcomes associated with HFI This will be more fully analysed later. For now 7 different HFI measurement tools have been identified In order to identify the new HFI tools, we created a form to extract data from the abstracts, the data extraction form will yield information including: Country of the conducted study; Study subject (gender, age, study population, income); Food insecurity measurement used? Full or short form?… etc Analysis: It is not traditional systematic review because it will only look at how HFI measurement has been used in developed/ high income countries rather than looking at any results of HFI prevalence. So, the results will take on a descriptive narrative about what measures were used, what is the target population they were used and how the results were used and is it any change in policy?

7 Overview of 7 food insecurity measures
Radimer-Cornell USDA LIDNS Brazilian Canadian HFIES FIES Year 1992 1995 2003 2004 2006 2013 Language English, Iran, Russian etc English, Spanish, Chinese etc English Portuguese English, French English etc Used in 145 countries Organization/Country Cornell University, USA The U.S Department of Agriculture UK Food Standards Agency Brazilian Institute of Geography and Statistics Health Canada FANTA-USAID FAO Unit of study Household Women Children Individual Household with and without children Household with and without children Assessment timeframe Not specified Last 12 months Last 3 months In the past 4 weeks (30 days) Screening question No Yes Food Security Status Categories Hunger Women and child level Food secure Low food security Very low food security Food insecure Mildly food insecure Moderately food insecure Severely food insecure Marginally food insecure Mild food insecurity to severe food insecurity

8 The core domain of food insecurity

9 Food insecurity domains ( as defined in the Radimer Cornell questionnaire)
Quantitative: Insufficient food intake: not enough food to eat Qualitative: Quality of food intake or nutrition inadequacy: not eating a complete or balanced meal Social component: disrupted eating pattern (individual level) or food acquisition in socially unacceptable ways (household). For example: skip meal or gone without food or not eating for a whole day). Psychological (at individual level) lack of choice and created feeling of deprivation.

10 Food insecurity domains
Radimer-Cornell USDA Canadian LIDNS HFIAS Brazilian FIES Quantitative 11 9 8 6 7 4 Qualitative 3 1 2 Social Psychological Weight loss Total 30 18 15

11 Comparing food insecurity items from the USDA, Canada, LIDNS and Brazilian questionnaires
Canadian LIDNS Brazilian Q0. Screening question Q1 Preliminary question - Q1. Worry about running out of food Q2 Q2. Food didn’t last Q3 Q3. Balance meals/ healthy food Q4 Q3* (healthy and varied diet) Q4. Cut the size or skip meals Q8 (Q4) Q7 Q5. (if yes to Q4) Q8b Q5 Q6. Eat less (Q9) Q6 (Q8) Q7. Being hungry Q10 Q9 Q8. Lose weight (Q11) Q9. Not eating for a whole day Q12 (go without eating for a whole day) Q10. (If yes to Q9) Q12b Q11. Eat only few kinds of low-cost food Q4* Q12. Feed children a balance meals Q5* Q13. Child not eating enough food Q14. Cut the size of children meals Q13 Q11 (Q12) Q15. Child were hungry Q15 Q14 Q16. Child skip meals Q17. (if yes to Q16) Q14b Q18. Child ever not eat for a whole day Q16 (Q15) (go without food) 1. Q: similar; (Q): quite similar (in wording) and Q*: not very similar 2. USDA, Canadian, LIDNS questions used “… money for food” meanwhile Brazilian questions used “…money to buy food” 3. Additional question in Brazilian questionnaire: “did you run out of food before having money to buy more?” 4. 14 questions in Brazilian questionnaire (except Q10) have an affirmative response “how often did it happen?”

12 Compared table of Radimer-Cornell questionnaire with USDA, HFIAS and FIES questionnaires
Household items Food depletions items 1. Amount of food enough to buy food - 2. Food runs out Q6 3. Food didn’t last Q2 4. No food for meal Food anxiety items 5. Worry if food run out Q1 6. Worry if food enough 7. Don’t know how to get food 8. Worry next day’s food Women’s items Diet inadequacy items 9. Woman does not eat as should 10. Woman cannot afford nutritious diets 11. Woman eats properly? 12.Woman does not eat balanced meal Q3 Intake insufficiency items 13. Woman wants to eat more but no money 14. Woman goes hungry Q7 Q8 15. Woman eats less Q5 Disrupted eating pattern items 16. Woman goes without eating 17. Woman skip meals Q4 18. Woman eat once a day 19. Woman does not eat for whole day Q9

13 Compared table of Radimer-Cornell questionnaire with USDA, HFIAS and FIES questionnaires (cont)
Children’s items Diet inadequacy items 20. Child composite index - 21. Child does not eat nutritious diet 22. Child does not eat balanced meals Q12 23. Child can’t be fed as should Intake insufficiency items 24. Child eat less 25. Child wants more food 26. Child doesn’t eat enough Q13 27. Child hungry Q15 Disrupted eating pattern items 28. Child goes without food 29. Child skips meals Q16 30. Child does not eat for whole day Q18

14 Acknowledgement Dr Amudha Poobalan for her input and advice re systematic review search strategy

15 Small group discussion questions
What three things from this morning’s presentations were the most interesting and / or concerning?  What actions would you like to see coming out of today’s workshop?


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