Psychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas

Hromi‐Fiedler, Amber; Bermúdez‐Millán, Angela; Melgar‐Quiñonez, Hugo; Pérez‐Escamilla, Rafael

doi:10.1080/19320240802706866

Cited by 16 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The adaptations made to the US HFSSM reassured us that the revised scale had a strong potential to reliably assess household food insecurity during pregnancy among Latinas. Indeed, the quantitative validation that followed in this population indicated that the adapted US HFSSM is a valid instrument with highly desirable psychometric properties 10. Since food insecurity has been linked to many suboptimal health and nutrition outcomes among women, such as poor dietary quality, reduced food quantity, obesity, and depression, these findings have implications for helping practitioners to better understand the non-biomedical needs of the populations they serve.…”

Section: Discussionmentioning

confidence: 91%

Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase

Hromi‐Fiedler¹,

Bermúdez‐Millán

Segura‐Pérez

et al. 2009

Journal of Hunger & Environmental Nutrition

Self Cite

View full text Add to dashboard Cite

The objectives of this study were to: 1) assessed the face validity of the 18-items US Household Food Security Scale Module (US HFSSM) among low-income pregnant Latinas and 2) adapt the US HFSSM to the target population. This study was conducted in the United States in Hartford, Connecticut where 40% of residents are of Latina descent. Three focus groups (N=14 total ) were held with pregnant and postpartum Latinas from April -June 2004 to assess the understanding and applicability (face validity) of the US HFSSM as well as adapt the US HFSSM based on their recommendations. This was followed by pre-testing (N=7) to make final adaptations to the US HFSSM. Overall, the items in the US HFSSM were clear and understandable to participants, but some questions sounded repetitive to them. Participants felt the questions were applicable to other pregnant Latinas in their community and shared food security related experiences and strategies. Participants recommendations led to key adaptations to the US HFSSM including reducing the scale to 15-items, wording statements as questions, including two time periods, replacing the term "balanced meals" with "healthy and varied", replacing the term "low cost foods" with "cheap foods" and including a definition of the term, and including a coping mechanism of avoiding running out of food. The adapted US HFSSM was found to have good face validity among pregnant Latinas and can be used to assess food insecurity among this vulnerable population.

show abstract

Section: Discussionmentioning

confidence: 91%

Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase

Hromi‐Fiedler¹,

Bermúdez‐Millán

Segura‐Pérez

et al. 2009

Journal of Hunger & Environmental Nutrition

Self Cite

View full text Add to dashboard Cite

show abstract

“…For this pilot study, we used a modified FSM survey consisting of fifteen items that had been used in past studies of low-income populations to measure food insecurity (Hromi-Fiedler, Bermudez-Millan, Melgar-Quinonez, & Perez-Escamilla, 2009). Based on pilot interviews, we adapted the FSM items such that they responded to a recall period of “since being released from prison” as opposed to “in the past 12 months.” For respondents with no children, we administered the first eight FSM questions.…”

Section: Methodsmentioning

confidence: 99%

A Pilot Study Examining Food Insecurity and HIV Risk Behaviors Among Individuals Recently Released From Prison

Wang

Zhu²,

Evans³

et al. 2013

AIDS Education and Prevention

View full text Add to dashboard Cite

Annually 700,000 individuals are released from U.S. prison, many at risk for food insecurity and HIV. The association between food insecurity and HIV risk behaviors has been established but not in this population. To investigate this association, we recruited 110 recently released prisoners to participate in a survey. Ninety-one percent of our sample was food insecure; 37% did not eat for an entire day in the past month. Those who did not eat for an entire day were more likely to report using alcohol, heroin, or cocaine before sex or exchanging sex for money compared to those who had at least a meal each day. From this pilot study, released prisoners appear to be at risk for food insecurity, and not eating for an entire day is associated with certain HIV risk behaviors. HIV prevention efforts should include longitudinal studies on the relationship between food insecurity and HIV risk behaviors among recently released prisoners.

show abstract

“…The survey modules in the questionnaires were either previously validated and used by other researchers [8–10] or by our own group among Latinos with type 2 diabetes [11]. Before starting data collection with DIALBEST participants, the survey was pre-tested among five bi-cultural/bi-lingual (Spanish and English) staff at the Hispanic Health Council, Hartford.…”

Section: Methodsmentioning

confidence: 99%

“…Socioeconomic variables included monthly income, education, employment status, and food security. Food security was assessed with a previously validated [8] short form of the US household food security supplement module [US-HFSSM] module [16]. The score ranged from 0 to 5, with five indicating extreme food insecurity (Cronbach alpha = 0.89).…”

Section: Methodsmentioning

confidence: 99%

Social Support Modifies the Association Between Household Food Insecurity and Depression Among Latinos with Uncontrolled Type 2 Diabetes

Kollannoor-Samuel

Wagner

Damio

et al. 2011

J Immigrant Minority Health

Self Cite

View full text Add to dashboard Cite

Prevalence of depression is high among individuals with type 2 diabetes (T2D). The objective of the current study was to identify the socio-demographic, psychosocial, cultural, and clinical risk factors that predispose to depression, and resources that protect from depression among low income Latinos with T2D. Participants (N = 211) were interviewed in their homes upon enrollment. Multivariate logistic regression was used to identify factors associated with depressive symptoms based on a score of ≥21 on the Center for Epidemiological Studies Depression scale. Lower household income, interference of diabetes with daily activities, and more T2D clinical symptoms were associated with depression risk in the multivariate analyses. At each level of food insecurity the risk of depression was lower the higher the level of social support (P < 0.05). Findings suggest that social support buffers against the negative influence of household food insecurity on depression risk. A comprehensive approach is necessary to address the mental health needs of low income Latinos with T2D.

show abstract

Psychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas

Cited by 16 publications

References 12 publications

Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase

Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase

A Pilot Study Examining Food Insecurity and HIV Risk Behaviors Among Individuals Recently Released From Prison

Social Support Modifies the Association Between Household Food Insecurity and Depression Among Latinos with Uncontrolled Type 2 Diabetes

Contact Info

Product

Resources

About