Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran

Mohammadi, Fatemeh; Omidvar, Nasrin; Houshiarrad, Anahita; Khoshfetrat, Mohammad-Reza; Abdollahi, Morteza; Mehrabi, Yadollah

doi:10.1017/s1368980011001376

Cited by 92 publications

(110 citation statements)

References 28 publications

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“…In this population, where severe food insecurity was not highly prevalent, it is possible that participants projected their own experience with food insecurity on the understanding of the term 'worry', thereby interpreting it as more related to quality rather than absolute quantity. Our results showed that the Arabic version of the HFIAS has a comparable internal consistency (Cronbach's a 5 0?91) to that previously reported for the Tanzanian and Iranian versions of the questionnaire (Cronbach's a 5 0?90 and 0?85, respectively) (14,15) .…”

Section: Discussionsupporting

confidence: 76%

“…Correlations of the HFIAS scores with poverty and lower education levels lent support for its validity, as previous reports also showed food insecurity to be negatively associated with markers of wealth (1,14) .…”

Section: Discussionmentioning

confidence: 73%

“…', loaded on the food quality domain. Other studies examining the construct validity of the HFIAS also reported two main constructs related to food quantity and quality with item #1 loading higher on the food quality domain, failing to separate anxiety and uncertainty as a separate domain (14,15,25) . It seems that this item does not reflect a separate concept of household food insecurity, but is rather an inherent reflection of anxiety pertinent to either food quality or quantity, as experienced by specific population groups.…”

Section: Discussionmentioning

confidence: 99%

“…Recent evidence highlights promising potentials in food access measurements, particularly with the development of simple household survey tools such as the Household Food Insecurity Access Scale (HFIAS) (10)(11)(12) , a nine-item measure of food access designed to be used cross-culturally. The HFIAS was developed by the US Agency for International Development-funded Food and Nutrition Technical Assistance Project (13) , and was reported as valid for the measurement of household food insecurity by several countries including Tanzania and Iran (14,15) .…”

mentioning

confidence: 99%

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Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon

Naja

Hwalla

Fossian

et al. 2014

Public Health Nutr.

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Objective: To assess the validity and reliability of the Arabic version of the Household Food Insecurity Access Scale (HFIAS) in rural Lebanon. Design: A cross-sectional study on a sample of households with at least one child aged 0-2 years. In a one-to-one interview, participants completed an adapted Arabic version of the HFIAS. In order to evaluate the validity of the HFIAS, basic sociodemographic information, anthropometric measurements of the mother and child, and dietary intake data of the child were obtained. In order to examine reproducibility, the HFIAS was re-administered after 3 months. Setting: Rural Lebanon. Subjects: Mother and child pairs (n 150). Results: Factor analysis of HFIAS items revealed two factors: 'insufficient food quality' and 'insufficient food quantity'. Using Pearson's correlation, food insecurity was inversely associated with mother's and father's education levels, number of cars and electrical appliances in the household, income, weight-for-age and lengthfor-age of the child and the child's dietary adequacy. In contrast, mother's BMI and crowding index were positively associated with food insecurity scores (P , 0?05 for all correlations). Cronbach's a of the scale was 0?91. A moderate correlation was observed between the two administrations of the questionnaire (intra-class correlation 5 0?58; P , 0?05). Conclusions: Our findings indicated that the adapted Arabic version of the HFIAS is a valid and reliable tool to assess food insecurity in rural Lebanon, lending further evidence to the utility of the HFIAS in assessing food insecurity in culturally diverse populations.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon

Naja

Hwalla

Fossian

et al. 2014

Public Health Nutr.

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“…However, the inclusion of IFIAS items 5 and 6 together with items 2-4 in the same grouping is novel to our study. Reports by Mohammadi et al (29) using data from Iran and by Kneuppel et al (27) using data from rural Tanzania indicated that item 5 grouped together with HFIAS items 1-4 while item 6 grouped with items 7-9. In the study by Kneuppel et al, the factor loading for item 6 in each of their two emergent factors was above their selected cut-off of 0·5, indicating that potentially HFIAS item 6 can group with HFIAS items 1-5, as was observed in our study.…”

Section: Discussionmentioning

confidence: 98%

Reliability and validity of an individually focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status

Natamba

Kilama²,

Arbach

et al. 2014

Public Health Nutr.

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Objective: To determine the reliability, validity and correlates of measures of food insecurity (FI) obtained using an individually focused food insecurity access scale (IFIAS) among pregnant women of mixed HIV status in northern Uganda. Design: A mixed-methods study involving cognitive interviews nested within a cross-sectional survey. Setting: The antenatal care clinic of Gulu Regional Referral Hospital. Subjects: Survey respondents included 403 pregnant women, recruited in a ratio of one HIV-infected to two HIV-uninfected respondents, twenty-six (nine of them HIV-infected) of whom were asked to participate in the cognitive interviews. Results: Over 80 % of cognitive interview participants reported understanding the respective meanings of six of the nine items (i.e. items 4 to 9) on the IFIAS. Two main factors emerged from rotated exploratory factor analysis of the IFIAS: mild to moderate FI (IFIAS items 1-6) and severe FI (items 7-9). Together, they explained 90·4 % of the FI measure's variance. The full IFIAS and the two subscales had moderate to high internal consistency (Cronbach's α ranged from 0.75 to 0.87). Dose-response associations between IFIAS scores, and measures of socioeconomic status and women's diet quality, were observed. Multivariate linear regression revealed significant positive associations between IFIAS scores and HIV infection, maternal age, number of children and a history of internal displacement. IFIAS scores were negatively associated with women's diet diversity score, asset index and being employed. Conclusions: The IFIAS showed strong reliability, validity and contextual relevance among women attending antenatal care in northern Uganda. Keywords Food accessPregnancy HIV Food security Uganda AfricaFood security occurs 'when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life' (1) . Food insecurity (FI) exists when these conditions are not met and is a major underlying cause of undernutrition enshrined in the UNICEF conceptual framework (1,2) . FI is a major risk factor for adverse health outcomes among specific vulnerable populations including persons infected with HIV (3,4) , women (5) and children (5,6) . Women's responsibilities in managing family feeding (7) , gender bias in the experience of FI (8) and unequal control over household resources make them particularly vulnerable to FI and its consequences (3) . Data from the USA indicate that, when faced with FI, women suffer a range of negative nutritional (9) and psychosocial consequences (10,11) .Pregnant women are more likely to experience greater FI than non-pregnant women because they have higher nutrient demands, less physical ability to obtain and prepare food (especially later in pregnancy and early postpartum) and less ability to engage in income-generating labour (10) . The three studies to date about FI among pregnant women have shown that FI has serious negative nutrition...

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Weight gain during pregnancy and its associated factors: A Path analysis

et al. 2020

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Aim Weight gain during pregnancy is an important indicator in the prediction of morbidity and mortality in infants and mothers. This study aimed to determine the association factors for weight gain during pregnancy. Design A longitudinal study. Methods A total of 734 women were selected using multistage cluster sampling. Data were collected using demographic and midwifery questionnaires, economic and social status, psychological factors, domestic violence, perceived social support and food insecurity. Results Of participants 28.7%, 49.6% and 21.7%, respectively, received insufficient, adequate and excessive weight gain in pregnancy respectively. Among health determinants entered in the model, mother's age, prepartum body mass index and direct and indirect prenatal care, size of households, food insecurity, stress, anxiety, stress and pregnancy‐specific stress as well as violence had a positive and increasing effect on weight gain during pregnancy. Conclusion Considering the effect of inappropriate weight gain during pregnancy on undesirable pregnancy outcomes, related factors such as nutritional status, stress and depression in prenatal care should be assessed. Healthcare providers should consult, educate pregnant women.

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Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran

Cited by 92 publications

References 28 publications

Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon

Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon

Reliability and validity of an individually focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status

Weight gain during pregnancy and its associated factors: A Path analysis

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