Household food insecurity measurement in Scotland: Dec 2016 update and workshop

1. Interim findings from systematic review of Household Food Insecurity Measures used in high income countriesGiang NguyenFlora DouglasGeraldine McNeillLorna 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: 1996- 2016 • Electronic databases searched : Medline, Embase, CINAHL • English Language only

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

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

7. Overview of 7 food insecurity measures

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

11. Comparing food insecurity items from the USDA, Canada, LIDNS and Brazilian questionnaires 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

13. Compared table of Radimer-Cornell questionnaire with USDA, HFIAS and FIES questionnaires (cont)

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?