ArticlePublic health nutrition2023
Food security definition, measures and advocacy priorities in high-income countries: a Delphi consensus study.
Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Household food insecurity, dietary intake, and weight status among children in Madrid, Spain: A cross-sectional study.PloS one · 2026Article
- The Water Insecurity Experiences (WISE) Scales are suitable for use in high-income settings: findings from cognitive interviews and nationally representative surveys.International journal for equity in health · 2025Article
- National Data on the Prevalence of Food Insecurity in Australia: Implications for Health Promotion.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Hungry for connection: associations between social isolation, mental health, and food insecurity in regional Australian adults.Health promotion international · 2025Article
- Toward Nutritionally Sound Plant-Based Meat Analogues: Expert Consensus from a Delphi Study.Foods (Basel, Switzerland) · 2025Article
- Impacts of Food Insecurity on Child Development: Strengthening the Role of Childcare.Nutrients · 2025Review
- Affordability of Habitual (Unhealthy) and Recommended (Healthy) Diets in the Illawarra Using the Healthy Diets ASAP Protocol.International journal of environmental research and public health · 2025Article
- Co-designing solutions to tackle food insecurity in higher education settings: a scoping review.Public health nutrition · 2025Article
- Drivers and magnitude of food insecurity among rural households in southern Democratic Republic of Congo.Heliyon · 2024Article
- Food inequity and insecurity and MASLD: burden, challenges, and interventions.Nature reviews. Gastroenterology & hepatology · 2024Review
- Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study.Nutrients · 2024Article
- A design thinking-led approach to develop a responsive feeding intervention for Australian families vulnerable to food insecurity: Eat, Learn, Grow.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- A 5-year review of prevalence, temporal trends and characteristics of individuals experiencing moderate and severe food insecurity in 34 high income countries.BMC public health · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo establish an international consensus on the definition of food security, measures and advocacy priorities in high-income countries.
designA two-round online Delphi survey with closing in March 2020 and December 2021. Consensus was set a priori at 75 %. Qualitative data were synthesised and priorities were ranked.
settingHigh-income countries.
participantsHousehold food security experts in academia, government and non-government organisations who had published in the last 5 years.
resultsUp to thirty-two participants from fourteen high-income countries responded to the Delphi with a 25 % response rate in Round 1 and a 38 % response rate in Round 2. Consensus was reached on the technical food security definition and its dimensions. Consensus was not reached on a definition suitable for the general public. All participants agreed that food security monitoring systems provide valuable data for in-country decision-making. Favoured interventions were those that focused on upstream social policy influencing income. Respondents agreed that both national and local community level strategies were required to ameliorate food insecurity, reinforcing the complexity of the problem.
conclusionsThis study furthers the conceptual understanding of the commonly used definition of food security and its constituent dimensions. Strong advocacy is needed to ensure food security monitoring, policy and mitigation strategies are implemented. The consensus on the importance of prioritising actions that address the underlying determinants of household food security by experts in the field from across wealthy nations provides evidence to focus advocacy efforts and generate public debate.
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