ArticleThe Journal of nutrition2024
Properties of the Household Food Security Survey Module Scale in Young Adults with Diabetes.
Article in The Journal of nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- A Randomised Controlled Trial Testing a Behavioural Intervention Program for the Prevention of Type 2 Diabetes Among American Indian Youth: The Tribal Turning Point Study.Pediatric obesity · 2025Trial
- Associations between food insecurity, food insufficiency, and disordered eating behaviors among U.S. adolescents.Eating behaviors · 2026Article
- Food insecurity patterns and mental health among youth and young adults with diabetes.BMJ open diabetes research & care · 2025Article
- Catastrophic famine in Gaza: Unprecedented levels of hunger post-October 7th. A real population-based study from the Gaza Strip.PloS one · 2025Article
- Observational
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundThe Household Food Security Survey Module (HFSSM) was not tailored to people with chronic diseases or young adults (YAs).
objectivesWe aim to evaluate whether the 18-item HFSSM meets assumptions underlying the scale among YAs with diabetes.
methodsData from 1887 YAs with youth-onset type 1 diabetes or type 2 diabetes were used from the SEARCH for Diabetes in Youth Study, 2016-2019, and on 925 who returned for the SEARCH Food Security Cohort Study, 2018-2021, all of whom had completed the HFSSM. Guttman scaling properties (affirmation of preceding less severe items) and Rasch model properties (probability to answer an item based on difficulty level) were assessed.
resultsItems 3 (balanced meals) and 6 (eating less than one should) were affirmed more frequently than expected (nonmonotonic response pattern). At 1.2%-3.5%, item nonresponse was rare among type 1 diabetes but higher among type 2 diabetes (range: 3.1%-10.6%). Items 9 (not eating the whole day) and 3 did not meet the Guttman scaling properties. Rasch modeling revealed that item 3 had the smallest difficulty parameter. INFIT indices suggested that some responses to item 3 did not match the pattern in the rest of the sample. Classifying household food insecurity (HFI) based on items 1 and 2 compared with other 2-item combinations, including item 3, revealed a substantial undercount of HFI ranging from 5% to 8% points.
conclusionsUse of the HFSSM among YAs with diabetes could potentially result in biased HFI reporting and affect estimates of HFI prevalence in this population.
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