Diagnostic Accuracy of Two Food Insecurity Screeners Recommended for Use in Health Care Settings.
Am J Public Health
; 107(11): 1812-1817, 2017 11.
Article
em En
| MEDLINE
| ID: mdl-28933929
ABSTRACT
OBJECTIVES:
To test the diagnostic accuracy of the American Academy of Pediatrics (AAP) recommended food insecurity screener.METHODS:
We conducted prospective diagnostic accuracy studies between July and November 2016 in Chicago, Illinois. We recruited convenience samples of adults from adult and pediatric emergency departments (12-month recall study n = 188; 30-day recall study n = 154). A self-administered survey included the 6-item Household Food Security Screen (gold standard), the validated 2-item Hunger Vital Sign (HVS; often, sometimes, never response categories), and the 2-item AAP tool (yes-or-no response categories).RESULTS:
Food insecurity was prevalent (12-month recall group 46%; 30-day group 39%). Sensitivity of the AAP tool using 12-month and 30-day recall was, respectively, 76% (95% confidence interval [CI] = 65%, 85%) and 72% (95% CI = 57%, 84%). The HVS sensitivity was significantly higher than the AAP tool (12-month 94% [95% CI = 86%, 98%; P = .002]; 30-day 92% [95% CI = 79%, 98%; P = .02]).CONCLUSIONS:
The AAP tool missed nearly a quarter of food-insecure adults screened in the hospital; the HVS screening tool was more sensitive. Public health implications. Health care systems adopting food insecurity screening should optimize ease of administration and sensitivity of the screening tool.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Abastecimento de Alimentos
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Adolescent
/
Adult
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Aged
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Humans
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Public Health
Ano de publicação:
2017
Tipo de documento:
Article