NOTES

This research was supported by grants from the Korean Center of Disease and Control(Project No. 2010E0075600, Principal investigator, Se-Young Oh).

REFERENCES

• 1. Core indicators of nutritional state for difficult-to-sample populations. J Nutr. 1990; 120: Suppl 11. 1559-1600.PubMed
• 2. Coates J, Frongillo EA, Rogers BL, Webb P, Wilde PE, Houser R. Commonalities in the experience of household food insecurity across cultures: what are measures missing? J Nutr. 2006; 136(5): 1438S-1448S.ArticlePubMed
• 3. Connell CL, Nord M, Lofton KL, Yadrick K. Food security of older children can be assessed using a standardized survey instrument. J Nutr. 2004; 134: 2566-2572.ArticlePubMed
• 4. Food and Agriculture Organization of the United Nations. The State of Food Insecurity in the World 2001. 2002a; Rome: Food and Agriculture Organization of the United Nations.
• 5. Food and Agriculture Organization of the United Nations. Measurement and assessment of food deprivation and undernutrition. International Scientific Symposium. 2002b; Rome: Food and Agriculture Organization of the United Nations.
• 6. Frongillo EA. Validation of measures of food insecurity and hunger. J Nutr. 1999; 129: 506S-509S.ArticlePubMed
• 7. Frongillo EA, Nanama S. Development and validation of an experience-based measure of household food insecurity within and across seasons in Northern Burkina Faso. J Nutr. 2006; 136(5): 1409S-1419S.ArticlePubMed
• 8. Gonzalez W, Jimenez A, Madrigal G, Munõoz LM, Frongillo EA. Development and validation of measure of household food insecurity in urban costa rica confirms proposed generic questionnaire. J Nutr. 2008; 138: 587-592.ArticlePubMed
• 9. Gulliford MC, Nunes C, Rock EB. The 18 household food security survey items provide valid food security classifications for adults and children in the Caribbean. BMC Public Health. 2006; 6: 26.ArticlePubMedPMCPDF
• 10. Habicht JP, Pelto G, Frongillo EA, Rose D. Conceptualization and instrumentation of food insecurity. Proceedings of the Workshop on the Measurement of Food Insecurity and Hunger. 2004; Washington DC: National Academy Press.
• 11. Hamilton WL, Cook JT, Thompson WW, Buron LF, Frongillo EA, Olson CM, Wehler CA. Household food security in the United States in 1995. Summary report of the food security measurement project. 1997; Washington DC: US Department of Agriculture.
• 12. Jeong JH, Hwang DS, Kum JH, Lee BH, Park CY. A study on the working poor in Korea. Report no. 2005-03. 2005; Seoul: Korea Labor Institute.
• 13. Kendall A, Olson CM, Frongillo EA. Validation of the Radimer/Cornell measures of hunger and food insecurity. J Nutr. 1995; 125: 2793-2801.ArticlePubMed
• 14. Kim K, Hong SA, Kim MK. Nutritional status and food insufficiency of Korean population through the life-course by education level based on 2005 National Health and Nutrition Survey. Korean J Nutr. 2008; 41(7): 667-681.
• 15. Kim K, Kim MK. Development and validation of food security measure. Korean J Nutr. 2009; 42(4): 374-385.Article
• 16. Kim K, Kim MK, Shin YJ. Household food insecurity and its characteristics in Korea. Health Soc Welf Rev. 2009; 29(2): 268-292.Article
• 17. Kim K, Kim MK, Shin YJ, Lee SS. Factors related to household food insecurity in the Republic of Korea. Public Health Nutr. 2011; 14(6): 1080-1087.ArticlePubMed
• 18. Korea Health Industry Development Institute. Korean National Health and Nutrition Examination Survey, In depth analysis - Nutrition survey. 2003; Seoul: Ministry of Health and Welfare.
• 19. Korea Health Industry Development Institute. The third(2005) Korean National Health and Nutrition Examination Survey, In depth analysis - Nutrition survey. 2007; Seoul: Ministry of Health and Welfare.
• 20. Korean Nutrition Society. Dietary reference intake for Koreans. 2010; Seoul: Hanarum; 23-553.
• 21. Kwon SO, Oh SY. Associations of household food insecurity with socioeconomic measures, health status and nutrient intake in low income elderly. Korean J Nutr. 2007; 40(8): 762-768.
• 22. Lee HJ, Kim MG, Noe DM, Kang SH, Son BD, You JY, Lim WS. The structure of poverty in Korea. Report no. 2006-10. 2006; Seoul: Korean Institute for Health and Social Affairs, Ministry of Health and Welfare.
• 23. Linacre JM. A user's guide to WINSTEPS MINISTEPS: Rasch model computer programs. 2004; Chicago: Winsteps.com.
• 24. Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, Gerardo MF, Dunford C. Household food insecurity and food expenditure in Bolivia, Burkina Faso, and the Philippines. J Nutr. 2006; 136(5): 1431S-1437S.ArticlePubMed
• 25. In: Wunderlich GS, Norwood JL, editors. National Research Council. Food insecurity and hunger in the United States: An assessment of the measure. Panel to Review U.S. Department of Agriculture's Measurement of Food Insecurity and Hunger. Committee on National Statistics, Division of Behaviroal and Social Science and Education. 2006; Washington DC: The National Academies Press.
• 26. Nord M, Andrews M, Carlson S. Household Food Security in the United States in 2005. 2006; Washington DC: US Department of Agriculture.
• 27. Nord M, Andrews M, Carlson S. Household Food Security in the United States in 2007. 2008; Washington DC: US Department of Agriculture.
• 28. Nord M, Bickel G. Measuring children's food security in US household, 1995-99. 2002; Washington DC: US Department of Agriculture, Economic Research Service.
• 29. Canadian Community Health Survey, Cycle 2.2, Nutrition (2004) - Income-related household food security in Canada. Health Canada. Office of Nutrition Policy and Promotion, Health Products and Food Branch. 2007; cited 2011 January 5. Ottawa, Ontario: Available from http://dsp-psd.pwgsc.gc.ca/collection_2007/hc-sc/H164-42-2007-1E.pdf.
• 30. Oh S-Y, Hong MJ. Food security is associated with dietary intake and body size of Korean children from low-income families in urban area. Eur J Clin Nutr. 2003; 57(12): 1598-1604.ArticlePubMedPDF
• 31. Oh S-Y, Kim K, Kwon SO, Hong SA. Development and validation of Korean food security measures. 2010; Seoul: Center for Disease Control & Prevention.
• 32. Pérez-Escamilla R, Segall-Corra AM, Kurdian Maranha L, Sampaio Md, Marin-Leon L, Panigassi G. An adapted version of the US department of agriculture food insecurity module is a valid tool for assessing household food insecurity in campinas. J Nutr. 2004; 134: 1923-1928.PubMed
• 33. Radimer KL, Olson CM, Campbell CC. Development of indicators to assess hunger. J Nutr. 1990; 120: Suppl 11. 1544-1548.ArticlePubMed
• 34. Shim JS, Oh K, Nam CM. Association of household food security with dietary intake - Based on the third (2005) Korea National Health and Nutrition Examination Survey (KNHANES III). Korean J Nutr. 2008; 41(2): 174-183.
• 35. Swindale A, Bilinsky P. Development of a universally applicable household food insecurity measurement tool: Process, current status, and outstanding issues. J Nutr. 2006a; 136: 1449S-1452S.ArticlePubMed
• 36. Swindale A, Bilinsky P. Household Dietary Diversity Score (HDDS) for measurement of household food access: Indicator guide. 2006b; cited 2010 May 5. Available from http://www.fantaproject.org/publications.
• 37. Temple JB. Severe and moderate forms of food insecurity in Australia: are they distinguishable? Aust J Soc Issues. 2008; 43: 649-668.ArticlePDF
• 38. US Department of Agriculture. Guide to measuring household food security. 2000; Washington DC: US Department of Agriculture.
• 39. Webb P, Coates J, Frongillo EA, Rogers BL, Swindale A, Bilinsky P. Measuring household food insecurity: why it's so important and yet so difficult to do. J Nutr. 2006; 136(5): 1404S-1408S.ArticlePubMed
• 40. Wilde PE. Differential response patterns affect food-security prevalence estimates for households with and without children. J Nutr. 2004; 134: 1910-1915.ArticlePubMed

Fig. 1

Assessment of food security questionnaire severity according to household income

1='Worried food would run out before we got money to buy more.', 2='Food bought didn't last and we didn't have money to get more.', 3='Couldn't afford to eat balanced meals.', 4='Adult cut size of meals or skipped meals.', 5='Respondent ate less than felt he/she should.', 6='Respondent hungry but didn't eat because couldn't afford.', 7='Respondent lost weight.', 8='Adult did not eat for whole day.', 9='Relied on few kinds of low-cost food to feed children.', 10='Couldn't feed children balanced meals.', 11='Children were not eating enough.', 12='Cut size of children's meals.', 13='Children skipped meals.', 14='Children were hungry but didn't eat because couldn't afford.', 15='Children did not eat for whole day.', Questions of 4-1, 8-1, and 13-1 indicate 'how often.'

Table 1

General characteristics of household

Values are N (%)

Table 2

Household food security status

Table 3

Sensitivity and specificity of food insufficiency questionnaire with food security status by the developed questionnaire

Values are N (%)

Table 4

Meeting degree coefficient after elimination of questions

Table 5

Infit mean square using Rasch model

Table 6

Relations of household food security status with socioeconomic status and level of subjective health state

Values are Mean ± SE

a, b: Means with different superscript letters are significantly different from each other at p < 0.05 by Tukey's test

1) General linear model test

Table 7

Relations of household food security status with variety score of diet

Values are Mean ± SE

a, b: Means with different superscript letters are significantly different from each other at p < 0.05 by Tukey's test

1) Rices, noodles, rice cakes for soups and breads

2) Cereals(corn flake), potatoes, Muk(Korean jellied food), Korean glass noodles, nuts, and rice cakes

3) General linear model test

Figure & Data

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