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Food Insecurity is the first of three Social Determinants of Health domains the Gravity Project will address during Phase 1 work.  

Click here for food-related terminology, definitions and source materials. These are the definitions and descriptions we will be using to guide community discussions around food insecurity data elements.

Interventions Framework

This is an initial draft of a framework for intervention data element concepts.  We will be sharing the Straw Poll results and the updated framework on the 8/29/19 community call.  Thank you to everyone who voted in the Straw Poll!

Data Element Submission

Click here to submit data elements for consideration..

Working Draft Data Elements

This is where we will post data items that have been submitted and adjudicated.  These data elements will be the focus of our workgroup discussions.  If there are data elements you are aware of that are not included here, please click here to submit them as soon as possible.

Food Insecurity Master List

The Food Insecurity Master List is used to track all adjudicated data elements for the food insecurity domain.  The latest version will be posted here as it is updated.

Click here to download the current Food Insecurity Master

Food Insecurity Adjudicated Data Element Submissions

Adjudicated food insecurity data element submissions will be posted here as they are completed to allow project participants and submitters to see the dispositions of each submitted data element or concept.

Adjudicated File

Submitter Name/Organization

Date Completed

Adjudicator Notes
document link goes here

Name and org go here

XXAug2019Observations or points of interest go here

Adjudicated Data Element Submission Statistics

Below is a list of how many of each food insecurity data element type has been adjudicated as of the date listed.

DateScreening Tool/Questions



18Jul199 tools / 34 questions



Terminology, Definitions and Resources


Definition or Description


Food access

There are many ways to measure food store access for individuals and for neighborhoods, and many ways to define which areas are food deserts—neighborhoods that lack healthy food sources. Most measures and definitions take into account at least some of the following indicators of access:

  • Accessibility to sources of healthy food, as measured by distance to a store or by the number of stores in an area.
  • Individual-level resources that may affect accessibility, such as family income or vehicle availability.
  • Neighborhood-level indicators of resources, such as the average income of the neighborhood and the availability of public transportation.

Food desert

The Food Access Research Atlas maps census tracts that are both low income (li) and low access (la), as measured by the different distance demarcations. This tool provides researchers and other users multiple ways to understand the characteristics that can contribute to food deserts, including income level, distance to supermarkets, and vehicle access.

Food security

Access by all people at all times to enough food for an active, healthy life.
Food security range:  high food securityNo reported indications of food-access problems or limitations.
Food security range:  marginal food securityOne or two reported indications—typically of anxiety over food sufficiency or shortage of food in the house. Little or no indication of changes in diets or food intake.
Food insecurityLimited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways.

Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide To Measuring Household Food Security, Revised 2000. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service; 2000.

Food insecurity range: low food security

Reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake.
Food insecurity range:  very low food securityReports of multiple indications of disrupted eating patterns and reduced food intake.
HungerTerm should refer to a potential consequence of food insecurity that, because of prolonged, involuntary lack of food, results in discomfort, illness, weakness, or pain that goes beyond the usual uneasy sensation.

Workgroup Leads




Value Set Subject Matter Expert

Linda Hyde

EMI Advisors, LLC
Value Set Subject Matter ExpertLisa NelsonEMI Advisors, LLC
Food Insecurity Subject Matter ExpertSarah DeSilveyLarner College of Medicine at the University of Vermont
Food Insecurity Subject Matter Expert

Donna Partel

Academy of Nutrition and Dietetics
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