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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 community 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

Diagnosis/Needs

Goals

InterventionsTotal
29Aug1941 tools / 126 questions4411103158
15Aug1936 tools / 95 questions429100151
01Aug1928 tools / 71 questions38987134
18Jul199 tools / 34 questions

23

42890

Terminology, Definitions and Resources


Term

Definition or Description

Source(s)

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.

https://www.ers.usda.gov/data-products/food-access-research-atlas/documentation/#definitions

https://www.ers.usda.gov/publications/pub-details/?pubid=82100

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.

https://www.ers.usda.gov/data-products/food-access-research-atlas/documentation/#definitions

https://www.ers.usda.gov/publications/pub-details/?pubid=82100

Food security

Access by all people at all times to enough food for an active, healthy life. 

https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/
Food security range:  high food securityNo reported indications of food-access problems or limitations.https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges
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.https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges
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.

https://www.fns.usda.gov/guide-measuring-household-food-security-revised-2000

Food insecurity range: low food security

Reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake.

https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges
Food insecurity range:  very low food securityReports of multiple indications of disrupted eating patterns and reduced food intake.https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges
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.https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#CNSTAT


Data Element Concept Leads



Role

Name

Organization

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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