Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.

A growing body of literature suggests that post-secondary students experience food insecurity (FI) at greater rates than the general population. However, these rates vary dramatically across institutions and studies. FI assessment methods commonly used in studies with college students have not been...

Full description

Bibliographic Details
Main Authors: Cassandra J Nikolaus, Brenna Ellison, Sharon M Nickols-Richardson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0215161
_version_ 1819034326498541568
author Cassandra J Nikolaus
Brenna Ellison
Sharon M Nickols-Richardson
author_facet Cassandra J Nikolaus
Brenna Ellison
Sharon M Nickols-Richardson
author_sort Cassandra J Nikolaus
collection DOAJ
description A growing body of literature suggests that post-secondary students experience food insecurity (FI) at greater rates than the general population. However, these rates vary dramatically across institutions and studies. FI assessment methods commonly used in studies with college students have not been scrutinized for psychometric properties, and varying protocols may influence resulting FI prevalence estimates. The objective of this study was to assess the performance of standard food security assessment protocols and to evaluate their agreement as well as the relative accuracy of these protocols in identifying student FI. A randomized sample of 4,000 undergraduate students were invited to participate in an online survey (Qualtrics, LLC, Provo, Utah, USA) that evaluated sociodemographic characteristics and FI with the 2-item food sufficiency screener and the 10-item USDA Adult Food Security Survey Module (FSSM; containing the abbreviated 6-item module). Four hundred sixty-two eligible responses were included in the final sample. The psychometric analysis revealed inconsistencies in college student response patterns on the FSSM when compared to national evaluations. Agreement between FI protocols was generally high (>90%) but was lessened when compared with a protocol that incorporated the 2-item screener. The 10-item FSSM with the 2-item screener had the best model fit (McFadden's R2 = 0.15 and Bayesian Information Criterion = -2049.72) and emerged as the tool providing the greatest relative accuracy for identifying students with FI. Though the 10-item FSSM and 2-item screener yields the most accuracy in this sample, it is unknown why students respond to FSSM items differently than the general population. Further qualitative and quantitative evaluations are needed to determine which assessment protocol is the most valid and reliable for use in accurately identifying FI in post-secondary students across the U.S.
first_indexed 2024-12-21T07:31:57Z
format Article
id doaj.art-43d350a560184d2184e15ecf6fd93c32
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-21T07:31:57Z
publishDate 2019-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-43d350a560184d2184e15ecf6fd93c322022-12-21T19:11:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021516110.1371/journal.pone.0215161Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.Cassandra J NikolausBrenna EllisonSharon M Nickols-RichardsonA growing body of literature suggests that post-secondary students experience food insecurity (FI) at greater rates than the general population. However, these rates vary dramatically across institutions and studies. FI assessment methods commonly used in studies with college students have not been scrutinized for psychometric properties, and varying protocols may influence resulting FI prevalence estimates. The objective of this study was to assess the performance of standard food security assessment protocols and to evaluate their agreement as well as the relative accuracy of these protocols in identifying student FI. A randomized sample of 4,000 undergraduate students were invited to participate in an online survey (Qualtrics, LLC, Provo, Utah, USA) that evaluated sociodemographic characteristics and FI with the 2-item food sufficiency screener and the 10-item USDA Adult Food Security Survey Module (FSSM; containing the abbreviated 6-item module). Four hundred sixty-two eligible responses were included in the final sample. The psychometric analysis revealed inconsistencies in college student response patterns on the FSSM when compared to national evaluations. Agreement between FI protocols was generally high (>90%) but was lessened when compared with a protocol that incorporated the 2-item screener. The 10-item FSSM with the 2-item screener had the best model fit (McFadden's R2 = 0.15 and Bayesian Information Criterion = -2049.72) and emerged as the tool providing the greatest relative accuracy for identifying students with FI. Though the 10-item FSSM and 2-item screener yields the most accuracy in this sample, it is unknown why students respond to FSSM items differently than the general population. Further qualitative and quantitative evaluations are needed to determine which assessment protocol is the most valid and reliable for use in accurately identifying FI in post-secondary students across the U.S.https://doi.org/10.1371/journal.pone.0215161
spellingShingle Cassandra J Nikolaus
Brenna Ellison
Sharon M Nickols-Richardson
Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
PLoS ONE
title Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
title_full Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
title_fullStr Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
title_full_unstemmed Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
title_short Are estimates of food insecurity among college students accurate? Comparison of assessment protocols.
title_sort are estimates of food insecurity among college students accurate comparison of assessment protocols
url https://doi.org/10.1371/journal.pone.0215161
work_keys_str_mv AT cassandrajnikolaus areestimatesoffoodinsecurityamongcollegestudentsaccuratecomparisonofassessmentprotocols
AT brennaellison areestimatesoffoodinsecurityamongcollegestudentsaccuratecomparisonofassessmentprotocols
AT sharonmnickolsrichardson areestimatesoffoodinsecurityamongcollegestudentsaccuratecomparisonofassessmentprotocols