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국민건강영양조사 식품안정성 측정 도구의 타당도 조사
Validation of Food Security Measures for the Korean National Health and Nutrition Examination Survey

김기랑    (한양대학교 의과대학 예방의학교실.지역사회보건연구소   ); 홍서아    (한양대학교 의과대학 예방의학교실.지역사회보건연구소   ); 권성옥    (경희대학교 식품영양학과, 생활과학연구소   ); 최보율    (한양대학교 의과대학 예방의학교실.지역사회보건연구소   ); 김가영    (경희대학교 식품영양학과, 생활과학연구소   ); 오세영    (경희대학교 식품영양학과, 생활과학연구소  );
  • 초록

    The objective of this study was to assess the reliability and validity of food security measures, which was developed based on the US household food security survey module (US HFSSM) with content validity in the Korean population. The reliability and validity were assessed by internal consistency, construct validity and criterion-related validity. The study included 446 households. Among those, 46.2% were households with children. The proportion of food insecure households was 33.3%. Among those, 35.4% and 64.6% households were food insecure with hunger and without hunger, respectively. The Cronbach's alpha coefficients were 0.84 and the infit value by the Rasch model analysis ranged from 0.68 to 1.43. The scale item response curves by food insecurity severity explained well the nature and characteristics of food security, indicating the highest proportion of "yes" for the items on diet quality, followed by those with diet quantity. The result of criterion-related validity showed that food insecurity status was significantly related in a dose-response manner with the household income level, food expenditure, subjective health state, subjects' educational level. Household food security status was also related to dietary diversity regarding protein foods, fruits and fruit juice, and milk and dairy product. These findings suggest that the food security instrument is reliable and valid and would be used to assess food security status in the Korean population.


  • 주제어

    food security .   validity .   reliability .   measurement .   KNHANES.  

  • 참고문헌 (40)

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  • 이 논문을 인용한 문헌 (6)

    1. Bae, Jeong In ; Park, Ung Im ; Lee, Hye Sang ; Ahn, Geun Mee ; Jeong, Woon Seon 2013. "A Study on the Living Conditions of Rural Women and the Determinants of Their Life Satisfaction" 한국지역사회생활과학회지 = The Korean Journal of Community Living Science, 24(4): 485~495     
    2. Jun, Shinyoung ; Hong, Eunju ; Joung, Hyojee 2015. "Flavonoid intake according to food security in Korean adults: Based on the Korea National Health and Nutrition Examination Survey 2007~2012" Journal of nutrition and health, 48(6): 507~518     
    3. Lee, Seungjae ; Lee, Kyung Won ; Oh, Ji Eun ; Cho, Mi Sook 2015. "Nutritional and health consequences are associated with food insecurity among Korean elderly: Based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1)" Journal of nutrition and health, 48(6): 519~529     
    4. Lee, Hye-Sang 2015. "Food Insecurity and Related Risk Factors in the Elderly: Korea National Health and Nutrition Examination Survey 2013 Data" 대한영양사협회 학술지 = Journal of the Korean dietetic association, 21(4): 308~319     
    5. Lee, Kowoon ; Yoo, Hye-Sook 2016. "Association of food insecurity and depression in Korean adults" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 17(1): 62~71     
    6. Park, Jun ; Kang, Gilwon ; Tak, Yangju ; Chang, Sounghoon ; Lee, Kunsei ; Kim, Hyeongsu 2016. "The Influence of Community Characteristics on Food Insecurity Korean Adults" Health policy and management = 보건행정학회지, 26(3): 226~232     

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