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Poor diets and food insecurity during adolescence can have long lasting effects, and Métis youth may be at higher risk. This study, as part of the Food and Nutrition Security for Manitoba Youth (FANS) study, examines dietary intakes, food behaviours, and health indicators of Métis compared to non-Métis youth.
Design:
This observational cross-sectional study involved a cohort of adolescents completed a self-administered web-based survey on demographics, dietary intake (24-h recall), food behaviours, food security, and select health indicators.
Setting:
Manitoba, Canada
Participants:
Participants included 1587 Manitoba grade nine students, with 135 (8.5%) self-identifying as Métis, a distinct Indigenous nation living in Canada.
Results:
Median intake of sugar was significantly higher in Métis (89.2 g) compared with non-Métis (76.3 g) participants. Percent energy intake of saturated fat was also significantly higher in Métis (12.4%) than non-Métis (11.6%) participants. Median intakes of Grain Products and Meat and Alternatives servings were significantly lower among Métis than non-Métis (6.0 vs. 7.0 and 1.8 vs. 2.0, respectively) participants. Intake of Other Foods was significantly higher in Métis (4.0) than non-Métis (3.0). Significantly more Métis participants were food insecure (33.1%) compared to non-Métis participants (19.1%). Significantly more Métis participants ate family dinners and breakfast less often than non-Métis participants, and had lower self-reported health. Significantly more Métis participants had a BMI classified as obese compared to non-Métis participants (12.6% vs. 7.1%).
Conclusions:
The dietary intakes observed in this study, both among Métis and non-Métis youth, are concerning. Many have dietary patterns that put them at risk for developing health issues in the future.
To investigate the relationship between United States (US) containment measures during the COVID-19 pandemic and household food insecurity.
Design:
To investigate these relationships, we developed a framework linking COVID-related containment policies with different domains of food security, then used multilevel random effects models to examine associations between state-level containment policies and household food security. Our framework depicts theorized linkages between stringency policies and five domains of food security (availability, physical access, economic access, acceptability in meeting preferences, and agency, which includes both self-efficacy and infrastructure). We used US national data from a representative survey data from the National Food Access and COVID research Team (NFACT) that was fielded in July-August 2020 and April 2021. Containment policy measures came from the Oxford Stringency Index and included policies such as stay at home orders, closing of public transit, and workplace closures.
Setting:
United States.
Participants:
3,071 adult individuals from the NFACT survey.
Results:
We found no significant associations between state-level containment policies and overall food insecurity at the state-level, or any of the individual domains of food insecurity. Conclusion: This research suggests that while food insecurity across all domains was a significant problem during the studied phases of the pandemic, it was not associated with these containment measures. Therefore, impacts may have been successfully mitigated, likely through a suite of policies aimed at maintaining food security, including the declaration of food workers as essential and expansion of federal nutrition programs.
The Supplemental Nutrition Assistance Program (SNAP) Online Purchasing Pilot (OPP) authorised the use of SNAP benefits online in Maryland in May 2020. We assessed shopping behaviour and intentions associated with uptake and intended future use of online grocery shopping during and after COVID-19 among SNAP-eligible households.
Design:
In this mixed-methods study, participants completed a survey on online grocery shopping, and a purposefully sampled subset participated in focus groups or in-depth interviews between November 2020 and March 2021.
Setting:
Predominantly urban households in Maryland
Participants:
Primary shoppers of SNAP-eligible households with young children (n 310)
Results:
Most participants reported first shopping for groceries online after the OPP was implemented (57 %). Families who purchased groceries in-store less frequently were less likely to report ever buying groceries online (rate ratio (RR): 0·66, 95 % CI 0·46, 0·93) compared with weekly grocery shoppers. Shoppers who intended to purchase more groceries online in the next 6 months were more likely to have online shopping experience, although this differed by timing of online grocery service adoption. Participants reported more negative attitudes towards in-store grocery shopping during the pandemic than prior to its onset and cited COVID-19 as a motivator for ordering groceries online in focus groups. Most participants who had shopped online planned to continue after the pandemic (79 %).
Conclusions:
Most participants who shopped online started during the COVID-19 pandemic and considered the pandemic a key motivator. Findings suggest that low-income households will continue to shop online, affirming the need for policies that promote equitable access to healthy food online.
Humanitarian aid, including food aid, has increasingly shifted towards the provision of cash assistance over in-kind benefits. This paper examines whether food security mediates the relationship between receipt of humanitarian cash transfers and subjective wellbeing among Syrian refugee youth in Jordan.
Design:
Secondary analysis of the 2020–21 Survey of Young People in Jordan, which is nationally representative of Syrian youth aged 16–30. We employ stepwise model building and structural equation models.
Setting:
Jordan.
Participants:
Syrian refugee youth aged 16–30 (n 1572).
Results:
While 92 % of Syrian households with youth received cash transfers from a UN agency, 78 % of households were food insecure using the Food Insecurity Experience Scale. Fifty-one percent of youth suffered from poor wellbeing using the WHO-5 subjective wellbeing scale. Household food insecurity was associated with poorer youth wellbeing. Receiving larger cash transfer amounts was associated with better wellbeing among Syrian youth in unadjusted models. The relationship between receipt of cash transfers and youth wellbeing was not mediated by food security.
Conclusion:
We do not find support for the hypothesis that food security is a mediator of the association between cash transfers and subjective wellbeing for this population.
Working animals have a crucial socio-economic role to play for many low-income communities. One such example is in Ethiopia where virtually all the draught power for agricultural production derives from working animals. However, despite this, the welfare status of working animals in this country remains poor. Hence, a clear understanding of the major welfare problems faced by working animals is key to helping improve their welfare status and to maximise their economic contribution. This systematic literature review encompasses 28 studies published between 2010–2024, that address the role of working animals and the factors impinging on their welfare. Suitability of papers for inclusion (and exclusion) involved use of a PRISMA flow diagram. In this review, we also sought to define the exact role of working animals with them found to be used not only for draught power but also as a direct source of food as well as income. A lack of medical care was also highlighted with animals afforded limited access to feed and water, subjected to regular physical abuse, and deprived of access to shelter. Insufficient assessment of welfare and improper methods of data analysis were also found to be an issue, factors that require to be addressed by future researchers to help improve the welfare of working animals in this region
The Indus civilization in South Asia (c. 320 – 1500BC) was one of the most important Old World Bronze Age cultures. Located at the cross-roads of Asia, in modern Pakistan and India, it encompassed ca. one million square kilometers, making it one the largest and most ecologically, culturally, socially, and economically complex among contemporary civilisations. In this study, Jennifer Bates offers new insights into the Indus civilisation through an archaeobotanical reconstruction of its environment. Exploring the relationship between people and plants, agricultural systems, and the foods that people consumed, she demonstrates how the choices made by the ancient inhabitants were intertwined with several aspects of society, as were their responses to social and climate changes. Bates' book synthesizes the available data on genetics, archaeobotany, and archaeology. It shows how the ancient Indus serves as a case study of a civilization navigating sustainability, resilience and collapse in the face of changing circumstances by adapting its agricultural practices.
Climate change (CC) challenges food and climate through reduced crop yields and increasing production risk. Regenerative agriculture (RA) emerged as a pivotal strategy for enhancing crop productivity and soil organic carbon (SOC) sequestration, contributing to agriculture’s CC mitigation and resilience. Nevertheless, expanding RA’s main challenges is providing sufficient science-based decision support for farmers and other stakeholders. In this context, we present herein the largest public-private partnership in Brazil to conduct research in a multidisciplinary collaborative scientific network on RA and describe the Carbon Farming Program approaches. Bayer SA leads the initiative, which also includes 11 partner institutions (i.e., Universities, Research Institutions and Foundations, and Farmers organisations). The programme aims to assess the benefits of improvement of cropland management, intensified and biodiverse crop rotation plans on SOC, soil health, crop productivity, and profitability in a no-till system. The programme has a multi-scale approach with three main steps (‘Research Partners’, ‘On-Farm Research Sites’, and ‘Carbon Program at Scale’). In total, it encompasses 1,906 farmers and 232 000 hectares across the Brazilian edaphoclimatic conditions. The programme has gathered a large database, integrating SOC and fertility determinations, and crop yields, to derive a quantitative evaluation of the impacts of sustainable agricultural land management practices adoption. Moreover, the programme enabled breaking through the gap of quantitative knowledge for the development of a novel mathematical model to predict SOC dynamics for tropical agroecosystems. This is worth supporting assertive decisions along the specific planning to promote scalability in the insertion of Brazilian agriculture in the global C market.
The objective of this study was to explore barriers and facilitators to utilising a range of food assistance resources as reported by parents living with or at risk for food insecurity (FI), as well as parents’ recommendations for improving utilisation of these resources. Qualitative data from semi-structured interviews about parents’ perspectives on interventions to address FI were analysed using a hybrid deductive/inductive thematic approach. Parents were drawn from the larger Family Matters longitudinal cohort study (N = 1,307), which was recruited from primary care clinics in Minnesota. Forty racially and ethnically diverse parents (Mage = 38.5 years; 97.5% mothers; 85% parents of colour) were recruited by food security level, with ten parents representing each level (i.e. high, marginal, low, very low). Six overarching qualitative themes were identified, which indicated the importance of (1) comfort level seeking assistance; (2) routine screening to assess need; (3) advertising, referrals, and outreach; (4) adequacy of policies and programmes to address need; (5) resource proximity and delivery; and (6) acceptability of foods/benefits provided. With some exceptions, these themes were generally represented from more than one angle (i.e. as barriers, facilitators, recommendations) and raised as relevant across different types of assistance (e.g. federal food assistance programmes, food pantries) and different settings (e.g. schools, healthcare). This study identified key factors influencing food assistance utilisation across multiple dimensions of access. These factors—which range from psychosocial to logistical in nature—should be considered in efforts to expand the reach of food assistance programmes and, in turn, improve food security among families.
This commentary highlights the release of findings now available in the report International Food Policy Study Youth Surveys: Summary of Findings 2019–2021.
Design:
The survey data described in this commentary consist of repeated cross-sectional surveys conducted annually beginning in 2019.
Setting:
Online surveys were conducted in 2019 to 2021 among respondents living in Australia, Canada, Chile, Mexico, the United Kingdom and the USA.
Participants:
Survey respondents were youth aged 10–17 years in 2019 (n 12 031), 2020 (n 11 108) and 2021 (n 10 459).
Results:
The report described in this commentary summarises findings on food and nutrition behaviours, attitudes and knowledge among youth, including their diet sources and patterns, school nutrition environments, food security, diet intentions, weight perceptions and weight loss behaviours, sugary drink perceptions, awareness of public education and mass media campaigns, perceptions of food labels and exposure to food and beverage marketing.
Conclusion:
Results from the IFPS Youth surveys provide important insights into key policies of global interest, including front-of-package nutrition labelling, levies on sugary beverages and restrictions on marketing unhealthy food and beverages to children. As policymakers continue to seek effective strategies to improve adolescent health outcomes, ongoing cross-country monitoring of food and nutrition-related indicators, such as the data from the International Food Policy Study, will be critical in assessing dietary trends and evaluating upcoming policies.
Maize is one of the major agricultural commodities in the world, and a source of food in Africa, representing more than 40 million ha currently harvested on the continent. Despite sub-Saharan Africa's dependence on grain, the maize actual yield (Ya) of the crop is low when compared to its potential yield. In Brazil, the yield-gap between Ya and water-limited yield (Yw) is approximately 50% of Yw. The objective of this study was to carry out a case study, using upland maize as a reference to identify a set of agricultural areas with similar soil and climate in Brazil and sub-Saharan Africa (SSA). The climatic similarity between Brazil and SSA countries was verified, seeking homogeneous climatic zones that occur in both regions. The Ya was determined including the data of at least the last three years of cultivation and were taken from the database of the national institutes of agricultural statistics. The climatic data showed that the SSA had well-distributed rainfall throughout the crop season, being higher than in Brazil, as well as the average air temperature. The average Yw was 11.3 and 7.4 Mg/ha for Brazil and SSA, respectively. Maize Ya in SSA was 1.4 Mg/ha, while in Brazil Ya was 5.2 Mg/ha. Ya represented approximately 9% of Yw in the SSA. The low Ya shows the large yield-gap found in SSA. With this, it is evident that the technologies used and the crop management are largely responsible for the yield differences between Brazil and SSA.
The COVID-19 pandemic led to greater food insecurity across the world, and government and charitable organisations did not always respond quickly enough or adequately to meet food needs. Mutual aid (MA) – neighbours helping neighbours to meet survival needs – mobilised residents to share food, often through outdoor food cabinets and refrigerators. This study aims to understand how MA food sharing was implemented, including food availability, acceptability, accessibility and impact on food access.
Design:
This case study describes one MA food sharing system by triangulating data from flyers, notes from nineteen volunteer meetings, six cabinet host interviews, data extracted from 1387 social media posts and 356 photographs, and 111 resident surveys.
Setting:
Tompkins County, NY, USA (total population about 100 000).
Results:
We estimated high availability of food: approximately 250 000 food servings were shared monthly, mostly carbohydrates. Most residents obtaining food found it acceptable, including satisfaction with food safety and cleanliness, food quantity, and ease of travel to the cabinets but were less satisfied with food variety. MA food sharing was accessible to food-insecure, unemployed and disabled residents, but not other priority populations. About two-thirds of residents reported improved food access. Volunteers exhibited tenacity and ingenuity in meeting operational challenges which included trash and vandalism, winter weather and unusable food contributions while foregrounding residents’ safety and privacy as shared values and navigating conflicting views about fairness.
Conclusions:
In times of crisis, MA can improve food access through free food sharing cabinets, but barriers include unacceptable food contributions and outdoor conditions.
Iron toxicity is one of the constraints limiting rice production in Africa. This study used a randomized controlled trial to assess the impact of an iron toxicity-tolerant variety, named ARICA 6, on different outcomes and investment in modern inputs by smallholder farmers. Two rounds of data were collected from 520 rice-farming households in Guinea. Results showed that the use of ARICA 6 increased rice yield by 330 kg ha−1 and net income by US$ 120 ha−1. However, adoption of improved variety may not be enough to crowd in investment in modern inputs because farmers face other constraints.
Growth in resource consumption and associated environmental degradation threatens food systems, with millions of people living in hunger globally, demonstrating the need for greater socio-ecological efficiency in food provisioning. This paper considers how sustainable consumption can ensure that human needs with regards to food provisioning (food security) are met within globally sustainable limits. It follows a sectoral approach to sustainable consumption corridors (SCCs), to develop an indicator framework for a food provisioning systems SCC.
Technical summary
Bridging social and ecological evaluations of sustainability in food systems has proved to be a challenge, illustrating the need for indicator sets which link environmental impacts and social achievement within a single framework. This work aims to fill that research gap by considering how the sustainable consumption corridor (SCC) framework can be used to examine the socio-ecological efficiency of food provisioning systems and developing a comprehensive SCC framework for food provisioning. The framework uses domains to define the minimum level of consumption needed to meet human needs (social foundation [SF]) and the maximum level of environmental impact the earth system can tolerate (ecological ceiling [EC]) while sustainably meeting those needs. It does so through the production of an indicator set for food provisioning systems that gives indicators and thresholds for the EC and SF domains within a single framework. This output is followed by a discussion of how this global SCC framework could be altered for use in different contexts, and suggestions for how such a framework could inform consumption linked sustainability policy.
Social-media summary
This work puts forth a sustainable consumption corridor framework to evaluate if food provisioning systems are meeting human needs within sustainable limits.
Given increasing global political, security and economic challenges, politicians in the European Union (EU) are seeking to reduce the EU's dependence on imports, including feed for farmed livestock. While insect farming has been suggested as an advantageous source of livestock feed is the insect farming industry, the sector has not met optimistic expectations. In particular, labor and electricity costs are driving insect companies offshore, including to Asia and the United States. This paper explores ways that the EU could solve this problem, the most promising of which is to expand the EU's production of maize and soy.
Technical summary
In the context of the Russian invasion of Ukraine and increasing global destabilization, policy makers within the European Union have expressed the need to reduce the bloc's dependence on imported agricultural products such as livestock feed. One industry that has been promoted as an advantageous source of livestock feed is insect agriculture. However, the insect industry's growth has not kept pace with optimistic expectations, and high labor and electricity costs in Europe appear to be driving major insect companies to expand production offshore. One solution may involve supporting the automation of insect farming, though automation may have harmful social consequences by reducing employment and exacerbating inequality. A more promising solution could involve bringing additional land under cultivation to expand domestic production of maize and soy, and the most up-to-date estimates suggest that doing so may even offer environmental benefits over insect production.
Social media summary
Insect farming has been offered as a solution to EU food security, but labor and power costs complicate the picture.
Paediatric fruit and vegetable prescription programmes hold promise in improving food security and dietary patterns among youth. However, programme success is largely dependent upon caregiver and family engagement. The current study sought to gain a better understanding of environmental barriers to engagement in a paediatric fruit and vegetable prescription programme in one low-income, urban community (Flint, Michigan, USA). Following the implementation of a paediatric fruit and vegetable prescription programme, researchers conducted thirty-two semi-structured interviews with caregivers. Researchers explored caregivers’ understanding of the fruit and vegetable prescription programme, barriers to programme engagement, and recommendations for improvement. Telephone interviews were transcribed for textual analysis. Researchers used thematic analysis to examine qualitative data, determine patterns across transcripts, and develop emerging themes. Researchers concluded interviews when data saturation was reached. The majority of participants were female (94%), African American (66%), and residents of Flint (72%). Five recurrent themes emerged: (1) nutrition security; (2) prescription distribution; (3) prescription redemption; (4) educational supports; and (5) programme modifications. Although caregivers indicated that the prescription programme addressed household food insecurity, environmental barriers to engagement were apparent. Caregivers provided suggestions, such as partnering with large grocery stores and developing digital prescriptions, to address programme engagement challenges. Fundamental to the success of fruit and vegetable prescription programmes is the understanding of barriers to engagement from the perspective of participants. This study explores challenges with one paediatric fruit and vegetable prescription programme and provides actionable solutions, from the viewpoint of caregivers, to address these challenges.
Crop foraging by African savannah elephants Loxodonta africana negatively affects farmer livelihoods and support for conservation, yet affordable, sustainable and practical solutions remain elusive. To inform conservation priorities, our goal was to assess the hitherto little explored relationships between farmers’ views on agricultural damage and the socio-economic factors limiting their use of elephant deterrents. We tested our hypotheses associated with the demographic categories of age, education level, years spent farming, gender, exposure to information on deterrent methods, farm size, village and relevant combinations of these factors by surveying 206 respondents across six villages in rural Kenya and analysing the resulting data using an information theoretic approach. Respondents were almost four times more likely to use deterrents if exposed to the relevant information, and almost five times more likely to do so if they had secondary education as opposed to none. Farmers with a higher level of education were five times more likely to have received information on deterrents compared to those with no formal education. Participants who had not received information on deterrents were almost three times more likely to believe that they could implement deterrent methods. Respondents who stated that they could not implement deterrents overwhelmingly cited a lack of financial resources as the reason. Overall, we found that crucial information on reducing elephant crop foraging is not reaching the relevant stakeholders, and socio-economic factors such as education and exposure to information appear to limit uptake of protective measures. These insights are important for developing mitigation strategies and supporting the livelihoods of people affected by negative human–elephant interactions, and thus for effective elephant conservation. Our findings also have broader applications for practitioners seeking to understand barriers stakeholders face in their efforts to mitigate negative interactions with wildlife.
Invasive colonial influences and continuing neoliberal policies have a detrimental impact on Land, health, food and culture for Indigenous Communities. Food security and sovereignty have significant impacts on Indigenous well-being and, specifically, oral health. Aspects relating to food security, such as availability of nutritious foods, are a common risk factor of oral diseases. This scoping review aimed to collate existing evidence regarding the relationship between food sovereignty and/or food security and oral health for Indigenous Communities, globally.
Design:
Four databases were searched using keywords related to ‘Food security’ or ‘Food sovereignty,’ ‘Indigenous Peoples’ and ‘Oral health.’ Duplicates were removed, and two independent reviewers screened the titles and abstracts to identify articles for full-text review. Extracted data were summarised narratively, presenting a conceptual model which illustrates the findings and relationships between food security and/or food sovereignty and oral health.
Results:
The search identified 369 articles, with forty-one suitable for full-text review and a final nine that met inclusion criteria. The impact of food security and food sovereignty on oral health was discussed across different populations and sample sizes, ranging from eighteen Kichwa families in Brazil to 533 First Nations and Metis households in Canada. Pathways of influence between food sovereignty and/or food security are explored clinically, quantitatively and qualitatively across oral health outcomes, including early childhood caries, dental caries and oral health-related quality of life for Indigenous Communities.
Conclusions:
Innovative strategies underpinned by concepts of Indigenous food sovereignty are needed to promote oral health equity for Indigenous Communities. The nexus between oral health and Indigenous food sovereignty remains largely unexplored, but has immense potential for empowering Indigenous rights to self-determination of health that honour Indigenous ways of knowing, being and doing.
To estimate the effect of income change on difficulty accessing food since the COVID-19 pandemic for South African youth and evaluate whether this effect was modified by receiving social grants.
Design:
A cross-sectional, online survey was conducted between December 2021 and May 2022. Primary outcome was increased difficulty accessing food since the COVID-19 pandemic. Income change was categorised as ‘Decreased a lot’, ‘Decreased slightly’ and ‘Unchanged or increased’. Multivariable logistic regressions were used, with an interaction term between social grant receipt and income change.
Setting:
eThekwini district, South Africa.
Participants:
Youth aged 16–24 years.
Results:
Among 1,620 participants, median age was 22 years (IQR 19–24); 861 (53 %) were women; 476 (29 %) reported increased difficulty accessing food; 297 (18 %) reported that income decreased a lot, of whom 149 (50 %) did not receive social grants. Experiencing a large income decrease was highly associated with increased difficulty accessing food during the COVID-19 pandemic (adjusted OR [aOR] 3·63, 95 % CI 2·70, 4·88). The aOR for the effect of a large income decrease on difficulty accessing food, compared to no income change, were 1·49 (95 % CI 0·98, 2·28) among participants receiving social grants, and 6·63 (95 % CI 4·39, 9·99) among participants not receiving social grants.
Conclusions:
While social grant support made a great difference in lowering the effect of income decrease on difficulty accessing food, it was insufficient to fully protect youth from those difficulties. In post-pandemic recovery efforts, there is a critical need to support youth through economic empowerment programming and food schemes.
Food insecurity, the inadequate or insecure access to food due to financial constraints, is a growing concern in high-income countries like Australia(1). Food insecure adults may have reduced diet quality due to constraints on food purchasing and consumption(2) but further research is needed to understand how the severity of food insecurity impacts diet quality in an Australian setting. This study aimed to examine the relationship between diet quality and increasing severity of household food insecurity using validated measurement tools. A cross-sectional, online survey of Australian adults (aged 18 years+) used the USDA Household Food Security Six-item Short Form to classify respondents as food secure or marginally, moderately, or severely food insecure. The Australian Recommended Food Score (ARFS; score between 0–73) determined diet quality (ARFS total) and sub-scale scores for eight food groups(3), with higher scores indicating higher diet quality. Diet quality score results are further categorised as “needs work” (<33), “getting there” (33-38), “excellent” (39-46) or “outstanding” (47+). Survey-weighted linear regression (adjusted for age, sex, income, education, location, household composition) analyses indicate that 45% of participants were living in households that experienced food insecurity, comprising 7% marginally, 18% moderately and 20% severely food insecure households. The ARFS total survey-weighted mean score for the whole sample (n = 804) was 32.4 (SD = 9.8). As the severity of household food insecurity increased, ARFS scores decreased. Marginally food insecure respondents reported a mean ARFS score three points lower than food-secure adults (B=-2.7; 95%CI [−5.11, −0.34]; p = 0.03), and scores reduced by six points for moderately (B=-5.6; 95%CI [−7.26, −3.90]; p<0.001) and twelve points for severely food insecure respondents (B=-11.5; 95%CI [−13.21, −9.78]; p<0.001). Marginally food insecure respondents had significantly lower vegetable sub-scale scores, moderately food insecure respondents had significantly lower sub-scale scores for all food groups except dairy, severely food insecure respondents had significantly lower scores for all sub-scale scores. Poorer diet quality is evident in adults living with any food insecurity but gets progressively worse as the severity of food insecurity increases. Interventions to reduce food insecurity and increase diet quality are required to prevent adverse nutrition-related health outcomes in food-insecure populations in Australia and beyond.
The eight well-known food security indicators were developed in 1997 using a stepwise process that involved five focus group interviews (one Māori, one Pakeha, two Pacific, and one mixed ethnicity) of 8-16 people, all of whom were either on a low income or were government beneficiaries(1). As part of the development of the tools and methods for a future New Zealand National Nutrition Survey, these eight indicators were considered for inclusion. The Māori and Technical Advisory Groups convened for the development of the National Nutrition Survey foresaw issues with the interpretation of some of the questions given the changes in the food environment and sources of food assistance in the last 25 years and recommended that cognitive testing should be conducted to see if changes were required. Participants were recruited through two community organisations, a local marae, and community Facebook pages. Participants were given the option of participating in a one-on-one interview or as part of a focus group. During each session, participants were asked five (three original and two new) questions relating to food security (running out of basics, use of food assistance, household food preparation and storage resources). After each question, the participants were asked a series of additional probing questions to ascertain whether they had interpreted the question as intended. All interviews were audio recorded and transcribed, and a qualitative analysis was performed on the transcripts to determine areas of concern with each question. A total of 46 participants completed the cognitive testing of the food security questions, including 26 aged 18-64 years, and 20 aged 65+ years. Participants also spanned a range of ethnicities including 8 Māori, 15 Pasifika, 15 Asian, and 8 New Zealand European or Other. Just over half of the participants (n=24) reported themselves to be financially secure, 16 participants reported that their financial security was borderline, 1 participant reported that they were not at all financially secure, and 5 participants declined to answer. Variable interpretations of terms by participants were found in all questions that were tested. Therefore, answers to the food security questions may have not reflected the actual experience of participants. This study also identified other dimensions of food security not assessed by the current eight indicators (e.g., lack of time, poor accessibility). These findings indicate that the food security questions need to be improved to ensure they are interpreted as intended and that new questions are needed that considers all dimensions of food insecurity (i.e., access, availability, utilisation, and stability). These new and amended questions should be cognitively tested in groups that are more likely to be experiencing food insecurity.