Household Nutrition Security Scale

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Measures

This measure assesses perceived access to healthy foods. The Household Nutrition Security Scale (HNSS) is a four-item measure meant for research and program evaluation. The one-item screener version of the measure, the Brief Nutrition Security Screener (BNSS), is meant for health-related social needs screening (i.e., screening for social determinates of health) in clinical and/or community settings. 


Household Nutrition Security Scale – User Guide 

 

The guide provides a brief background on the development of the measures, descriptions of the measures, examples for potential uses, guidance for scoring and interpreting scores.  

 

Household Nutrition Security Scale (HNSS)  

This four-item measure assesses household-level perceived access to healthful foods, and is meant for research and program evaluation. 

  • English version 

  • Spanish version 

  • Simplified Chinese 

  • Traditional Chinese 

Brief Nutrition Security Screener (BNSS)  

This one-item screening tool assesses household-level perceived access to healthful foods, and is meant for health-related social needs screening in clinical and/or community settings. 

  • English version 

  • Spanish version 

  • Simplified Chinese 

  • Traditional Chinese 

Manuscripts Describing Development and Validity Testing

  • Calloway EE, Carpenter LR, Gargano T, Sharp JL, Yaroch AL. Development of new measures to assess household nutrition security, and choice in dietary characteristics. Appetite. December 2022. https://pubmed.ncbi.nlm.nih.gov/36049571

  • Calloway EE, Coakley KE, Carpenter LR, Gargano T, Yaroch AL. Benefits of using both the Hunger Vital Sign and brief nutrition security screener in health-related social needs screening. Translational Behavioral Medicine. July 2024. https://pubmed.ncbi.nlm.nih.gov/38954835

  • Calloway EE, Yaroch AL, Ruggerio CF, Perkins ME, Long CR, Marriott J, Wu AJ, Luo M, Chapman KL, Gundewar A, Taitelbaum D. Household Nutrition Security Scale (HNSS): further establishing validity and reliability in a statewide sample in Massachusetts. The Journal of Nutrition. July 2025. https://pubmed.ncbi.nlm.nih.gov/40701443


Additional Measures