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Table 2 Diagnostic test properties of marginal food security status based on the 1-item NutriSTEP® question compared with the 2-item Hunger Vital Sign™

From: Screening for marginal food security in young children in primary care

1-item NutriSTEP®

2-item hunger vital sign™

 

Yes

No

Total

Yes

45

99

144

No

8

1022

1030

Total

53

1121

1174

Sensitivity: 45 / (45 + 8) * 100 = 84.9% (95% CI: 72.4, 93.3)

Specificity: 1022 / (1022 + 99) * 100 = 91.2% (95% CI: 89.4, 92.8)

PPV: 45 / (45 + 99) * 100 = 31.3% (95% CI: 26.7, 36.2)

NPV: 1022 / (1022 + 8) * 100 = 99.2% (95% CI: 98.5, 99.6)

Likelihood Ratio (for a positive test): sensitivity / (1-specificity) = 9.6 (95% CI: 7.7, 12.0)

Likelihood Ratio (for a negative test): (1 – sensitivity / specificity) = 0.2 (95% CI: 0.1, 0.3)

Accuracy: sensitivity x prevalence + specificity x (1 – prevalence) = 90.9% (95% CI: 89.1, 92.5)