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Bloom M, McCoy C, Hendrix-Dicken AD, Elenwo C, Baxter MA, Coffey S, Hartwell M. Association and disparities of food insecurity and exposure to violence: analysis of the National Survey of Children's Health. J Osteopath Med 2024; 124:369-376. [PMID: 38451468 DOI: 10.1515/jom-2023-0263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 02/01/2024] [Indexed: 03/08/2024]
Abstract
CONTEXT Lack of access to food is a significant concern for child well-being, and it creates many health disparities and adverse social outcomes. Food insecurity and its many associated risk factors increase parental stress, which are strongly correlated with an increased risk of child abuse and maltreatment. Research now identifies being witness to domestic abuse as a form of child maltreatment, and exposure to violence in the community has been shown to result in similar long-term impacts. OBJECTIVES Given the potential for lifelong adverse effects from experiencing adverse childhood events involving violence and food insecurity, our primary objective was to assess the relationship between the two and disparities among demographic factors. METHODS We conducted an observational study utilizing data from the National Survey of Children's Health (NSCH) 2016-2021. The NSCH is a United States nationally representative survey completed by primary caregivers of one child per home aged 0-17 years. We determined population estimates (n=216,799; n=83,424,126) and rates of children experiencing food insecurity and parent-reported exposure to violence. We then constructed logistic regression models to assess associations, through odds ratios (ORs), between food security and exposure to violence including demographic factors. RESULTS Among the sample, 5.42 % of children experienced low food security and 7.4 % were exposed to violence. The odds of exposure to violence are 5.19 times greater for children with low food security compared to food-secure children (95 % confidence interval [CI]: 4.48-6.02). Indigenous and Black children were 7.8 and 6.81 times more likely to experience or witness violence when food insecure compared to food secure White children, respectively (95 % CI: 3.18-19.13, 5.24-8.86 respectively). CONCLUSIONS Food insecurity was associated with increased odds of children experiencing and/or witnessing violence compared to those who were food secure. The interaction between exposure to violence and food insecurity also disproportionately impacts children with specific demographic factors, notably race/ethnicity including multiracial, Indigenous, and Black children. By developing and adapting strategies to improve food security, it is possible to indirectly reduce the rates of childhood exposure to violence and the long-term impacts that result.
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Affiliation(s)
- Molly Bloom
- 12373 Oklahoma State University College of Osteopathic Medicine at Cherokee Nation, Office of Medical Student Research , Tahlequah, OK, USA
| | - Cassie McCoy
- 12373 Oklahoma State University College of Osteopathic Medicine at Cherokee Nation, Office of Medical Student Research , Tahlequah, OK, USA
| | - Amy D Hendrix-Dicken
- Senior Staff Research Assistant, Department of Pediatrics, 161413 University of Oklahoma School of Community Medicine , Tulsa, OK, USA
| | - Covenant Elenwo
- 12373 Oklahoma State University College of Osteopathic Medicine at Cherokee Nation, Office of Medical Student Research , Tahlequah, OK, USA
| | - Michael A Baxter
- Associate Professor of Pediatrics, Medical Director of Child Abuse Pediatrics Clinic, and Program Director of Child Abuse Pediatrics Fellowship, Department of Pediatrics, 161413 University of Oklahoma School of Community Medicine , Tulsa, OK, USA
| | - Sara Coffey
- Associate Clinical Professor and Interim Chair, Department of Psychiatry and Behavioral Sciences, 33264 Oklahoma State University Center for Health Sciences , Tulsa, OK, USA
| | - Micah Hartwell
- Clinical Assistant Professor, Department of Psychiatry and Behavioral Sciences, 33264 Oklahoma State University Center for Health Sciences , Tulsa, OK, USA
- Director of Office of Medical Student Research, 12373 Oklahoma State University College of Osteopathic Medicine at Cherokee Nation , Tahlequah, OK, USA
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Nelson K, Jackson AM, Nguyen CJ, Noonan C, Muller C, MacLehose RF, Manson SM, Dillard DA, Buchwald D. Food insecurity in urban American Indian and Alaska Native populations during the COVID-19 pandemic. BMC Public Health 2024; 24:903. [PMID: 38539099 PMCID: PMC10967146 DOI: 10.1186/s12889-024-18390-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 03/19/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Food insecurity is an important social determinant of health that was exacerbated by the COVID-19 pandemic. Both food insecurity and COVID-19 infection disproportionately affect racial and ethnic minority groups, particularly American Indian and Alaska Native communities; however, there is little evidence as to whether food insecurity is associated with COVID-19 infection or COVID-19 preventive behaviors such as vaccination uptake. The purpose of this study was to evaluate associations between food insecurity, COVID-19 infection, and vaccination status among urban American Indian and Alaska Native adults seen at 5 clinics serving urban Native people. METHODS In partnership with health organizations in Alaska, Colorado, Kansas, Minnesota, and New Mexico, the study team conducted a cross-sectional survey in 2021 to assess food security status and attitudes, barriers, and facilitators for COVID-19 testing and vaccination. Logistic regression was used to examine the association of food security status with sociodemographic factors and COVID-19 infection and vaccination status. Marginal standardization was applied to present results as prevalence differences. RESULTS Among 730 American Indian and Alaska Native adults, the prevalence of food insecurity measured during the pandemic was 38%. For participants who reported persistent food security status before and during the pandemic (n = 588), the prevalence of food insecurity was 25%. Prevalence of COVID-19 infection and vaccination did not vary by food security status after adjustment for confounders. CONCLUSIONS High rates of food insecurity among American Indian and Alaska Native communities likely increased during the COVID-19 pandemic. However, despite the high prevalence of food insecurity, community-led efforts to reduce COVID-19 infection and increase vaccination uptake across Indian Health Service and Tribal healthcare facilities may have mitigated the negative impacts of the pandemic for families experiencing food insecurity. These successful approaches serve as an important reference for future public health efforts that require innovative strategies to improve overall health in American Indian and Alaska Native communities.
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Affiliation(s)
- Katie Nelson
- Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, 98101, USA.
| | | | - Cassandra J Nguyen
- Department of Nutrition, University of California, Davis, Davis, CA, USA
| | - Carolyn Noonan
- Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, 98101, USA
| | - Clemma Muller
- Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, 98101, USA
| | - Richard F MacLehose
- Division of Epidemiology and Community Health, Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, USA
| | - Spero M Manson
- Colorado School of Public Health, Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Denise A Dillard
- Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, 98101, USA
| | - Dedra Buchwald
- Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, 98101, USA
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Nelson K, Jackson AM, Nguyen CJ, Noonan C, Muller C, MacLehose RF, Manson SM, Dillard D, Buchwald D. Food Insecurity in Urban American Indian and Alaska Native Populations During the COVID-19 Pandemic. RESEARCH SQUARE 2023:rs.3.rs-3711655. [PMID: 38168406 PMCID: PMC10760224 DOI: 10.21203/rs.3.rs-3711655/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
Background Food insecurity is an important social determinant of health that was exacerbated by the COVID-19 pandemic. Both food insecurity and COVID-19 infection disproportionately affect racial and ethnic minority groups, particularly American Indian and Alaska Native communities; however, there is little evidence as to whether food insecurity is associated with COVID-19 infection or COVID-19 preventive behaviors such as vaccination uptake. The purpose of this study was to evaluate associations between food insecurity, COVID-19 infection, and vaccination status among urban American Indian and Alaska Native adults seen at 5 clinics serving urban Native people. Methods In partnership with health organizations in Alaska, Colorado, Kansas, Minnesota, and New Mexico, the study team conducted a cross-sectional survey in 2021 to assess food security status and attitudes, barriers, and facilitators for COVID-19 testing and vaccination. Logistic regression was used to examine the association of food security status with sociodemographic factors and COVID-19 infection and vaccination status. Marginal standardization was applied to present results as prevalence differences. Results Among 730 American Indian and Alaska Native adults, the prevalence of food insecurity measured during the pandemic was 38%. For participants who reported persistent food security status before and during the pandemic (n=588), the prevalence of food insecurity was 25%. Prevalence of COVID-19 infection and vaccination did not vary by food security status after adjustment for confounders. Conclusions High rates of food insecurity among American Indian and Alaska Native communities likely increased during the COVID-19 pandemic. However, despite the high prevalence of food insecurity, community-led efforts to reduce COVID-19 infection and increase vaccination uptake across Indian Health Service and Tribal healthcare facilities may have mitigated the negative impacts of the pandemic for families experiencing food insecurity. These successful approaches serve as an important reference for future public health efforts that require innovative strategies to improve overall health in AIAN communities.
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Affiliation(s)
| | | | | | | | | | | | - Spero M Manson
- Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus
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Maudrie TL, Nguyen CJ, Wilbur RE, Mucioki M, Clyma KR, Ferguson GL, Jernigan VBB. Food Security and Food Sovereignty: The Difference Between Surviving and Thriving. Health Promot Pract 2023; 24:1075-1079. [PMID: 37877640 DOI: 10.1177/15248399231190366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Previous research in American Indian and Alaska Native (AI/AN) communities has documented high prevalence of food insecurity. Yet many AI/AN scholars and communities have expressed concerns that the dominant societal conceptions of food security are not reflective of the teachings, priorities, and values of AI/AN communities. Food security initiatives often focus on access to food and, at times, nutrition but little consideration is given to cultural foods, the spirituality carried through foods, and whether the food was stewarded in a way that promotes well-being not just for humans but also for plants, animals, land, and water. Despite the concerns of AI/AN communities that their needs are not centered in dominant societal food conceptualizations and food security programming, the food sovereignty efforts of AI/AN communities have captured national attention as a solution to modern food system inequities. Indigenous Food Sovereignty (IFS) is a holistic approach to food that incorporates values of relationality, reciprocity, and relationships. Fundamental differences exist between food security and food sovereignty, yet dominant society often reduces IFS as a solution to food security, rather than an entirely different food system that is predicated on values that contrast with that of dominant society. Despite calls to decolonize the definition and measurement of food security, we explore whether fixing the concept of food security is a worthy endeavor or whether efforts would be better spent supporting the resurgence and revitalization of AI/AN food values, food knowledge, and community food sovereignty initiatives.
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Affiliation(s)
- Tara L Maudrie
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | | | - Megan Mucioki
- The Pennsylvania State University, University Park, PA, USA
| | - Kaylee R Clyma
- Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
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Nguyen CJ, Wilbur RE, Henderson A, Sowerwine J, Mucioki M, Sarna-Wojcicki D, Ferguson GL, Maudrie TL, Moore-Wilson H, Wark K, Jernigan VBB. Framing an Indigenous Food Sovereignty Research Agenda. Health Promot Pract 2023; 24:1117-1123. [PMID: 37877643 DOI: 10.1177/15248399231190362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Access to healthy and appealing food is essential for individuals to be able to live a healthy and quality life. For decades, food security has been a priority issue for public health professionals. Food sovereignty expands upon the concept of food insecurity (i.e., having access to nutritious and culturally relevant food) by incorporating people's rights to define their own food system. The expanded focus of food sovereignty on food systems prioritizes public health professionals' role in supporting environmental- and systems-level initiatives and evaluating their implications for health, economics, and the natural environment. Food sovereignty is of particular importance for Indigenous peoples (i.e., American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities). Colonization had demonstrable consequences, with many Indigenous communities being forcibly relocated from traditional lands, alongside the destruction of traditional food sources. Indigenous food sovereignty aligns with the sovereign nation status that American Indian tribes and Alaska Native communities have with the United States. Furthermore, the worldviews that incorporate Indigenous communities' relational responsibilities to care for their food systems, according to their traditional practices and beliefs (Coté, 2016; Morrison, 2011), uniquely positions Indigenous peoples to lead food sovereignty initiatives. In this article, we explore what is currently known regarding food sovereignty and health. We then discuss opportunities to expand the evidence on Indigenous food sovereignty's relationships with (1) health and well being, (2) economics, (3) the natural environment, and (4) programming facilitators and barriers.
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Affiliation(s)
| | | | | | | | - Megan Mucioki
- Pennsylvania State University, State College, PA, USA
| | | | | | - Tara L Maudrie
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | - Kyle Wark
- Southcentral Foundation, Anchorage, AK, USA
| | - Valarie Blue Bird Jernigan
- Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK USA
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Sowerwine J, Mucioki M, Sarna-Wojcicki D, McCovey K, Morehead-Hillman L, Hillman L, Lake FK, Preston V, Bourque S. Enhancing Indigenous Food Sovereignty and Community Health Through the Karuk Agroecosystem Resilience Initiative: We Are Caring for It: xúus nu'éethti. Health Promot Pract 2023; 24:1096-1100. [PMID: 37877638 DOI: 10.1177/15248399231190368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Indigenous communities in the United States experience some of the highest rates of food insecurity and diet-related diseases despite an abundance of food assistance programs and other public health interventions. New approaches that center Indigenous perspectives and solutions are emerging and urgently needed to better understand and address these challenges. This Practice Note shares lessons learned from ongoing collaboration between the Karuk Tribe and University of California, Berkeley researchers and other partners to assess and enhance food sovereignty among Tribes and Tribal communities in the Klamath River Basin. Through two participatory research and extension projects, we demonstrate the importance of centering Indigenous knowledge to strengthen research findings and identify more culturally appropriate solutions to community identified food access, health, and ecosystem challenges. Key findings suggest that approaches to food sovereignty and community health must emanate from the community, be approached holistically, reflect community values and priorities, and center Indigenous land stewardship.
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Affiliation(s)
| | - Megan Mucioki
- The Pennsylvania State University, University Park, PA, USA
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Nguyen CJ, French BF, Maudrie TL, Ferguson GL, Blue Bird Jernigan V, Sinclair KIA. Measuring Food Security among American Indian and Alaska Native Adults: Validity Evidence Supports the Use of the US Department of Agriculture Module. J Acad Nutr Diet 2023; 123:S76-S88. [PMID: 37730308 DOI: 10.1016/j.jand.2023.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 02/17/2023] [Accepted: 02/28/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND Inequities in access, availability, and affordability of nutritious foods produced by settler colonialism contribute to high rates of food insecurity among American Indian and Alaska Native (AI/AN) households. Efforts to understand the influences of food security programming among AI/AN individuals in the United States are constrained by the absence of validity evidence for food security assessments for this population. OBJECTIVE This study assessed whether AI/AN adult responses on the Food Security Survey Module provide an accurate assessment of food security prevalence, especially when compared with other racial and ethnic groups. DESIGN A correlational design with the cross-sectional 2019 National Health Interview Survey was used to address the research objective. PARTICIPANTS AND SETTING The 2019 National Health Interview Survey contains a sample (N = 30,052) representative of the resident civilian noninstitutionalized population. MAIN OUTCOME MEASURES The primary outcome was food security, as characterized by the 10-item US Department of Agriculture Adult Food Security Survey Module. The module evaluates whether insufficient finances result in perceived food shortages and a reduction in the quantity and/or quality of food intake during the prior 30 days. STATISTICAL ANALYSES PERFORMED Data were analyzed by racial and ethnic subsamples to assess scale dimensionality (confirmatory factor analysis), Item Response Theory item analysis, differential item functioning, and external validity (χ2 tests). RESULTS Results supported the use of the 10-item module for racial and ethnic groups. However, differential item functioning effect sizes exceeded criteria for the Asian, AI/AN, and Hispanic respondents when compared with White respondents. Food security was not significantly related to all expected correlates in the AI/AN subsample. CONCLUSIONS Compelling evidence is presented for validity of the FSSM scores in determining food security status of AI/AN adults. Qualitative inquiry that explores how culture influences the way food security is conceptualized and experienced is warranted.
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Affiliation(s)
- Cassandra J Nguyen
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, Washington; Elson S. Floyd College of Medicine, Washington State University, Seattle, Washington.
| | - Brian F French
- College of Education, Washington State University, Pullman, Washington
| | - Tara L Maudrie
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Gary L Ferguson
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, Washington
| | - Valarie Blue Bird Jernigan
- Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
| | - Ka Imi A Sinclair
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, Washington; College of Nursing, Washington State University, Seattle, Washington
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Arteaga I, Wilde PE. Measuring Food Security in the United States for More Than 25 years: History, Methods, Findings, and Opportunities. J Acad Nutr Diet 2023; 123:S5-S19. [PMID: 36669754 DOI: 10.1016/j.jand.2023.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 11/29/2022] [Accepted: 01/12/2023] [Indexed: 01/19/2023]
Abstract
This article sets the stage for the "25 Years of Food Security Measurement: Answered Questions and Further Research" conference, with support from the Economic Research Service of the US Department of Agriculture, by providing some history of federal food security measurement, summarizing notable findings, and reviewing selected special topics in analysis methods. The federal government uses food security surveys to monitor national progress toward reducing food insecurity and to evaluate federal nutrition assistance programs. For the monitoring purpose, there is a tension between focus (on a single authoritative measurement approach) and breadth (encompassing multiple tools or instruments suitable for diverse populations, contexts, and applications). For the program evaluation purpose, challenges include coordination with study designs capable of real causal estimation in the face of strong self-selection effects and tailored reference periods in survey questions that match the timing of program participation. Some analysis methods treat the food security survey items as distinct experiences of hardship, whereas others treat the food security survey items as windows on an underlying latent variable, a food insecurity score. The severity of food-related hardship may be assessed quantitatively by the number of distinct hardships reported, by the estimated value of a latent food insecurity score, or by the frequency of occurrence for sentinel hardships. Ongoing work investigates statistical approaches that are sufficiently simple for policy application and yet sufficiently flexible to accurately match the empirical survey evidence.
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Affiliation(s)
- Irma Arteaga
- Truman School of Government and Public Affairs, University of Missouri, Columbia, Missouri.
| | - Parke E Wilde
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
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Booth S, Deen C, Thompson K, Kleve S, Chan E, McCarthy L, Kraft E, Fredericks B, Brimblecombe J, Ferguson M. Conceptualisation, experiences and suggestions for improvement of food security amongst Aboriginal and Torres Strait Islander parents and carers in remote Australian communities. Soc Sci Med 2023; 320:115726. [PMID: 36753996 DOI: 10.1016/j.socscimed.2023.115726] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 12/14/2022] [Accepted: 01/24/2023] [Indexed: 01/26/2023]
Abstract
This study aimed to determine perceptions of the lived experience of food insecurity and suggestions to improve food security in four remote Aboriginal communities in the Northern Territory, and Queensland. Participants were Aboriginal and/or Torres Strait Islander pregnant and breastfeeding women, and parents/carers of children aged six months to five years. Semi-structured interviews (n=17) were conducted between June-July 2021 and the data thematically analysed using a four stage process. No specific term was used by participants to describe being either food secure or insecure. Descriptions of food security were centred in food sharing, food sufficiency, and family activities. Elements describing food insecurity were physical pain and emotional stress, adults going without food, seeking family help and managing without food until payday. Factors contributing to food insecurity were reported to be: (i) Low income and unemployment, (ii) Cost of living remotely, (iii) Resource sharing, and (iv) Impact of spending on harmful commodities and activities. Three themes were conceptualised: (1) Cultural practices buffer food insecurity, (2) Coping with food insecurity, (3) People accept a degree of food insecurity as normal. Findings suggest Aboriginal and Torres Strait Islander cultural practices such as sharing food buffer episodic food insecurity and constitute 'cultural food security'. Despite use of cultural practices (e.g., procuring traditional food) and generic coping strategies, regular episodes of food insecurity often aligned with the off week of social assistance payments. Household energy (electricity) security was coupled to food security. Suggestions for improving food security included better transport and food access, extending electricity rebates, increases in the regularity of social assistance payments, and computer access and training in budgeting. Policies to advance food security should embody deeper Aboriginal and Torres Strait Islander descriptions and experiences. Community-derived policy suggestions which aim to increase access to adequate, regular, stable household income are likely to succeed.
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Affiliation(s)
- Sue Booth
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, 4072, Australia; College of Medicine & Public Health, Flinders University, Australia.
| | - Caroline Deen
- Apunipima Cape York Health Council, Bungalow, Queensland, 870, Australia
| | - Kani Thompson
- Apunipima Cape York Health Council, Bungalow, Queensland, 870, Australia
| | - Sue Kleve
- Department of Nutrition, Dietetics & Food, Monash University, Notting Hill, Victoria, 3168, Australia
| | - Ellie Chan
- Central Australian Aboriginal Congress, Alice Springs, Northern Territory, 0870, Australia
| | - Leisa McCarthy
- Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, 0810, Australia
| | - Emma Kraft
- Central Australian Aboriginal Congress, Alice Springs, Northern Territory, 0870, Australia
| | - Bronwyn Fredericks
- Office of the Pro-Vice Chancellor (Indigenous Engagement), The University of Queensland Brisbane, Queensland, 4072, Australia
| | - Julie Brimblecombe
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, 4072, Australia; Department of Nutrition, Dietetics & Food, Monash University, Notting Hill, Victoria, 3168, Australia; Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, 0810, Australia
| | - Megan Ferguson
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, 4072, Australia; Department of Nutrition, Dietetics & Food, Monash University, Notting Hill, Victoria, 3168, Australia; Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, 0810, Australia
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Serchen J, Mathew S, Hilden D, Southworth M, Atiq O. Supporting the Health and Well-Being of Indigenous Communities: A Position Paper From the American College of Physicians. Ann Intern Med 2022; 175:1594-1597. [PMID: 36215716 DOI: 10.7326/m22-1891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Indigenous peoples in the United States experience many health disparities and barriers to accessing health care services. In addition, Indigenous communities experience poor social drivers of health, including disproportionately high rates of food insecurity, violence, and poverty, among others. These challenges are unsurprising, given historical societal discrimination toward Indigenous peoples and government policies of violence, forced relocation with loss of ancestral home, and erasure of cultures and traditions. Indigenous peoples have displayed resilience that has sustained their communities through these hardships. Through treaties between the federal government and Indigenous nations, the federal government has assumed a trust responsibility to provide for the health and well-being of Indigenous populations through the direct provision of health care services and financial support of tribally operated health systems. However, despite serving a population that has endured substantial historical trauma and subsequent health issues, federal programs serving Indigenous peoples receive inadequate federal funding and substantially fewer resources compared with other federal health care programs. Access to care is further challenged by geographic isolation and health care workforce vacancies. Given the history of Indigenous peoples in the United States and their treatment by the federal government and society, the American College of Physicians (ACP) asserts the federal government must faithfully execute its trust responsibility through increased funding and resources directed toward Indigenous communities and the undertaking of concerted policy efforts to support the health and well-being of Indigenous people. ACP believes that these efforts must be community-driven, Indigenous-led, and culturally appropriate and accepted, and center values of respect and self-determination.
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Affiliation(s)
- Josh Serchen
- American College of Physicians, Washington, DC (J.S.)
| | - Suja Mathew
- Atlantic Health System, Morristown, New Jersey (S.M.)
| | - David Hilden
- Hennepin Healthcare, Minneapolis, Minnesota (D.H.)
| | - Molly Southworth
- WWAMI School of Medical Education, University of Alaska Anchorage, Anchorage, Alaska (M.S.)
| | - Omar Atiq
- University of Arkansas for Medical Sciences, Little Rock, Arkansas (O.A.)
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Calderón Farfán JC, Rosero Medina DF, Arias Torres D. Soberanía alimentaria y salud: perspectivas de tres pueblos indígenas de Colombia. Glob Health Promot 2022:17579759221113492. [PMID: 36268647 DOI: 10.1177/17579759221113492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
La soberanía alimentaria es el derecho colectivo a decidir sobre la producción, distribución y consumo de alimentos, promueve la generación de suministros alimenticios para el consumo local, de tal forma que los consumidores queden resguardados de la volatilidad de los precios de mercados internacionales. En los pueblos indígenas esta tendencia resulta trascendental para hacer frente a condiciones de inequidad histórica que han impactado negativamente su salud pública. No obstante, es ignorada en algunos casos y en otros reemplazada por nociones centradas en la seguridad alimentaria, término alineado con políticas transnacionales derivadas del modelo económico dominante. Objetivo: analizar con tres comunidades indígenas de Colombia las perspectivas de soberanía alimentaria y su influencia en la salud. Método: investigación participativa basada en comunidad que recolectó datos mediante grupos de discusión, entrevistas y observación. La población de estudio fueron tres comunidades indígenas del sur de Colombia. La selección de participantes se realizó según su trayectoria en la comunidad. Resultados: las comunidades entienden la soberanía alimentaria como la conservación de semillas nativas y alimentos propios, vista como oportunidad para el cuidado de la salud. Su debilitamiento se relaciona con el desarrollo de enfermedades de las personas y de la madre tierra. Para su fortalecimiento identificaron el tul, el yatul y la chagra (huertas) que reafirman la unión familiar, contribuyen a la recuperación de modos de producción desde la sabiduría ancestral y se posicionan como alternativa para la sostenibilidad económica. Conclusión: la soberanía alimentaria conserva los saberes y prácticas tradicionales para una alimentación propia, debilitada por los sistemas agroindustriales. Es asumida como iniciativa local suscrita en un proyecto global de resistencia política y económica para la salud colectiva de los pueblos.
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Affiliation(s)
- Juan Camilo Calderón Farfán
- Doctorado en Ciencias de la Salud, Universidad Surcolombiana, Neiva, Huila, Colombia.,Programa de Enfermería, Universidad Surcolombiana, Neiva, Huila, Colombia
| | | | - Dolly Arias Torres
- Doctorado en Ciencias de la Salud, Universidad Surcolombiana, Neiva, Huila, Colombia.,Programa de Enfermería, Universidad Surcolombiana, Neiva, Huila, Colombia
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Nikolaus CJ, Johnson S, Benally T, Maudrie T, Henderson A, Nelson K, Lane T, Segrest V, Ferguson GL, Buchwald D, Blue Bird Jernigan V, Sinclair K. Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs. Adv Nutr 2022; 13:1566-1583. [PMID: 35092417 PMCID: PMC9526849 DOI: 10.1093/advances/nmac008] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 01/11/2022] [Accepted: 01/24/2022] [Indexed: 01/28/2023] Open
Abstract
Food insecurity, defined as insufficient access to nutritious foods, is a social determinant of health that may underpin health disparities in the US. American Indian and Alaska Native (AI/AN) individuals experience many health inequities that may be related to food insecurity, but no systematic analyses of the existing evidence have been published. Thus, the objective of this scoping review was to assess the literature on food insecurity among AI/AN individuals and communities, with a focus on the prevalence of food insecurity and its relations to sociodemographic, nutrition, and health characteristics. Systematic search and data extraction processes were used. Searches were conducted on PubMed as well as peer-reviewed journal and government websites. Of 3174 identified references, 34 publications describing 30 studies with predominantly AI/AN sample populations were included in the final narrative synthesis. Twenty-two studies (73%) were cross-sectional and the remaining 8 (27%) described interventions. The weighted average prevalence of food insecurity across the studies was 45.7%, although estimates varied from 16% to 80%. Most studies used some version of the USDA Food Security Survey Modules, although evidence supporting its validity in AI/AN respondents is limited. Based on the review, recommendations for future research were derived, which include fundamental validity testing, better representation of AI/AN individuals in federal or local food security reports, and consideration of cultural contexts when selecting methodological approaches. Advances in AI/AN food insecurity research could yield tangible benefits to ongoing initiatives aimed at increasing access to traditional foods, improving food environments on reservations and homelands, and supporting food sovereignty.
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Affiliation(s)
- Cassandra J Nikolaus
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
- Elson S Floyd College of Medicine, Washington State University, Spokane, WA, USA
| | - Selisha Johnson
- Community-Oriented Public Health Practice Program, University of Washington School of Public Health, Seattle, WA, USA
| | - Tia Benally
- Community-Oriented Public Health Practice Program, University of Washington School of Public Health, Seattle, WA, USA
| | - Tara Maudrie
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Austin Henderson
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
| | - Katie Nelson
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
| | - Trevor Lane
- Community and Economic Development, Ferry County Extension, Washington State University, Republic, WA, USA
| | | | - Gary L Ferguson
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
| | - Dedra Buchwald
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
- Elson S Floyd College of Medicine, Washington State University, Spokane, WA, USA
| | - Valarie Blue Bird Jernigan
- Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - Ka`imi Sinclair
- Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA
- College of Nursing, Washington State University, Spokane, WA, USA
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Mucioki M, Sowerwine J, Sarna-Wojcicki D, McCovey K, Bourque SD. Understanding the conservation challenges and needs of culturally significant plant species through Indigenous Knowledge and species distribution models. J Nat Conserv 2022. [DOI: 10.1016/j.jnc.2022.126285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wheat S, Gaughen S, Skeet J, Campbell L, Donatuto J, Schaeffer J, Sorensen C. Climate change and COVID-19: Assessing the vulnerability and resilience of U.S. Indigenous communities to syndemic crises. THE JOURNAL OF CLIMATE CHANGE AND HEALTH 2022; 8:100148. [PMID: 35722027 PMCID: PMC9197810 DOI: 10.1016/j.joclim.2022.100148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 06/06/2022] [Indexed: 06/15/2023]
Abstract
The rapid emergence of the COVID-19 pandemic and the insidiously evolving climate crisis represent two of the most pressing public health threats to Indigenous Peoples in the United States. Understanding the ways in which these syndemics uniquely impact Indigenous Peoples, given the existing health disparities for such communities, is essential if we are to address modifiable root causes of health vulnerability and devise effective and equitable strategies to protect and improve health in the evolving climate landscape. We explore the compounding burden of the COVID-19 pandemic and climate change on Indigenous Peoples' health, and present several case studies which outline novel Indigenous approaches and perspectives that address climate change, COVID-19 and future health threats.
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Affiliation(s)
- Stefan Wheat
- Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA
| | - Shasta Gaughen
- Pala Environmental Department, Director and Tribal Historic Preservation Officer, Pala Band of Mission Indians, Pala, CA, USA
| | - James Skeet
- Covenant Pathways, Navajo Nation, Vanderwagen, NM, USA
| | - Larry Campbell
- Swinomish Community Environmental Health Program, Swinomish Indian Tribal Community, WA, USA
| | - Jamie Donatuto
- Swinomish Community Environmental Health Program, Swinomish Indian Tribal Community, WA, USA
| | - Jacqualine Schaeffer
- Community Environment and Health, Division of Environmental Health and Engineering, Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | - Cecilia Sorensen
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA
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15
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Monteith H, Hiscock EC, Sadeghi Y, Smith EV, Mashford-Pringle A. Indigenous Food Systems Changes and Resiliency: A Scoping Review Protocol (Preprint). JMIR Res Protoc 2022; 12:e41627. [PMID: 37083598 PMCID: PMC10163398 DOI: 10.2196/41627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 02/10/2023] [Accepted: 02/13/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Indigenous food systems (IFS) consider the complex relationships and connections between land, animals, plants, water, and people. These food systems may differ between regions, Indigenous cultures, and history; however, given the similar colonial histories and policies influencing Indigenous groups in Canada, the United States, Australia, and Aotearoa (New Zealand), the IFS changes and responses in these regions may follow similar trends. Climate change and pollution continue to impact the environment in catastrophic ways, and this, in turn, impacts IFS. However, to date, there has been no review of the literature on IFS, how they are changing, and how communities are responding to these changes. OBJECTIVE In this scoping review, we will summarize primary research in Canada, the United States, Australia, and Aotearoa related to IFS addressing the following questions: (1) What changes are IFS experiencing in the context of climate change and pollution? (2) What actions have been taken in response to IFS changes? (3) What are the characteristics of IFS research in peer-reviewed academic literature? METHODS We will use the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews and the Joanna Briggs Institute reviewer's manual to inform the review process. MEDLINE, SCOPUS, International Bibliography of the Social Sciences, Sociological Abstracts, and the Bibliography of Native North Americans are the databases included in this review search. All screening and extraction have been supported by Covidence software (Veritas Health Innovation) with 2 independent reviewers conducting the abstract and full-text screening. We will map concepts and themes related to the research questions to contribute to the understanding of IFS within the academic literature and provide a narrative review of the outcomes. RESULTS The electronic database searches for this review were conducted in May 2021. Screening and full-text review were initially completed in the winter of 2022. We are currently in the process of compiling results and aim to share findings in 2023. CONCLUSIONS This review will provide valuable insight into current IFS needs by summarizing the peer-reviewed literature on how IFS are changing because of climate change and pollution and how communities are responding to these changes. The results of this review will be shared with Indigenous communities, through academic publications, community conversations, and conference presentations. TRIAL REGISTRATION OSF Registries osf.io/xrj87; https://osf.io/xrj87. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR1-10.2196/41627.
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Affiliation(s)
- Hiliary Monteith
- Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada
| | - Elizabeth Claire Hiscock
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Yasamin Sadeghi
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Emily V Smith
- Department of Anthropology, University of Toronto, Toronto, ON, Canada
| | - Angela Mashford-Pringle
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
- Waakebiness-Bryce Institute for Indigenous Health, University of Toronto, Toronto, ON, Canada
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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 2022; 179:106288. [DOI: 10.1016/j.appet.2022.106288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 07/15/2022] [Accepted: 08/24/2022] [Indexed: 11/02/2022]
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Resilience-by-Design and Resilience-by-Intervention in supply chains for remote and indigenous communities. Nat Commun 2022; 13:1124. [PMID: 35236845 PMCID: PMC8891324 DOI: 10.1038/s41467-022-28734-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 02/07/2022] [Indexed: 11/09/2022] Open
Abstract
Indigenous and remote communities face difficulties in times of supply chain disruption. Here the authors comment on challenges faced by the Tribal Population of Noepe (Martha’s Vineyard) and argue for the inclusion of Resilience-by-Design and Resilience-by-Intervention in supply chain management.
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A’uwẽ (Xavante) views of food security in a context of monetarization of an indigenous economy in Central Brazil. PLoS One 2022; 17:e0264525. [PMID: 35213660 PMCID: PMC8880766 DOI: 10.1371/journal.pone.0264525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 02/13/2022] [Indexed: 11/24/2022] Open
Abstract
Following boom-and-bust economic cycles provoked by Brazilian governmental attempts to integrate Indigenous peoples into national society, it is approximately since the beginning of the 2000s that Brazilian Indigenous peoples came to be viewed officially as “poor” and victims of “hunger.” Consequently, the national indigenist agency and other State entities started to conceive and implement diverse initiatives that ultimately injected money and resources into Indigenous communities. In 2019 we undertook an ethnographic study in three A’uwẽ (Xavante) communities in the Pimentel Barbosa Indigenous Reserve, Central Brazil, with the objective of analyzing how people understand and pursue food security. We propose that in the studied communities the complex network of A’uwẽ food reciprocity is a fundamental strategy for mitigating hunger and acute lack of food. We show that among the A’uwẽ, the hybrid economy that developed since the 1970s has proved resilient to dramatic transformations and uncertainty in the availability and characteristics of external government inputs.
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19
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Hagmann RK, Hessburg PF, Prichard SJ, Povak NA, Brown PM, Fulé PZ, Keane RE, Knapp EE, Lydersen JM, Metlen KL, Reilly MJ, Sánchez Meador AJ, Stephens SL, Stevens JT, Taylor AH, Yocom LL, Battaglia MA, Churchill DJ, Daniels LD, Falk DA, Henson P, Johnston JD, Krawchuk MA, Levine CR, Meigs GW, Merschel AG, North MP, Safford HD, Swetnam TW, Waltz AEM. Evidence for widespread changes in the structure, composition, and fire regimes of western North American forests. ECOLOGICAL APPLICATIONS : A PUBLICATION OF THE ECOLOGICAL SOCIETY OF AMERICA 2021; 31:e02431. [PMID: 34339067 PMCID: PMC9285092 DOI: 10.1002/eap.2431] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 03/04/2021] [Accepted: 03/22/2021] [Indexed: 05/06/2023]
Abstract
Implementation of wildfire- and climate-adaptation strategies in seasonally dry forests of western North America is impeded by numerous constraints and uncertainties. After more than a century of resource and land use change, some question the need for proactive management, particularly given novel social, ecological, and climatic conditions. To address this question, we first provide a framework for assessing changes in landscape conditions and fire regimes. Using this framework, we then evaluate evidence of change in contemporary conditions relative to those maintained by active fire regimes, i.e., those uninterrupted by a century or more of human-induced fire exclusion. The cumulative results of more than a century of research document a persistent and substantial fire deficit and widespread alterations to ecological structures and functions. These changes are not necessarily apparent at all spatial scales or in all dimensions of fire regimes and forest and nonforest conditions. Nonetheless, loss of the once abundant influence of low- and moderate-severity fires suggests that even the least fire-prone ecosystems may be affected by alteration of the surrounding landscape and, consequently, ecosystem functions. Vegetation spatial patterns in fire-excluded forested landscapes no longer reflect the heterogeneity maintained by interacting fires of active fire regimes. Live and dead vegetation (surface and canopy fuels) is generally more abundant and continuous than before European colonization. As a result, current conditions are more vulnerable to the direct and indirect effects of seasonal and episodic increases in drought and fire, especially under a rapidly warming climate. Long-term fire exclusion and contemporaneous social-ecological influences continue to extensively modify seasonally dry forested landscapes. Management that realigns or adapts fire-excluded conditions to seasonal and episodic increases in drought and fire can moderate ecosystem transitions as forests and human communities adapt to changing climatic and disturbance regimes. As adaptation strategies are developed, evaluated, and implemented, objective scientific evaluation of ongoing research and monitoring can aid differentiation of warranted and unwarranted uncertainties.
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Affiliation(s)
- R. K. Hagmann
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
- Applegate Forestry LLCCorvallisOregon97330USA
| | - P. F. Hessburg
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
- USDA‐FS, Forestry Sciences LaboratoryPacific Northwest Research StationWenatcheeWashington98801USA
| | - S. J. Prichard
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
| | - N. A. Povak
- USDA‐FS, Forestry Sciences LaboratoryPacific Northwest Research StationWenatcheeWashington98801USA
- USDA‐FS, Pacific Southwest Research StationPlacervilleCalifornia95667USA
| | - P. M. Brown
- Rocky Mountain Tree‐Ring ResearchFort CollinsColorado80526USA
| | - P. Z. Fulé
- School of ForestryNorthern Arizona UniversityFlagstaffArizona86011USA
| | - R. E. Keane
- Missoula Fire Sciences LaboratoryUSDA‐FS, Rocky Mountain Research StationMissoulaMontana59808USA
| | - E. E. Knapp
- USDA‐FS, Pacific Southwest Research StationReddingCalifornia96002USA
| | - J. M. Lydersen
- Fire and Resource Assessment ProgramCalifornia Department of Forestry and Fire ProtectionSacramentoCalifornia94244USA
| | | | - M. J. Reilly
- USDA‐FS, Pacific Northwest Research StationCorvallisOregon97333USA
| | - A. J. Sánchez Meador
- Ecological Restoration InstituteNorthern Arizona UniversityFlagstaffArizona86011USA
| | - S. L. Stephens
- Department of Environmental Science, Policy, and ManagementUniversity of California–BerkeleyBerkeleyCalifornia94720USA
| | - J. T. Stevens
- U.S. Geological SurveyFort Collins Science CenterNew Mexico Landscapes Field StationSanta FeNew Mexico87508USA
| | - A. H. Taylor
- Department of Geography, Earth and Environmental Systems InstituteThe Pennsylvania State UniversityUniversity ParkPennsylvania16802USA
| | - L. L. Yocom
- Department of Wildland Resources and the Ecology CenterUtah State UniversityLoganUtah84322USA
| | - M. A. Battaglia
- USDA‐FS, Rocky Mountain Research StationFort CollinsColorado80526USA
| | - D. J. Churchill
- Washington State Department of Natural ResourcesOlympiaWashington98504USA
| | - L. D. Daniels
- Department of Forest and Conservation SciencesUniversity of British ColumbiaVancouverBritish ColumbiaV6T 1Z4Canada
| | - D. A. Falk
- School of Natural Resources and the EnvironmentUniversity of ArizonaTucsonArizona85721USA
- Laboratory of Tree‐Ring ResearchUniversity of ArizonaTucsonArizona85721USA
| | - P. Henson
- Oregon Fish and Wildlife OfficeUSDI Fish & Wildlife ServicePortlandOregon97232USA
| | - J. D. Johnston
- College of ForestryOregon State UniversityCorvallisOregon97333USA
| | - M. A. Krawchuk
- College of ForestryOregon State UniversityCorvallisOregon97333USA
| | - C. R. Levine
- Spatial Informatics GroupPleasantonCalifornia94566USA
| | - G. W. Meigs
- Washington State Department of Natural ResourcesOlympiaWashington98504USA
| | - A. G. Merschel
- College of ForestryOregon State UniversityCorvallisOregon97333USA
| | - M. P. North
- USDA‐FS, Pacific Southwest Research StationMammoth LakesCalifornia93546USA
| | - H. D. Safford
- USDA‐FS, Pacific Southwest RegionVallejoCalifornia94592USA
| | - T. W. Swetnam
- Laboratory of Tree‐Ring ResearchUniversity of ArizonaTucsonArizona85721USA
| | - A. E. M. Waltz
- Ecological Restoration InstituteNorthern Arizona UniversityFlagstaffArizona86011USA
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Estradé M, Yan S, Trude AC, Fleischhacker S, Hinman S, Maudrie T, Jock BW, Redmond L, Pardilla M, Gittelsohn J. Individual- and household-level factors associated with fruit, vegetable, and dietary fiber adequacy among Native American adults in 6 reservation communities. Prev Med Rep 2021; 24:101414. [PMID: 34976600 PMCID: PMC8683900 DOI: 10.1016/j.pmedr.2021.101414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 05/15/2021] [Accepted: 05/25/2021] [Indexed: 11/12/2022] Open
Abstract
This study utilized baseline data collected in 2017 from the OPREVENT2 trial, which included 540 Native Americans in six Midwest and Southwest reservation communities. The objective was to identify correlates of fruit, vegetable, and dietary fiber adequacy among participants 18–75 years old who self-identified as the main food purchaser or preparer in their household. Mean daily servings of fruits and vegetables and grams of dietary fiber were quantified based on a 30-day semi-quantitative food frequency questionnaire. Participants consumed an average of 0.5 (±0.4) cup-equivalent servings of fruit, 2.5 (±1.8) cup-equivalent servings of vegetables, and 15.5 (±8.9) grams of fiber per day. <2% of the study population met the 2015–2020 Dietary Guidelines for Americans recommendations for fruit consumption, while 12 and 42% met recommendations for dietary fiber and vegetable consumption, respectively. Females had a prevalence ratio 1.4 times greater than males for adequate intakes of vegetables (p = 0.008) and over 6 times greater for dietary fiber (p < 0.001). Participants over the age of 30 were about twice as likely to meet dietary fiber recommendations (p = 0.031) compared to those 30 years and younger. Participants receiving food assistance from the USDA’s Food Distribution Program on Indian Reservations (FDPIR) were nearly twice as likely as non-FDPIR recipients to meet recommendations for dietary fiber (p = 0.008). These findings can help guide the development of targeted interventions to improve diet quality; however, further work is needed to understand and address underlying reasons for low fruit consumption in these rural reservation communities.
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21
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Hessburg PF, Prichard SJ, Hagmann RK, Povak NA, Lake FK. Wildfire and climate change adaptation of western North American forests: a case for intentional management. ECOLOGICAL APPLICATIONS : A PUBLICATION OF THE ECOLOGICAL SOCIETY OF AMERICA 2021; 31:e02432. [PMID: 34339086 PMCID: PMC9285088 DOI: 10.1002/eap.2432] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 02/17/2021] [Accepted: 03/03/2021] [Indexed: 05/05/2023]
Abstract
Forest landscapes across western North America (wNA) have experienced extensive changes over the last two centuries, while climatic warming has become a global reality over the last four decades. Resulting interactions between historical increases in forested area and density and recent rapid warming, increasing insect mortality, and wildfire burned areas, are now leading to substantial abrupt landscape alterations. These outcomes are forcing forest planners and managers to identify strategies that can modify future outcomes that are ecologically and/or socially undesirable. Past forest management, including widespread harvest of fire- and climate-tolerant large old trees and old forests, fire exclusion (both Indigenous and lightning ignitions), and highly effective wildfire suppression have contributed to the current state of wNA forests. These practices were successful at meeting short-term demands, but they match poorly to modern realities. Hagmann et al. review a century of observations and multi-scale, multi-proxy, research evidence that details widespread changes in forested landscapes and wildfire regimes since the influx of European colonists. Over the preceding 10 millennia, large areas of wNA were already settled and proactively managed with intentional burning by Indigenous tribes. Prichard et al. then review the research on management practices historically applied by Indigenous tribes and currently applied by some managers to intentionally manage forests for resilient conditions. They address 10 questions surrounding the application and relevance of these management practices. Here, we highlight the main findings of both papers and offer recommendations for management. We discuss progress paralysis that often occurs with strict adherence to the precautionary principle; offer insights for dealing with the common problem of irreducible uncertainty and suggestions for reframing management and policy direction; and identify key knowledge gaps and research needs.
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Affiliation(s)
- Paul F. Hessburg
- USDA‐FS, Pacific Northwest Research Station1133 N. Western AvenueWenatcheeWashington98801USA
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
| | - Susan J. Prichard
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
| | - R. Keala Hagmann
- College of the Environment‐SEFSUniversity of WashingtonSeattleWashington98195USA
- Applegate Forestry LLCCorvallisOregon97330USA
| | - Nicholas A. Povak
- USDA‐FS, Pacific Northwest Research Station1133 N. Western AvenueWenatcheeWashington98801USA
- USDA‐FS, Pacific Southwest Research Station2480 Carson RoadPlacervilleCalifornia95667USA
| | - Frank K. Lake
- USDA‐FS, Pacific Southwest Research Station1700 Bayview DriveArcataCalifornia95521USA
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22
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Wetherill MS, Bourque EE, Taniguchi T, Love CV, Sisk M, Jernigan VBB. Development of a Tribally-led Gardening Curriculum for Indigenous Preschool Children: The FRESH Study. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:991-995. [PMID: 34420871 PMCID: PMC8595538 DOI: 10.1016/j.jneb.2021.07.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 07/21/2021] [Accepted: 07/26/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Marianna S Wetherill
- Department of Health Promotion Sciences, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Tulsa, OK.
| | - Emily E Bourque
- Private Practice Dietitian, Tampa, FL; Emily E. Bourque was affiliated with the University of Oklahoma Health Sciences Dietetic Internship program at the time the study was completed
| | - Tori Taniguchi
- School of Health Care Administration, Oklahoma State University Center for Health Sciences, Tulsa, OK
| | - Charlotte V Love
- School of Health Care Administration, Oklahoma State University Center for Health Sciences, Tulsa, OK; Charlotte V. Love was affiliated with the Center for Indigenous Health Research and Policy, Oklahoma State University, Center for Health Sciences at the time the study was completed
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Mucioki M, Sowerwine J, Sarna-Wojcicki D, Lake FK, Bourque S. Conceptualizing Indigenous Cultural Ecosystem Services (ICES) and Benefits under Changing Climate Conditions in the Klamath River Basin and Their Implications for Land Management and Governance. J ETHNOBIOL 2021. [DOI: 10.2993/0278-0771-41.3.313] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Megan Mucioki
- University of California at Berkeley, Department of Environmental Science, Policy and Management, 130 Mulford Hall, Berkeley, California 94720 USA
| | - Jennifer Sowerwine
- University of California at Berkeley, Department of Environmental Science, Policy and Management, 130 Mulford Hall, Berkeley, California 94720 USA
| | - Daniel Sarna-Wojcicki
- University of California at Berkeley, Department of Environmental Science, Policy and Management, 130 Mulford Hall, Berkeley, California 94720 USA
| | - Frank K. Lake
- USDA Forest Service, Pacific Southwest Research Station, Fire and Fuels Program, Arcata, California
| | - Shawn Bourque
- Karuk Department of Natural Resources, Orleans, California
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Byker Shanks C, Calloway EE, Parks CA, Yaroch AL. Scaling up measurement to confront food insecurity in the USA. Transl Behav Med 2021; 10:1382-1389. [PMID: 33277900 DOI: 10.1093/tbm/ibaa112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
It is necessary to scale up measurement in order to confront the persisting problem of food insecurity in the United States (USA). The causes and consequences around food insecurity are briefly described in order to frame the complexity of the public health issue and demonstrate need for expanded measurement approaches. We assert that measurement of food security in the USA is currently based upon a core set of rigorous metrics and, moving forward, should also constitute a supplemental registry of measures to monitor and address variables that are associated with increased risk for food insecurity. Next, we depict dietary quality as a primary example of the power of measurement to make significant progress in our understanding and management of food insecurity. Finally, we discuss the translational implications in behavioral medicine required to make progress on achieving food security for all in the USA.
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Affiliation(s)
- Carmen Byker Shanks
- Department of Health and Human Development, Montana State University, Bozeman, MT, USA
| | | | | | - Amy L Yaroch
- Gretchen Swanson Center for Nutrition, Omaha, NE, USA
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25
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Kenny TA, Little M, Lemieux T, Griffin PJ, Wesche SD, Ota Y, Batal M, Chan HM, Lemire M. The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238818. [PMID: 33261090 PMCID: PMC7730644 DOI: 10.3390/ijerph17238818] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 11/17/2020] [Accepted: 11/18/2020] [Indexed: 02/06/2023]
Abstract
Indigenous Peoples in high-income countries experience higher burdens of food insecurity, obesity, and diet-related health conditions compared to national averages. The objective of this systematic scoping review is to synthesize information from the published literature on the methods/approaches, findings, and scope for research and interventions on the retail food sector servicing Indigenous Peoples in high-income countries. A structured literature search in two major international databases yielded 139 relevant peer-reviewed articles from nine countries. Most research was conducted in Oceania and North America, and in rural and remote regions. Several convergent issues were identified across global regions including limited grocery store availability/access, heightened exposure to unhealthy food environments, inadequate market food supplies (i.e., high prices, limited availability, and poor quality), and common underlying structural factors including socio-economic inequality and colonialism. A list of actions that can modify the nature and structure of retailing systems to enhance the availability, accessibility, and quality of healthful foods is identified. While continuing to (re)align research with community priorities, international collaboration may foster enhanced opportunities to strengthen the evidence base for policy and practice and contribute to the amelioration of diet quality and health at the population level.
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Affiliation(s)
- Tiff-Annie Kenny
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec, QC G1V 0A6, Canada;
- Centre de recherche du CHU de Québec, Université Laval, Axe santé des populations et pratiques optimales en santé, Quebec, QC G1E 6W2, Canada
- Correspondence: or
| | - Matthew Little
- School of Public Health and Social Policy, University of Victoria, Victoria, BC V8P 5C2, Canada;
| | - Tad Lemieux
- Department of English Language and Literature, Carleton University, Ottawa, ON K1S 5B6, Canada;
| | - P. Joshua Griffin
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA 98105, USA; (P.J.G.); (Y.O.)
- Department of American Indian Studies, University of Washington, Seattle, WA 98195, USA
| | - Sonia D. Wesche
- Department of Geography, Environment and Geomatics, Faculty of Arts, University of Ottawa, Ottawa, ON K1N 6N5, Canada;
| | - Yoshitaka Ota
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA 98105, USA; (P.J.G.); (Y.O.)
- Nippon Foundation Ocean Nexus Center, EarthLab, University of Washington; Seattle, WA 98195, USA
| | - Malek Batal
- Département de nutrition, Faculté de médecine, Université de Montréal, Montreal, QC H3T 1J4, Canada;
- Centre de recherche en santé publique (CReSP), Montreal, Quebec, QC H3N 1X9, Canada
| | - Hing Man Chan
- Department of Biology, University of Ottawa, Ottawa, ON K1N 9A7, Canada;
| | - Melanie Lemire
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec, QC G1V 0A6, Canada;
- Centre de recherche du CHU de Québec, Université Laval, Axe santé des populations et pratiques optimales en santé, Quebec, QC G1E 6W2, Canada
- Institut de biologie intégrative et des systèmes (IBIS), Université Laval, Quebec, QC G1V 0A6, Canada
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