An Indigenous food sovereignty initiative is positively associated with well-being and cultural connectedness in a survey of Syilx Okanagan adults in British Columbia, Canada

Conceptualising the relationships between food sovereignty, food security and oral health among global Indigenous Communities: a scoping review

OBJECTIVE

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.

Consumer Perceptions of the Canadian Salmon Sector and Their Associations with Behaviors: A Perspective from Indigenous Rights

Previous studies on consumer perceptions and behaviors of salmon have often neglected Indigenous rights within the Canadian salmon sector. This study innovatively addresses this gap by integrating Indigenous rights into the current analysis, alongside considerations of sustainability practices, socio-economic impacts, and consumer motivations. Our research objectives aim to fit three consumer perceptions-environmental sustainability, economic considerations, and Indigenous rights-and to evaluate their associations, alongside perception of a price increase, socio-demographics, and consumer motivation factors, with purchasing behaviors related to Canadian salmon products. Data for this study was collected from a nationwide online survey. Responses to Question 2 and Question 35 are encoded with numerical values ranging from 1 to 5, where larger numbers indicate stronger agreement with the statement. The inclusion of methodologies such as the Graded Response Model (GRM) and Cumulative Link Models (CLM) adds another innovative dimension to this study. Our findings demonstrate how consumer profiles are associated with these four perceptions and their underlying determinants. Furthermore, the study quantifies the influence of these four perceptions on each consumer purchase behavior. The implications of these findings extend to the realm of mathematical modeling in consumer decision-making processes, offering practical insights for businesses and marketers, and emphasizing the importance of implementing regulatory frameworks and initiatives that promote sustainability, safeguard Indigenous rights, and address socio-economic disparities.

Measurement of diet quality among First Nations peoples in Canada and associations with health: a scoping review

BACKGROUND

Given the increasing number and the diversity of dietary quality indices used for research, and the differences between settings, there is a need to identify valid indices of dietary quality in different contexts and populations and to identify their associations with health-related outcomes.

OBJECTIVES

The primary objective of this scoping review is to identify the tools used in determining dietary quality among First Nations and to describe the changes in diet. The second objective is to describe the associations identified in studies that have measured the relationship between health and dietary quality among First Nations; and the third objective is to identify factors associated with diet quality.

METHODS

PubMed, Embase, CINAHL, Global Health, and Web of Science were searched from inception to June 2021 and updated in February 2022. Articles were included if the research subjects were First Nations, or if articles reported disaggregated subset data for First Nations. Eligible studies focused on nutrition and diet and were published in English or French.

RESULTS

A total of 151 articles were included in the analysis. Studies used several indicators to measure if individuals adhered to dietary guidelines. Traditional food consumption was frequently used as an indicator of diet quality (n = 96). The consumption of store-bought foods was used as an indicator in 28 studies. Some studies used other diet quality indicators such as the Healthy Eating Index (n = 5) and ultra-processed food "NOVA" classification (n = 6). A trend for decreasing traditional food intake over time was apparent, alongside an increase in store-bought food intake. This trend was accompanied with declining health status, including the increased prevalence of overweight and obesity, diabetes, metabolic diseases, and dental caries.

CONCLUSION

This scoping review showed that diet quality among First Nations is improved when traditional foods are consumed. Reduced diet quality was associated with increased risk of noncommunicable diseases.

Indigenous food sovereignty assessment-A systematic literature review

AIMS

The aims of this systematic review were to (1) identify assessment approaches of Indigenous food sovereignty using the core domains of community ownership, inclusion of traditional food knowledge, inclusion/promotion of cultural foods and environmental/intervention sustainability, (2) describe Indigenous research methodologies when assessing Indigenous food sovereignty.

METHODS

Guided by Indigenous members of the research team, a systematic review across four databases (Medline, Embase, CINAHL and PsycINFO) was performed. Studies in any language from 1996 to 2021, that used one or more of the core domains (identified from a recent scoping review) of community ownership, inclusion of traditional food knowledge, inclusion/promotion of cultural foods and environmental/intervention sustainability were included.

RESULTS

From 20 062 records, after exclusion criteria were applied, 34 studies were included. Indigenous food sovereignty assessment approaches were mostly qualitative (n = 17) or mixed methods (n = 16), with interviews the most utilised (n = 29), followed by focus groups and meetings (n = 23) and validated frameworks (n = 7) as assessment tools. Indigenous food sovereignty assessment approaches were mostly around inclusion of traditional food knowledge (n = 21), or environmental/intervention sustainability (n = 15). Community-Based Participatory Research approaches were utilised across many studies (n = 26), with one-third utilising Indigenous methods of inquiry. Acknowledgement of data sovereignty (n = 6) or collaboration with Indigenous researchers (n = 4) was limited.

CONCLUSION

This review highlights Indigenous food sovereignty assessment approaches in the literature worldwide. It emphasises the importance of using Indigenous research methodologies in research conducted by or with Indigenous Peoples and acknowledges Indigenous communities should lead future research in this area.

An inter-district analysis of health infrastructure disparities in the Union Territory of Jammu and Kashmir

Achieving socioeconomic growth can be done by enhancing national health. The availability and provision of health infrastructure in an administrative territory affect the health of ordinary people. People's access to healthcare is inversely correlated with the availability of a region's health infrastructure. This study investigates inter-district health infrastructure disparities in the newly created Union Territory (UT) of Jammu and Kashmir. Using principal component analysis, this study developed a district-level health infrastructure index (HII) for 2018-2019. The study demonstrates the existence of inter-district disparities in the Union Territory's health infrastructure. Regarding health infrastructure, Doda has the highest HII and has been designated a 'developed' district. Doda is followed by Jammu, Kishtwar, Udhampur, Ramban, Samba, Reasi and Kulgam, which also fall into the 'developed' districts category. Backward districts include Kathua, Rajouri, Poonch, Budgam, Shopian, Kupwara, Ganderbal, Baramulla, Bandipora, and Anantnag. Srinagar district, with the lowest HII, was identified as the most backward district in the Jammu and Kashmir UT. All of the districts of the Kashmir division, apart from Kulgam, are classified as being 'backward' or 'very backward'. Therefore, it is evident that the Jammu division of UT has a better health infrastructure than the Kashmir division.

Ecological Calendars, Food Sovereignty, and Climate Adaptation in Standing Rock

Indigenous food sovereignty relies on ecological knowledge of plants and animals, including knowledge related to their development and behavior through the seasons. In the context of anthropogenic climate change, ecological calendars based on Indigenous knowledge may enable communities to anticipate seasonal phenomena. We conducted research with communities in the Standing Rock Nation (North and South Dakota, USA) to develop ecological calendars based on their ecological knowledge. We present ecological calendars developed in seven communities through a series of workshops and interviews. These calendars are rich with knowledge about temporal relations within each community's ecosystem, including the use of plants and animals as seasonal indicators and cues for food system activities. However, the calendars also reveal the impacts of cultural genocide wrought by the United States government in its efforts to colonize the lands and minds of Indigenous communities. Given the diversity of knowledge among Standing Rock communities, we identify opportunities for knowledge exchange to revitalize ecological relations at the heart of food sovereignty. We highlight the potential for ecological calendars to facilitate climate adaptation by enabling communities to synchronize their food systems with an increasingly variable climate.

Why and How to Strengthen Indigenous Peoples' Food Systems With Examples From Two Unique Indigenous Communities

Indigenous Peoples' food systems contain extensive and sophisticated knowledge that is often undocumented and underutilized in contemporary society that has increasingly poor nutrition and loss of food biodiversity. Indigenous Peoples in all global regions are among the most vulnerable to marginalization, food insecurity and chronic disease and will benefit greatly from strengthening their resource-rich food systems to make them more resilient and sustainable. It is in this spirit that we contribute to the databases of Indigenous Peoples' food system knowledge with information on unique traditional foods from the Nuxalk Nation in British Columbia, Canada, and the Pwo Karen People of Sanephong Community, Thailand. Several publications from these case studies originated from interdisciplinary mixed-method research, in part through the United Nations Food and Agriculture Organization. We highlight selected foods with nutrient data and various qualitative and quantitative methods used to identify and promote their use within these unique communities. Our intent is to stimulate complementary strengthening efforts among other traditional and Indigenous Peoples that will contribute to global intercultural food system evidence and advances.

Relationality, Responsibility and Reciprocity: Cultivating Indigenous Food Sovereignty within Urban Environments

There are collective movements of Indigenous food sovereignty (IFS) initiatives taking up place and space within urban environments across the Grand River Territory, within southern Ontario, Canada. Indigenous Peoples living within urban centres are often displaced from their home territories and are seeking opportunities to reconnect with culture and identity through Land and food. This research was guided by Indigenous research methodologies and applied community-based participatory research to highlight experiences from seven Indigenous community members engaged in IFS programming and practice. Thematic analysis revealed four inter-related themes illustrated by a conceptual model: Land-based knowledge and relationships; Land and food-based practices; relational principles; and place. Participants engaged in five Land and food-based practices (seed saving; growing and gathering food; hunting and fishing; processing and preserving food; and sharing and distributing), guided by three relational principles (responsibility, relationality, and reciprocity), framed by the social and physical environments of the place. Key findings revealed that employing self-determined processes to grow, harvest, and share food among the Indigenous community provide pathways towards IFS. This study is the first to explore urban IFS initiatives within this region, offering a novel understanding of how these initiatives are taking shape within urban environments.

Enhancing cultural food security among the Syilx Okanagan adults with the reintroduction of Okanagan Sockeye salmon

For the Syilx Okanagan Nation, food sovereignty is foundational to ensuring their cultural food security and health. Salmon being a central Syilx food, the Nation has worked relentlessly since the 1990s to reintroduce Okanagan Sockeye salmon into their traditional territory. This study describes the reach of this initiative and assesses its impact on Syilx households' income-related and cultural household food security status. In total, 265 households participated in the study. Overall, 48.6% of participants ate Okanagan Sockeye salmon during the year prior to the survey. Most participants (89.1%) reported that during the prior year their household accessed salmon from a community member or through trade (53.7%), community program (49.8%), a feast or ceremony (35.8%), or household harvest (27.2%). The number of ways that households accessed salmon was associated with a greater frequency of salmon consumption (p<0.0001). Income-related (46.5%) and cultural (63.1%) food insecurity were prevalent. Households' access to salmon was significantly associated with cultural food security and the perceived importance of cultural food security. This study suggests Indigenous food sovereignty initiatives can increase traditional food access and consumption, thereby enhancing cultural food security. They should be supported by governments, organizations and corporations. Novelty points ●Indigenous food sovereignty initiatives can increase traditional food access and consumption, thereby enhancing cultural food security. ●Indigenous-led wild habitat restoration interventions can help reconcile past social and environmental injustices.