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Shafiee M, Al-Bazz S, Lane G, Szafron M, Vatanparast H. Exploring Healthy Eating Perceptions, Barriers, and Facilitators among Urban Indigenous Peoples in Saskatchewan. Nutrients 2024; 16:2006. [PMID: 38999754 PMCID: PMC11243163 DOI: 10.3390/nu16132006] [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: 06/09/2024] [Revised: 06/17/2024] [Accepted: 06/19/2024] [Indexed: 07/14/2024] Open
Abstract
Urban Indigenous populations encounter distinctive challenges in maintaining traditional dietary practices, compounded by the complexities of socio-economic and environmental factors and the modern urban lifestyle. This qualitative study explores the perceptions of healthy eating, along with the facilitators and barriers to such practices, among urban Indigenous peoples in Saskatoon, Regina, and Prince Albert. Through virtual interviews, we engage 14 participants from these cities. Utilizing NVivo for thematic coding, we apply inductive thematic analysis to reveal relevant themes. The study highlights a preference for nutrient-rich, natural, and minimally processed foods, with a significant emphasis on incorporating traditional Indigenous foods into diets. These preferences are deeply entwined with cultural identity and underscore the importance of traditional foods in maintaining cultural heritage and promoting well-being. Despite the intrinsic value of these traditional foods, participants face several barriers to healthy eating, including economic constraints, limited access to traditional foods, and the psychological impacts of historical trauma. Nevertheless, facilitators such as community and family support, engagement in traditional food practices, and a growing awareness of nutritional knowledge are identified as being crucial in supporting healthy dietary choices. This research underscores the complex interplay of cultural, economic, and environmental factors in shaping the dietary practices of urban Indigenous peoples.
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Affiliation(s)
- Mojtaba Shafiee
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5A9, Canada; (M.S.); (S.A.-B.)
| | - Samer Al-Bazz
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5A9, Canada; (M.S.); (S.A.-B.)
| | - Ginny Lane
- Margaret Ritchie School of Family and Consumer Sciences, University of Idaho, Moscow, ID 83843, USA;
| | - Michael Szafron
- School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada;
| | - Hassan Vatanparast
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5A9, Canada; (M.S.); (S.A.-B.)
- School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada;
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Mosienko L, Wicklow B, McGavock J, Sellers E, Schur S, Dufault B, Gabbs M, Dart A. Factors Affecting Quality of Life in Adolescents Living With Type 2 Diabetes: A Substudy of the Improving Renal Complications in Adolescents With Type 2 Diabetes Through REsearch (iCARE) Cohort. Can J Diabetes 2024; 48:211-217.e2. [PMID: 38244988 DOI: 10.1016/j.jcjd.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 10/26/2023] [Accepted: 01/10/2024] [Indexed: 01/22/2024]
Abstract
OBJECTIVES Type 2 diabetes (T2D) disproportionately impacts adolescents living in challenging socioeconomic conditions. However, the impacts of T2D on quality of life (QOL) in this context are unknown. Our aim in this study was to evaluate QOL and identify its biological, psychological, and social determinants among adolescents living with and without T2D from similar sociodemographic backgrounds. Relationships between glycemic stability, early complications, and treatments of T2D and QOL were also examined. METHODS Ninety-two adolescents with T2D and 59 at-risk controls were included from the Improving Renal Complications in Adolescents With Type 2 Diabetes Through Research (iCARE) cohort. The main outcome was QOL (Pediatric QOL Inventory [PedsQL]). Biological covariates included age, sex, body mass index z score, glycated hemoglobin, estimated glomerular filtration rate, and urine albumin-to-creatinine ratio. Psychological factors included perceived stress (14-item Perceived Stress Scale) and mental distress (6-item Kessler scale). Social factors included food security (Household Food Security Survey Module) and income quintile. Multivariate linear regression analyses were used to identify factors associated with QOL between adolescents with and without T2D, and within the T2D cohort. RESULTS Mean total QOL scores among adolescents with T2D were lower than in controls (67.0±14.8 vs 71.7±16.2, p=0.04). Age, sex, and percent Indigenous ethnicity were not significantly different between groups. Mean duration of T2D was 2.3±2.0 years. In the multivariate analysis, QOL was not associated with diabetes status, but negative associations were seen between mental distress (β=-1.46, p<0.001) and food insecurity QOL (β=-6.26, p=0.037). No differences were seen between biological factors and QOL in either analysis. CONCLUSIONS Significant factors associated with decreased QOL in adolescents living with T2D include mental distress and food insecurity, indicating areas for targeted intervention.
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Affiliation(s)
- Lucas Mosienko
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada
| | - Brandy Wicklow
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada; Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Jonathan McGavock
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada; Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Elizabeth Sellers
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada; Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Sara Schur
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada
| | - Brenden Dufault
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada
| | - Melissa Gabbs
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada
| | - Allison Dart
- DREAM Research Theme, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada; Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
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Chai L. Food insecurity as a mediator and moderator in the association between residential mobility and suicidal ideation among Indigenous adults in Canada. Soc Psychiatry Psychiatr Epidemiol 2024; 59:1073-1085. [PMID: 37907713 DOI: 10.1007/s00127-023-02562-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 09/28/2023] [Indexed: 11/02/2023]
Abstract
PURPOSE Despite a growing body of literature on the link between residential mobility and suicidal ideation, research into potential mediating or moderating factors, especially among socioeconomically disadvantaged populations, is sparse. This study explores the mediating and moderating roles of food insecurity in the relationship between residential mobility and suicidal ideation in Indigenous Canadian adults. METHODS Data from the 2017 Aboriginal Peoples Survey, which represent a national sample of off-reserve First Nations peoples, Métis, and Inuit in Canada (N = 16,214), were analyzed using logistic regression models. RESULTS Food insecurity partially mediated the association between residential mobility in the past 5 years and increased suicidal ideation risk among Indigenous adults. Moreover, food insecurity intensified the adverse link between residential mobility during this same timeframe and suicidal ideation. Yet, while food insecurity did mediate the adverse relationship between residential mobility in the past year and suicidal ideation, it did not function as a moderator. CONCLUSION The results emphasize that food insecurity, as a systemic challenge, acts as both a partial mediator and, in some circumstances, an amplifier of the detrimental impacts of residential mobility on suicidal ideation.
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Affiliation(s)
- Lei Chai
- University of Toronto, Toronto, Canada.
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Poirier BF, Soares G, Neufeld HT, Hedges J, Sethi S, Jamieson L. Conceptualising the relationships between food sovereignty, food security and oral health among global Indigenous Communities: a scoping review. Public Health Nutr 2024; 27:e147. [PMID: 38804085 DOI: 10.1017/s1368980024001198] [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: 05/29/2024]
Abstract
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.
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Affiliation(s)
- Brianna Faye Poirier
- Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide5000, Australia
| | - Gustavo Soares
- Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide5000, Australia
| | - Hannah Tait Neufeld
- School of Public Health Sciences, The University of Waterloo, Waterloo, ONN2L 3G1, Canada
| | - Joanne Hedges
- Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide5000, Australia
| | - Sneha Sethi
- Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide5000, Australia
| | - Lisa Jamieson
- Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide5000, Australia
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Kisselgoff M, Champagne MR, Dubois R, Turnbull L, LaPlante J, Schultz A, Bombak A, Riediger N. Examining attitudes toward a proposed sugar-sweetened beverage tax among urban Indigenous adults: a qualitative study using a decolonizing lens. CMAJ Open 2023; 11:E922-E931. [PMID: 37816548 PMCID: PMC10569811 DOI: 10.9778/cmajo.20230025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/12/2023] Open
Abstract
BACKGROUND Sugar-sweetened beverage taxation has been proposed as a public health policy to reduce consumption, and compared with other ethnic or racialized groups in Canada, off-reserve Indigenous populations consume sugar-sweetened beverages at higher frequencies and quantities. We sought to explore the acceptability and anticipated outcomes of a tax on sugar-sweetened beverages among Indigenous adults residing in an inner-city Canadian neighbourhood. METHODS Using a community-based participatory research approach, we conducted semistructured interviews (November 2019-August 2020) with urban Indigenous adults using purposive sampling. Interviews were audio-recorded, transcribed verbatim and analyzed using theoretical thematic analysis. RESULTS All 20 participants (10 female, 8 male and 2 two-spirit) consumed sugar-sweetened beverages on a regular, daily basis at the time of the interview or at some point in their lives. Most participants were opposed to and concerned about the prospect of sugar-sweetened beverage taxation owing to 3 interconnected themes: government is not trustworthy, taxes are ineffective and lead to inequitable outcomes, and Indigenous self-determination is critical. Participants discussed government's mismanagement of previous taxes and lack of prioritization of their community's specific needs. Most participants anticipated that Indigenous people in their community would continue to consume sugar-sweetened beverages, but that a tax would result in fewer resources for other necessities, including foods deemed healthy. INTERPRETATION Low support for the tax among urban Indigenous people is characterized by distrust regarding the tax, policy-makers and its perceived effectiveness. Findings underscore the importance of self-determination in informing health policies that are equitable and nonstigmatizing.
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Affiliation(s)
- Maria Kisselgoff
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Michael Redhead Champagne
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Riel Dubois
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Lorna Turnbull
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Jeff LaPlante
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Annette Schultz
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Andrea Bombak
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
| | - Natalie Riediger
- Department of Food and Human Nutritional Sciences (Kisselgoff, Riediger), University of Manitoba; Fearless R2W (Champagne, Dubois); Faculty of Law (Turnbull), University of Manitoba; National Indigenous Diabetes Association (LaPlante); College of Nursing (Schultz), University of Manitoba, Winnipeg, Man.; Department of Sociology (Bombak), University of New Brunswick, Fredericton, NB
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Miltenburg E, Neufeld HT, Perchak S, Skene D. " Where Creator Has My Feet, There I Will Be Responsible": Place-Making in Urban Environments through Indigenous Food Sovereignty Initiatives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5970. [PMID: 37297574 PMCID: PMC10253025 DOI: 10.3390/ijerph20115970] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/21/2023] [Accepted: 05/22/2023] [Indexed: 06/12/2023]
Abstract
There is a growing emergence of Indigenous Food Sovereignty (IFS) initiatives across urban centers within many regions of Canada. Urban Indigenous communities are leading these efforts to revitalize Indigenous foods and agricultural practices while promoting food security and increasing Land-based connections within cities. However, the socio-ecological environments within these urban contexts affect IFS initiatives in unique ways which have not been previously explored. This study addresses these gaps by drawing on qualitative interviews with seven urban Indigenous people leading IFS initiatives within Grand River Territory (situated within southern Ontario, Canada). Applying community-based participatory methods, this research explored how place impacts IFS initiatives within urban environments. Thematic analysis generated two overarching thematic categories: Land access, and place-making practices, revealing a bi-directional, dynamic interaction between place and urban IFS initiatives. Relationships with landowners, control of land, and external factors determined how Land was accessed in urban environments. Place-making practices involved fostering relationships with Land, upholding responsibilities, and cultivating Land-based knowledges. Therefore, IFS initiatives are impacted by Land access, but also facilitate place-making for urban Indigenous Peoples. These findings demonstrate pathways towards Indigenous self-determination and IFS within urban contexts, which can be applicable to other urban Indigenous communities.
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Affiliation(s)
- Elisabeth Miltenburg
- School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada;
| | - Hannah Tait Neufeld
- School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada;
| | - Sarina Perchak
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada;
| | - Dave Skene
- White Owl Native Ancestry Association, Kitchener, ON N2C 2H6, Canada;
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Hanemaayer R, Neufeld HT, Anderson K, Haines J, Gordon K, Lickers KRL, Xavier A, Peach L, Peeters M. Exploring the environmental determinants of food choice among Haudenosaunee female youth. BMC Public Health 2022; 22:1156. [PMID: 35681193 PMCID: PMC9185972 DOI: 10.1186/s12889-022-13434-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 05/16/2022] [Indexed: 11/25/2022] Open
Abstract
Background Research on Indigenous food literacy within Canada has been focused on northern and remote communities despite the fact there are considerable and unique barriers to food access, availability, and utilization in southern Indigenous communities. Food insecurity is also a prevalent issue among Indigenous Peoples living in these more populous regions. Study objectives included investigating the determinants of food choice among youth, along with perceived opportunities that would improve food environments individually and at the community level. Methods This community-based study used Photovoice to explore the perceptions and experiences of traditional foods and the determinants of food choice among youth in the community of Six Nations of the Grand River. Participants took photos of their local food environments, including where foods were acquired, consumed, prepared, or shared, and participated in semi-structured interviews to share the stories behind these images. Thematic analysis was used to identify patterns in participants’ photos and interview content. Results Environmental factors were found to influence participants’ traditional and everyday food choices. Built, social, economic and ecological environments were described by the youth as distinct yet inter-related determinants that converge to influence individual food choice. Built environments had a notable impact on food choice, most notably at home and in school settings. Home and family were found to be facilitators of meal consistency and healthy food choices across participants. The social environment including participants’ relationships with their peers and community friends was often a barrier to healthy food choices. Eating at fast food outlets was a common social activity. The economic environment included cost deterrents associated with food choices and regular meals. The ecological environment was less of an influence and impacted the seasonal consumption of traditional and other locally harvested foods. Conclusions Overall, the study findings have generated important knowledge regarding food environments and literacy and serves as a unique example of how to explore the traditional and everyday food experiences of Indigenous youth. Recommendations will inform the development of new as well as existing initiatives and resources to enhance the holistic wellbeing of youth and the broader community.
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Affiliation(s)
- Rebecca Hanemaayer
- Department of Family Relations and Applied Nutrition, The University of Guelph, Guelph, ON, N1G 2W1, Canada
| | - Hannah Tait Neufeld
- Department of Family Relations and Applied Nutrition, The University of Guelph, Guelph, ON, N1G 2W1, Canada. .,School of Public Health Sciences, The University of Waterloo, Waterloo, ON, N2L 3G1, Canada.
| | - Kim Anderson
- Department of Family Relations and Applied Nutrition, The University of Guelph, Guelph, ON, N1G 2W1, Canada
| | - Jess Haines
- Department of Family Relations and Applied Nutrition, The University of Guelph, Guelph, ON, N1G 2W1, Canada
| | - Kelly Gordon
- Six Nations Health Services, Ohsweken, ON, N0A 1M0, Canada
| | | | - Adrianne Xavier
- Indigenous Studies Program, Department of Anthropology, McMaster University, Hamilton, ON, L8S 4L8, Canada
| | - Laura Peach
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, N2L 3G1, Canada
| | - Mwalu Peeters
- Department of Family Relations and Applied Nutrition, The University of Guelph, Guelph, ON, N1G 2W1, Canada
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Miltenburg E, Neufeld HT, Anderson K. Relationality, Responsibility and Reciprocity: Cultivating Indigenous Food Sovereignty within Urban Environments. Nutrients 2022; 14:nu14091737. [PMID: 35565705 PMCID: PMC9105266 DOI: 10.3390/nu14091737] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/19/2022] [Accepted: 04/20/2022] [Indexed: 02/04/2023] Open
Abstract
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.
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Affiliation(s)
- Elisabeth Miltenburg
- School of Public Health Sciences, University of Waterloo, 200 University Avenue W, Waterloo, ON N2L 3G1, Canada;
| | - Hannah Tait Neufeld
- School of Public Health Sciences, University of Waterloo, 200 University Avenue W, Waterloo, ON N2L 3G1, Canada;
- Correspondence:
| | - Kim Anderson
- Department of Family Relations & Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada;
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Haig L, Skinner K. Use of Equine-Assisted Services to Improve Outcomes Among At-Risk and Indigenous Youth: A Scoping Review. Front Public Health 2022; 10:730644. [PMID: 35419329 PMCID: PMC8996079 DOI: 10.3389/fpubh.2022.730644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 02/25/2022] [Indexed: 11/13/2022] Open
Abstract
Equine-assisted services (EAS) are gaining popularity as ways to promote psychological health and social well-being. EAS may show particular promise as culturally appropriate initiatives for at-risk Indigenous youth, as they are thought to align well with Indigenous ways of knowing which place emphasis on relationships between the land and all living beings. We seek to better understand previous uses of EAS as initiatives for at-risk youth populations, including Indigenous populations, and learn about which outcomes have been addressed in the literature with an EAS initiative by conducting a scoping review. The review focused on initiatives targeting at-risk youth aged 10-18 years of age in Canada, Australia, New Zealand, and the United States. A total of 27 studies were included in the final analysis from all target countries except New Zealand. The target populations were further divided into four subgroups: at-risk youth, youth with mental health disorders and/or learning disabilities, youth survivors of trauma/abuse, and at-risk Indigenous youth. Overall findings of the review suggest EAS are promising approaches for achieving therapeutic and learning goals with the potential to be successful with both Indigenous youth and at-risk youth more broadly.
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Affiliation(s)
- Laurie Haig
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
| | - Kelly Skinner
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
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Kai J, Chen JJ, Braun KL, Kaholokula JK, Novotny R, Boushey CJ, Fialkowski MK. Associations between Cultural Identity, Household Membership and Diet Quality among Native Hawaiian, Pacific Islander, and Filipino Infants in Hawai'i. CHILDREN (BASEL, SWITZERLAND) 2022; 9:48. [PMID: 35053673 PMCID: PMC8774442 DOI: 10.3390/children9010048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/18/2021] [Accepted: 12/27/2021] [Indexed: 11/17/2022]
Abstract
Public health efforts to reduce diet-related health disparities experienced by indigenous peoples could be enhanced by efforts to improve complementary infant feeding practices. The latter is possible through interventions informed by cultural determinants. This cross-sectional secondary analysis explored possible determinants of the complementary feeding practices of Native Hawaiian, Pacific Islander, and/or Filipino infants (NHPIF) in Hawai'i, ages 3-12 months. The objective was to determine the association between caregiver cultural identity and infant household membership with indicators of infant diet healthfulness. The cultural identities, infant household memberships, early infant feeding practices and additional demographic information (infant age and sex, household income) were assessed via an online questionnaire. Surrogate reporting of the infants' diets over four days was evaluated using an image-based mobile food record (mFR). Data collected by the mFR were evaluated to derive the World Health Organization's minimum dietary diversity (MDD) indicator and food group consumption. Data were summarized by descriptive statistics and analyzed using multivariate linear and logistic regressions. Seventy infant participants, ages 3-12 months, and their primary caregivers completed the study. Of these, there were 56 infant participants between the age of 6-12 months. Approximately 10% of infants, ages 6-12 months, met MDD for all four days. Meeting MDD and the number of food groups consumed were significantly associated with age. Caregiver cultural identity, infant household membership and infant sex had non-significant associations with indicators of infant diet quality. Findings inform the influences shaping dietary patterns of Native Hawaiian, Pacific Islander and Filipino infants in Hawai'i.
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Affiliation(s)
- Jessie Kai
- Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaiʻi at Mānoa, 1955 East West Road, AgSci 216, Honolulu, HI 96822, USA; (J.K.); (R.N.)
| | - John J. Chen
- Department of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaiʻi at Mānoa, 651 Ilalo Street, MEB Suite 411, Honolulu, HI 96813, USA;
| | - Kathryn L. Braun
- Office of Public Health Studies, Thompson School of Social Work & Public Health, University of Hawaiʻi at Mānoa, 1960 East-West Road, Honolulu, HI 96822, USA;
| | - Joseph Keaweʻaimoku Kaholokula
- Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaiʻi at Mānoa, 677 Ala Moana Blvd., 1016, Honolulu, HI 96813, USA;
| | - Rachel Novotny
- Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaiʻi at Mānoa, 1955 East West Road, AgSci 216, Honolulu, HI 96822, USA; (J.K.); (R.N.)
| | - Carol J. Boushey
- Nutrition Support Shared Resource, University of Hawaiʻi Cancer Center, 701 Ilalo Street, Honolulu, HI 96813, USA;
| | - Marie K. Fialkowski
- Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaiʻi at Mānoa, 1955 East West Road, AgSci 216, Honolulu, HI 96822, USA; (J.K.); (R.N.)
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Prevalence of food insecurity and association with mental health in an indigenous population in Panamá. Public Health Nutr 2021; 24:5869-5876. [PMID: 34407903 PMCID: PMC10195598 DOI: 10.1017/s1368980021003554] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE Understanding food insecurity and its health consequences is important for identifying strategies to best target support for individuals and communities. Given the limited information that exists for indigenous groups in Latin America, this study aimed to understand the association between food insecurity and mental health in an indigenous population in Panama. DESIGN Cross-sectional data were collected using a survey conducted with Kuna Indians residing off the coast of Panama. Data sources included measures from the Panamanian prevalence of risk factors associated with CVD survey, and validated measures for psychosocial factors and standardised health outcome measures. Regression models with each of the mental health outcomes (depression, serious psychological distress, perceived stress) were used to examine the association between food insecurity and mental health outcomes. SETTING Indigenous Kuna community residing on the San Blas Islands of Panama. PARTICIPANTS Two-hundred nine adults. RESULTS Food insecurity was reported by 83 % of the participants. Across demographic categories, the only significant difference was by age with higher prevalence in younger ages. After adjusting for demographics, higher food insecurity was significantly associated with higher number of depressive symptoms and more serious psychological distress, but not with levels of perceived stress. CONCLUSIONS Based on these findings, treatment for mental health in the Kuna community may need to account for social determinants of health and be tailored to meet the needs of younger age groups in this population. In addition, interventions designed to decrease food insecurity should be considered as a possible means for improving mental health.
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Skinner K, Tait Neufeld H, Murray E, Hajto S, Andrews L, Garrett A. Sharing Indigenous Foods Through Stories and Recipes. CAN J DIET PRACT RES 2021; 82:11-15. [PMID: 32902310 DOI: 10.3148/cjdpr-2020-020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Participants at the second National Gathering of the Aboriginal Nutrition Network (ANN) were encouraged to submit their favourite traditional recipes. Approximately 40 were received, and a volunteer working group contacted contributors to assist in the creation of a recipe resource with a selection of 12 recipes that included traditional ingredients to promote Indigenous foodways. All contributors were interviewed to share stories about their recipes. Each recipe was then tested, photographed, and developed into a resource handout that was disseminated to a variety of stakeholders. Afterwards, a brief survey was conducted with ANN recipients of the recipes (n = 23) to evaluate the recipe collection. When asked, "Prior to learning about this resource, was a collection of recipes using traditional foods something that you or the communities you work with were interested in?" all respondents answered yes. Nearly all found the recipes easy to follow (91%), and that they were applicable to the interests or needs of the communities they work with (83%). Preserving recipes and building opportunities for dietitians and other health professionals to contribute to traditional food recipe collections facilitates increased knowledge transfer, enhanced cross-cultural understanding, and is generally a useful tool for those working with Indigenous Peoples in Canada.
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Affiliation(s)
- Kelly Skinner
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON
| | - Hannah Tait Neufeld
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON
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Richmond C, Steckley M, Neufeld H, Kerr RB, Wilson K, Dokis B. First Nations Food Environments: Exploring the Role of Place, Income, and Social Connection. Curr Dev Nutr 2020; 4:nzaa108. [PMID: 32734134 PMCID: PMC7382622 DOI: 10.1093/cdn/nzaa108] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 04/06/2020] [Accepted: 06/17/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND In Canada, few studies have examined how place shapes Indigenous food environments, particularly among Indigenous people living in southern regions of Ontario. OBJECTIVE This paper examines and compares circumstances of food insecurity that impact food access and dietary quality between reserve-based and urban-based Indigenous peoples in southwestern Ontario. METHODS This study used a community-based survey containing a culturally adapted food-frequency questionnaire and cross-sectional study design to measure food insecurity, food access, and dietary quality among Indigenous respondents living in urban (n = 130) and reserve-based (n = 99) contexts in southwestern Ontario. RESULTS Rates of food insecurity are high in both geographies (55% and 35% among urban- and reserve-based respondents, respectively). Urban-based participants were 6 times more likely than those living on-reserve to report 3 different measures of food insecurity. Urban respondents reported income to be a significant barrier to food access, while for reserve-based respondents, time was the most pressing barrier. Compared with recommendations from Canada's Food Guide, our data revealed overwhelming trends of insufficient consumption in 3 food categories among all respondents. Close to half (54% and 52%) of the urban- and reserve-based samples reported that they eat traditional foods at least once a week, and respondents from both groups (76% of urban- and 52% of reserve-based respondents) expressed interest in consuming traditional foods more often. CONCLUSIONS Indigenous Food Sovereignty and community-led research are key pathways to acknowledge and remedy Indigenous food insecurity. Policies, social movements, and research agendas that aim to improve Indigenous food security must be governed and defined by Indigenous people themselves. Indigenous food environments constitute political, social, and cultural dimensions that are infinitely place based.
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Affiliation(s)
| | | | | | | | - Kathi Wilson
- University of Toronto–Mississauga, Mississauga, Ontario, Canada
| | - Brian Dokis
- The Southwest Ontario Aboriginal Health Access Centre, London, Ontario, Canada
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Cubillo B, McCartan J, West C, Brimblecombe J. A Qualitative Analysis of the Accessibility and Connection to Traditional Food for Aboriginal Chronic Maintenance Hemodialysis Patients. Curr Dev Nutr 2020; 4:nzaa036. [PMID: 32285023 PMCID: PMC7141846 DOI: 10.1093/cdn/nzaa036] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 12/16/2019] [Accepted: 03/09/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Due to the lack of resources in remote Aboriginal communities within the Northern Territory of Australia, Aboriginal people requiring chronic maintenance hemodialysis often must relocate from their home communities to Darwin city permanently to receive ongoing care. This phenomenon can cause distressing isolation from important traditional food, land, and family. OBJECTIVE The aim was to identify the relation to traditional food from an Aboriginal perspective and the enablers and barriers to accessing traditional food post-relocation from remote regions of the Northern Territory, Australia, to the urban city of Darwin. METHODS This was a qualitative study design with a total of 12 Aboriginal participants (4 males, 8 females) receiving ongoing hemodialysis at the Nightcliff Renal Unit. Participants had all relocated from a remote region to Darwin. Interviews were conducted between July and September 2018 in Darwin, Australia. Data interpretation was conducted by an Aboriginal researcher and co-authors with a combined 30 y of experience conducting research with Aboriginal people in a health context. Data analysis comprised an inductive thematic analysis approach with an indigenist knowledge interpretation lens to construct, reaffirm, and protect Indigenous views. RESULTS Traditional food was an important part of participants' identity and strongly connected to social, emotional, spiritual and physical health, and well-being. Access to traditional food post-relocation is associated with enablers and barriers including mobility, local knowledge, social support networks, commercial access, and economics. CONCLUSIONS Dialysis patients who are dislocated from remote Aboriginal communities to Darwin experience clear disruption to traditional food access, consumption, availability, and knowledge dissemination to the younger generations.
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Affiliation(s)
- Beau Cubillo
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Victoria, Australia
| | - Julia McCartan
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Victoria, Australia
| | - Christine West
- Northern Territory Department of Health Nightcliff Renal Unit, Nightcliff, Northern Territory, Australia
| | - Julie Brimblecombe
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Victoria, Australia
- Menzies School of Health Research, Casuarina, Northern Territory, Australia
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Exploring the Perceptions of and Experiences with Traditional Foods among First Nations Female Youth: A Participatory Photovoice Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072214. [PMID: 32224950 PMCID: PMC7178277 DOI: 10.3390/ijerph17072214] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 03/20/2020] [Accepted: 03/23/2020] [Indexed: 11/16/2022]
Abstract
Traditional foods contribute to the health and well-being of Indigenous Peoples. Many Indigenous Peoples within Canada have expressed a desire to consume more traditional foods; however, there are a number of barriers to doing so. Southern and urban communities face unique challenges associated with traditional food consumption. To address these concerns and build on community interests in a Haudenosaunee community in Southern Ontario, a participatory research project was initiated. This community-based study utilized Photovoice methodology to explore the perceptions of and experiences with traditional foods among local youth. Participants ranging in age from 15-22 (n = 5) took photos of their local food environments, including locations where foods were acquired, consumed, prepared, or shared during two seasons of the year. Semi-structured interviews were conducted to collect participants' stories behind 8-10 self-selected images. A thematic analysis was subsequently utilized to identify patterns and themes illustrated by the photos and interview content. The youth conveyed contextual understandings of traditional foods and a preference for these items, despite their limited consumption, preparation or harvesting of these foods. The youth also identified the important influence of families and communities on their individual perceptions and experiences with traditional foods. Recommendations to reduce barriers to traditional food choices among youth are made.
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Exploration of Food-Seeking Behaviour, Food Preparation, and Restrictions to Sufficient Food among the Jahai Sub-Tribe (Indigenous People) in Gerik, Malaysia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17010348. [PMID: 31947907 PMCID: PMC6982191 DOI: 10.3390/ijerph17010348] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 12/23/2019] [Accepted: 12/30/2019] [Indexed: 11/17/2022]
Abstract
Access to food has been determined to be a factor that strongly influences the dietary intake and eating habit of indigenous people (Orang Asli, OA). This study explored food acquisition and the barriers in obtaining traditional and market foods among the Jahai subtribe (within the Negrito ethnic group) via a qualitative approach. Twenty-eight OA (14 males and 14 females) from Gerik, Perak, Malaysia participated in four focus group discussions (FGDs; two male-only and two female-only groups; seven informants in each FGD). Thematic analysis was adopted to analyse the gathered data. The results found that the Jahai applied both modern (buying and receiving food assistance) and traditional (gathering, farming, fishing, and hunting) methods in obtaining food. The barriers they faced in gathering sufficient food supply included low purchasing power, high demand for food, high transport costs, depletion of food supplies in their surroundings, threats from wild animals on the farm and during food searching activities, and food sharing. Food preparation methods practiced by the OA include roasting and grilling, frying, simmering (gulai), and boiling. In conclusion, this study enhances our understanding of the dietary behaviour of the Jahai subtribe and highlights restricted food access among the OA, which demands urgent attention.
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Bramwell L, Foley W, Shaw T. Putting urban Aboriginal and Torres Strait Islander food insecurity on the agenda. Aust J Prim Health 2019; 23:415-419. [PMID: 29037305 DOI: 10.1071/py17073] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Accepted: 08/08/2017] [Indexed: 11/23/2022]
Abstract
Food insecurity adversely affects diet quality, physical, mental and social wellbeing and the capacity to act on health advice recommended by primary healthcare providers. In this article, an overview of the neglected issue of food insecurity in urban Aboriginal and Torres Strait Islander communities is provided. Policy and action on food security for urban Aboriginal and Torres Strait Islander people is reviewed, and it is argued that for primary health care to better address food insecurity, an evidence base is needed to understand the experiences of individuals and households and how to work effectively to support food insecure clients.
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Affiliation(s)
- Leigh Bramwell
- Access and Capacity-Building Team, Metro South Health, PO Box 52, Inala, Qld 4077, Australia
| | - Wendy Foley
- Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Metro South Health, Inala, Qld 4077, Australia
| | - Tanya Shaw
- Access and Capacity-Building Team, Metro South Health, PO Box 52, Inala, Qld 4077, Australia
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18
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Temple JB, Russell J. Food Insecurity among Older Aboriginal and Torres Strait Islanders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1766. [PMID: 30126086 PMCID: PMC6121666 DOI: 10.3390/ijerph15081766] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 08/06/2018] [Accepted: 08/10/2018] [Indexed: 11/23/2022]
Abstract
It is well established that Indigenous populations are at a heightened risk of food insecurity. Yet, although populations (both Indigenous and non-Indigenous) are ageing, little is understood about the levels of food insecurity experienced by older Indigenous peoples. Using Australian data, this study examined the prevalence and correlates of food insecurity among older Aboriginal and Torres Strait Islanders. Using nationally representative data, we employed ordinal logistic regression models to investigate the association between socio-demographic characteristics and food insecurity. We found that 21% of the older Aboriginal and Torres Strait Islander population were food insecure, with 40% of this group exposed to food insecurity with food depletion and inadequate intake. This places this population at a 5 to 7-fold risk of experiencing food insecurity relative to their older non-Indigenous peers. Measures of geography, language and low socio-economic status were highly associated with exposure to food insecurity. Addressing food insecurity offers one pathway to reduce the disparity in health outcomes between Aboriginal and Torres Strait Islanders and non-Indigenous Australians. Policies that consider both remote and non-remote Australia, as well as those that involve Aboriginal people in their design and implementation are needed to reduce food insecurity.
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Affiliation(s)
- Jeromey B Temple
- Demography and Ageing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia.
| | - Joanna Russell
- School of Health and Society, University of Wollongong, Wollongong 2522, Australia.
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