Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation.
Dietary behaviors
Dietary quality
Food environment
Food security
Food system
Native American
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
12 Oct 2020
12 Oct 2020
Historique:
received:
12
07
2019
accepted:
21
09
2020
entrez:
13
10
2020
pubmed:
14
10
2020
medline:
28
4
2021
Statut:
epublish
Résumé
Indigenous food systems have been displaced with the emergence of colonization, industrialization, and cultural, economic, political, and environmental changes. This disruption can be seen in marked health and food environment disparities that contribute to high obesity and diabetes mellitus prevalence among Native American peoples. A Community-Based Participatory Research (CBPR) approach was used to document food environment experiences among residents of the Flathead Reservation in rural Montana. Participants were identified using purposive sampling techniques to participate in a survey and a semi-structured interview. Descriptive statistics helped to describe participant demographics, food access variables, and household food security status. Food environment perceptions were analyzed using the constant comparison method among trained researchers. Participants completed surveys (n = 79) and interviews (n = 76). A large number participated in federal nutrition assistance programs. Many self-reported experiencing diet-related chronic diseases. Major themes included the community food environment, dietary norms, and food-health connections. Subthemes were represented by perceptions of food environment transitions and the important role of food in familial life. Further, opportunities and challenges were identified for improving community food environments. Perceptions of the food environment were linked to strategies that could be targeted to improve dietary quality along a social-ecological model continuum. There is need for skill-based education that directly addresses the time and monetary constraints that were commonly experienced by residents. Coinciding food environment interventions to promote dietary quality that engage community members, store management, and government policy stakeholders are also needed to reestablish healthy Native American food systems and environments within this community.
Sections du résumé
BACKGROUND
BACKGROUND
Indigenous food systems have been displaced with the emergence of colonization, industrialization, and cultural, economic, political, and environmental changes. This disruption can be seen in marked health and food environment disparities that contribute to high obesity and diabetes mellitus prevalence among Native American peoples.
METHODS
METHODS
A Community-Based Participatory Research (CBPR) approach was used to document food environment experiences among residents of the Flathead Reservation in rural Montana. Participants were identified using purposive sampling techniques to participate in a survey and a semi-structured interview. Descriptive statistics helped to describe participant demographics, food access variables, and household food security status. Food environment perceptions were analyzed using the constant comparison method among trained researchers.
RESULTS
RESULTS
Participants completed surveys (n = 79) and interviews (n = 76). A large number participated in federal nutrition assistance programs. Many self-reported experiencing diet-related chronic diseases. Major themes included the community food environment, dietary norms, and food-health connections. Subthemes were represented by perceptions of food environment transitions and the important role of food in familial life. Further, opportunities and challenges were identified for improving community food environments.
CONCLUSIONS
CONCLUSIONS
Perceptions of the food environment were linked to strategies that could be targeted to improve dietary quality along a social-ecological model continuum. There is need for skill-based education that directly addresses the time and monetary constraints that were commonly experienced by residents. Coinciding food environment interventions to promote dietary quality that engage community members, store management, and government policy stakeholders are also needed to reestablish healthy Native American food systems and environments within this community.
Identifiants
pubmed: 33046034
doi: 10.1186/s12889-020-09584-7
pii: 10.1186/s12889-020-09584-7
pmc: PMC7549225
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1536Subventions
Organisme : NIGMS NIH HHS
ID : P20 GM104417
Pays : United States
Organisme : National Institute of General Medical Sciences of the National Institutes of Health
ID : Award Number P20GM103474 and Award Number 5P20GM104417
Références
Health Educ Res. 2012 Aug;27(4):645-55
pubmed: 21994709
Obes Rev. 2017 Aug;18(8):852-868
pubmed: 28560794
Am J Health Promot. 2005 May-Jun;19(5):330-3, ii
pubmed: 15895534
Am J Public Health. 2016 Jan;106(1):79-86
pubmed: 26562108
Prev Med Rep. 2018 Jun 25;11:148-153
pubmed: 30003014
J Cult Divers. 2009 Spring;16(1):32-5
pubmed: 20640191
Am J Community Psychol. 2004 Jun;33(3-4):119-30
pubmed: 15212173
Int J Environ Res Public Health. 2017 Aug 17;14(8):
pubmed: 28817093
Med Anthropol Q. 2012 Dec;26(4):595-612
pubmed: 23361887
Health Promot Pract. 2016 Mar;17(2):265-77
pubmed: 26546508
Annu Rev Public Health. 1998;19:173-202
pubmed: 9611617
Am J Clin Nutr. 2011 May;93(5):1179S-83S
pubmed: 21411614
Annu Rev Public Health. 2008;29:253-72
pubmed: 18031223
Prev Chronic Dis. 2018 Sep 20;15:E115
pubmed: 30240570
Food Secur. 2018 Feb;10(1):169-182
pubmed: 31223346
MMWR Morb Mortal Wkly Rep. 2018 Feb 23;67(7):205-211
pubmed: 29470455
J Transcult Nurs. 2006 Jul;17(3):217-23
pubmed: 16757659
Obesity (Silver Spring). 2008 Feb;16(2):311-7
pubmed: 18239638
Transl Behav Med. 2019 Oct 1;9(5):837-846
pubmed: 31570930
Foods. 2020 Apr 22;9(4):
pubmed: 32331424
Vital Health Stat 10. 2012 Dec;(256):1-218
pubmed: 25116400
Prev Chronic Dis. 2015 Aug 13;12:E128
pubmed: 26270742
J Nutr Educ Behav. 2009 May-Jun;41(3):176-87
pubmed: 19411051
Am J Prev Med. 2009 Apr;36(4 Suppl):S161-5
pubmed: 19285208
Annu Rev Nutr. 1996;16:417-42
pubmed: 8839933
J Nutr. 2012 Mar;142(3):541-7
pubmed: 22323760
Am J Prev Med. 2017 Feb;52(2S2):S145-S150
pubmed: 28109416
JAMA. 1999 Oct 27;282(16):1523-9
pubmed: 10546691
Public Health Nutr. 2016 May;19(7):1315-26
pubmed: 26298513
Am J Public Health. 2012 Jul;102(7):1346-52
pubmed: 22594740
J Hunger Environ Nutr. 2017;12(1):1-10
pubmed: 28491205
Can J Diet Pract Res. 2012 Fall;73(3):134-40
pubmed: 22958631
Am J Prev Med. 2012 Sep;43(3 Suppl 2):S123-9
pubmed: 22898161
J Nutr Educ Behav. 2011 Sep-Oct;43(5):385-9
pubmed: 21906550
PLoS One. 2016 Aug 25;11(8):e0161132
pubmed: 27560132
J Community Health. 2020 Apr;45(2):388-399
pubmed: 31602533
Transl Behav Med. 2019 Oct 1;9(5):884-887
pubmed: 31570917