Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review DOI Creative Commons
Amanda Lee, Lisa‐Maree Herron,

Stephan Rainow

et al.

Nutrition Journal, Journal Year: 2024, Volume and Issue: 23(1)

Published: Jan. 16, 2024

Abstract Background Affordability of healthy food is a key determinant the diet-related health First Nations Peoples. This systematic scoping review was commissioned by Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) in Central Australia to identify interventions improve economic access communities selected high-income, colonised countries. Methods Eight databases and 22 websites were searched studies policies Australia, Canada, United States or New Zealand from 1996 May 2022. Data full text articles meeting inclusion criteria extracted spreadsheet. Results collated descriptive synthesis. Findings examined with members NPYWC A n angu research team at co-design workshop. Thirty-five publications met for inclusion, mostly set (37%) US (31%). Interventions ( = 21) broadly categorised as price discounts on sold 7); direct subsidies retail stores, suppliers producers 2); free and/or vouchers provided community increased financial support 1); other government strategies 4). Promising initiatives were: providing box fresh produce; prescriptions provision/promotion subsidised meals snacks stores; funds transfer children; offering discounted foods mobile van; programs increasing traditional foods. Providing directly least effective. Identified enablers effective included empowerment; optimal promotion program; targeting wide range foods, particularly where possible. Common barriers successful inadequate study duration; subsidies; lack supporting resources infrastructure cooking, preparation storage; imposition program communities. Conclusions The identified 21 aimed affordability communities, which six deemed promising. Five reflected voices experiences will be considered trial Australia. also highlight potential approaches high-income Trial registration PROSPERO CRD42022328326.

Language: Английский

Effects of Food and Nutrition Insecurity on Global Health DOI
Danielle Gallegos

New England Journal of Medicine, Journal Year: 2025, Volume and Issue: 392(7), P. 686 - 697

Published: Feb. 12, 2025

Language: Английский

Citations

1
Food (in)security in relation to nutrition (in)security in a national cross-sectional sample of Supplemental Nutrition Assistance Program participants: considerations of an emerging construct DOI
Anna Claire Tucker, Carolyn Bresnahan,

Sara John

et al.

American Journal of Clinical Nutrition, Journal Year: 2024, Volume and Issue: 119(6), P. 1475 - 1484

Published: May 13, 2024

Language: Английский

Citations

6
Cardiovascular Disease Burden and Outcomes Among American Indian and Alaska Native Medicare Beneficiaries DOI Creative Commons
Lauren A. Eberly,

Kaitlyn Shultz,

Maricruz Merino

et al.

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(9), P. e2334923 - e2334923

Published: Sept. 22, 2023

Importance American Indian and Alaska Native persons face significant health disparities; however, data regarding the burden of cardiovascular disease in current era is limited. Objective To determine incidence prevalence disease, comorbid conditions, including risk factors, associated mortality among patients with Medicare insurance. Design, Setting, Participants This was a population-based cohort study conducted from January 2015 to December 2019 using administrative data. included beneficiaries 65 years older enrolled both part A B fee-for-service Medicare. Statistical analyses were performed November 2022 April 2023. Main Outcomes Measures The annual incidence, prevalence, coronary artery (CAD), heart failure (HF), atrial fibrillation/flutter (AF), cerebrovascular (stroke or transient ischemic attack [TIA]). Results Among 220 598 beneficiaries, median (IQR) age 72.5 (68.5-79.0) years, 127 402 female (57.8%), 78 438 (38.8%) came communities most economically distressed quintile Distressed Communities Index. In cohort, 44.8% (98 833) diagnosed diabetes, 61.3% (135 124) hyperlipidemia, 72.2% (159 365) hypertension during period. CAD 38.6% (61 125 patients) 36.7% (68 130 ( P < .001). acute myocardial infarction increased 6.9 per 1000 person-years 7.7 patient-years (percentage change, 4.79%; HF 22.9% (36 288 21.4% (39 857 26.1 27.0 4.08%; AF had stable 9% period (2015: 9.4% [14 899 patients] vs 2019: 9.3% [25 175 patients]). stroke TIA decreased slightly throughout (12.7 12.1 2019; percentage 5.08; = .004). Fifty percent (110 244) at least 1 severe condition (CAD, HF, AF, disease), overall rate for 19.8% (43 589 patients). Conclusions Relevance this large insurance US, results suggest cardiometabolic factors. These highlight critical need future efforts prioritize population.

Language: Английский

Citations

16
Racial/Ethnic Disparities in Financial Hardship During the First Year of the Pandemic DOI Creative Commons
Alia Alhomsi,

Stephanie M. Quintero,

Stephanie Ponce

et al.

Health Equity, Journal Year: 2023, Volume and Issue: 7(1), P. 453 - 461

Published: Aug. 1, 2023

The economic impact of the COVID-19 pandemic has been substantial, yet little is known about financial effects resulting from lost employment or hardship racial-ethnic disparities.We conducted a nationally representative, online survey 5500 English- and Spanish-speaking American Indian/Alaska Native, Asian, Black/African American, Native Hawaiian/Pacific Islander, Latino, White, multiracial adults, December 2020 to February 2021. Six domains were measured (lost income, debt, unmet expenses, health care housing insecurity, food insecurity). Prevalence among each group was estimated using multivariable Poisson regression.Overall, 70.3% reported experiencing hardship; debt (57.6%), income (44.5%), expenses (33.7%) most common. (adjusted prevalence ratio [aPR]=1.19, 95% confidence interval [CI]=1.04 1.35), (aPR=1.18, CI=1.06 1.32), Latino (English-speaking: aPR=1.15, CI=1.01 1.31; Spanish-speaking: aPR=1.27, CI=1.12 1.45), Islander (aPR=1.21, 1.38) adults more likely experience hardship, compared with White adults. also report in almost all (e.g., insecurity: aPRs=1.37-1.91).Racial/ethnic minorities during pandemic. similar across racial/ethnic groups, suggesting that preexisting wealth disparities led some groups being less able handle shocks caused by Financial may be underestimated for communities without English Spanish fluency. Without intervention, will exacerbate United States.

Language: Английский

Citations

15
Food Sovereignty and Health: A Conceptual Framework to Advance Research and Practice DOI Open Access
Valarie Blue Bird Jernigan, Cassandra J. Nguyen, Tara L. Maudrie

et al.

Health Promotion Practice, Journal Year: 2023, Volume and Issue: 24(6), P. 1070 - 1074

Published: Oct. 25, 2023

Settler colonialism disrupted traditional Indigenous foodways and practices created high rates of diet-related disease among peoples. Food sovereignty, the rights peoples to determine their own food systems, is a culturally centered movement rooted in knowledge. This approach directly intervenes upon systems-level barriers health, making it an important strategy for health equity. While sovereignty initiatives can be found within many communities, conceptual linkages between have not been well documented public literature. We present practice-informed framework developed as part Center Innovation Health Equity (CIIHE) initiative, community-academic partnership with goal strengthening systems promote well-being. The emphasizes connectedness, including transmission knowledge across generations restoration relational responsibilities, central concepts wellness.

Language: Английский

Citations

15
Food Security and Food Sovereignty: The Difference Between Surviving and Thriving DOI Open Access
Tara L. Maudrie, Cassandra J. Nguyen, Rachel E. Wilbur

et al.

Health Promotion Practice, Journal Year: 2023, Volume and Issue: 24(6), P. 1075 - 1079

Published: Oct. 25, 2023

Previous research in American Indian and Alaska Native (AI/AN) communities has documented high prevalence of food insecurity. Yet many AI/AN scholars have expressed concerns that the dominant societal conceptions security are not reflective teachings, priorities, values communities. Food initiatives often focus on access to and, at times, nutrition but little consideration is given cultural foods, spirituality carried through whether was stewarded a way promotes well-being just for humans also plants, animals, land, water. Despite their needs centered conceptualizations programming, sovereignty efforts captured national attention as solution modern system inequities. Indigenous Sovereignty (IFS) holistic approach incorporates relationality, reciprocity, relationships. Fundamental differences exist between sovereignty, yet society reduces IFS security, rather than an entirely different predicated contrast with society. calls decolonize definition measurement we explore fixing concept worthy endeavor or would be better spent supporting resurgence revitalization values, knowledge, community initiatives.

Language: Английский

Citations

11
Food insecurity in urban American Indian and Alaska Native populations during the COVID-19 pandemic DOI Creative Commons
Katie Nelson, Alexandra Jackson, Cassandra J. Nguyen

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 27, 2024

Abstract Background Food insecurity is an important social determinant of health that was exacerbated by the COVID-19 pandemic. Both food and infection disproportionately affect racial ethnic minority groups, particularly American Indian Alaska Native communities; however, there little evidence as to whether associated with or preventive behaviors such vaccination uptake. The purpose this study evaluate associations between insecurity, infection, status among urban adults seen at 5 clinics serving people. Methods In partnership organizations in Alaska, Colorado, Kansas, Minnesota, New Mexico, team conducted a cross-sectional survey 2021 assess security attitudes, barriers, facilitators for testing vaccination. Logistic regression used examine association sociodemographic factors status. Marginal standardization applied present results prevalence differences. Results Among 730 adults, measured during pandemic 38%. For participants who reported persistent before ( n = 588), 25%. Prevalence did not vary after adjustment confounders. Conclusions High rates communities likely increased However, despite high community-led efforts reduce increase uptake across Health Service Tribal healthcare facilities may have mitigated negative impacts families experiencing insecurity. These successful approaches serve reference future public require innovative strategies improve overall communities.

Language: Английский

Citations

4
Food access interventions in American Indian and Alaska Native communities: A scoping review DOI Creative Commons
Danya Carroll, Lynn Mad Plume, Nicole Redvers

et al.

Journal of Agriculture Food Systems and Community Development, Journal Year: 2025, Volume and Issue: unknown, P. 11 - 28

Published: Jan. 1, 2025

American Indian and Alaska Native (AI/AN) com­munities in the United States represent culturally rich food landscapes traditions. Yet, access AI/AN communities remains a public health issue. Food is influenced by myriad of factors that may interact at different levels social ecological model (SEM). Using scoping review methodology, we aimed to map existing Indigenous community literature U.S. SEM identify common impact leve ls interventions are targeting. We further reflected on intervention gaps inform future interven­tion targets. A systematic search strategy was devel­oped carried out following electronic databases with dates from 1988 2023: PubMed, CINAHL, SocIndex, Academic Search Premier, ERIC, Google Scholar. then car­ried deductive content analysis through lens using qualitative software. Intervention targets were identified based what changes highlighted articles each level. Fourteen met inclusion criteria for review. Interventions targeted ‘intrapersonal’ ‘com­munity’ most, while ‘institu­tional’ ‘public policy’ least tar­geted. promoted various inter­vention formats, including supporting and/or school gardens; providing seeds; traditional foods school, family, events; meals families. Our found valuable research has been conducted many targeting multiple SEM. highlights importance leveraging strengths enhance access, aligned pro­grams foods. Further collaboration between researchers lead development more informed multi­level integrate Indige­nous methodological approaches improving access.

Language: Английский

Citations

0
Using Intensive Longitudinal Assessment to Study Mechanisms of the Native American Pain Inequity Among Persons Experiencing Depression and/or Anxiety: The Role of Interpersonal Discrimination and Stress DOI
Jamie L. Rhudy, Joanna O. Shadlow, Travis Scott Lowe

et al.

Journal of Pain, Journal Year: 2025, Volume and Issue: unknown, P. 105329 - 105329

Published: Feb. 1, 2025

Language: Английский

Citations

0
Health Communications Theory-Based Text Message Reminders Boost Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Appointment Attendance Among American Indian Populations DOI Open Access
Emily M. Melnick,

Nicole Vaudrin O’Reilly,

Francesco Acciai

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(7), P. 1112 - 1112

Published: March 22, 2025

Background/Objectives: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) improves the health of nutritionally at-risk populations. However, engagement challenges, such as missed appointments unredeemed food benefits, may limit program efficacy. Barriers to are heightened among American Indian populations, who often experience disproportionately high levels participation-related challenges. This study assessed whether newly developed communication theory-based text messages incorporating persuasive language different message framing (i.e., gain-framed loss-framed) improved WIC appointment attendance benefit redemption rates, above beyond standard information-based reminders. Methods: sample included participants served by Inter Tribal Council Arizona between months September 2022 February 2023 (a) had an during intervention period (n = 7584) or (b) were eligible receive a reminder about unused benefits 2177). A three-phase design was used, with each phase lasting six weeks. During baseline phase, received messages, while two phases, using (1) (2) loss-framed language. Difference-in-difference regression analyses compared differences in outcomes monthly rates) those did not differed over phases. Results: Receipt both associated higher attendance, when receipt (p 0.003 p 0.01, respectively). Neither nor rates than messages. Conclusions: Results indicated that reminders be effective, low-cost strategy boost Indians.

Language: Английский

Citations

0