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Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation
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 mell...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549225/ https://www.ncbi.nlm.nih.gov/pubmed/33046034 http://dx.doi.org/10.1186/s12889-020-09584-7 |
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author | Byker Shanks, Carmen Ahmed, Selena Dupuis, Virgil Houghtaling, Bailey Running Crane, Mary Ann Tryon, Mike Pierre, Mike |
author_facet | Byker Shanks, Carmen Ahmed, Selena Dupuis, Virgil Houghtaling, Bailey Running Crane, Mary Ann Tryon, Mike Pierre, Mike |
author_sort | Byker Shanks, Carmen |
collection | PubMed |
description | 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: 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: 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: 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. |
format | Online Article Text |
id | pubmed-7549225 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75492252020-10-13 Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation Byker Shanks, Carmen Ahmed, Selena Dupuis, Virgil Houghtaling, Bailey Running Crane, Mary Ann Tryon, Mike Pierre, Mike BMC Public Health Research Article 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: 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: 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: 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. BioMed Central 2020-10-12 /pmc/articles/PMC7549225/ /pubmed/33046034 http://dx.doi.org/10.1186/s12889-020-09584-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Byker Shanks, Carmen Ahmed, Selena Dupuis, Virgil Houghtaling, Bailey Running Crane, Mary Ann Tryon, Mike Pierre, Mike Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title | Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title_full | Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title_fullStr | Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title_full_unstemmed | Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title_short | Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation |
title_sort | perceptions of food environments and nutrition among residents of the flathead indian reservation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549225/ https://www.ncbi.nlm.nih.gov/pubmed/33046034 http://dx.doi.org/10.1186/s12889-020-09584-7 |
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