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Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs

Food insecurity, defined as insufficient access to nutritious foods, is a social determinant of health that may underpin health disparities in the US. American Indian and Alaska Native (AI/AN) individuals experience many health inequities that may be related to food insecurity, but no systematic ana...

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Autores principales: Nikolaus, Cassandra J, Johnson, Selisha, Benally, Tia, Maudrie, Tara, Henderson, Austin, Nelson, Katie, Lane, Trevor, Segrest, Valerie, Ferguson, Gary L, Buchwald, Dedra, Blue Bird Jernigan, Valarie, Sinclair, Ka`imi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526849/
https://www.ncbi.nlm.nih.gov/pubmed/35092417
http://dx.doi.org/10.1093/advances/nmac008
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author Nikolaus, Cassandra J
Johnson, Selisha
Benally, Tia
Maudrie, Tara
Henderson, Austin
Nelson, Katie
Lane, Trevor
Segrest, Valerie
Ferguson, Gary L
Buchwald, Dedra
Blue Bird Jernigan, Valarie
Sinclair, Ka`imi
author_facet Nikolaus, Cassandra J
Johnson, Selisha
Benally, Tia
Maudrie, Tara
Henderson, Austin
Nelson, Katie
Lane, Trevor
Segrest, Valerie
Ferguson, Gary L
Buchwald, Dedra
Blue Bird Jernigan, Valarie
Sinclair, Ka`imi
author_sort Nikolaus, Cassandra J
collection PubMed
description Food insecurity, defined as insufficient access to nutritious foods, is a social determinant of health that may underpin health disparities in the US. American Indian and Alaska Native (AI/AN) individuals experience many health inequities that may be related to food insecurity, but no systematic analyses of the existing evidence have been published. Thus, the objective of this scoping review was to assess the literature on food insecurity among AI/AN individuals and communities, with a focus on the prevalence of food insecurity and its relations to sociodemographic, nutrition, and health characteristics. Systematic search and data extraction processes were used. Searches were conducted on PubMed as well as peer-reviewed journal and government websites. Of 3174 identified references, 34 publications describing 30 studies with predominantly AI/AN sample populations were included in the final narrative synthesis. Twenty-two studies (73%) were cross-sectional and the remaining 8 (27%) described interventions. The weighted average prevalence of food insecurity across the studies was 45.7%, although estimates varied from 16% to 80%. Most studies used some version of the USDA Food Security Survey Modules, although evidence supporting its validity in AI/AN respondents is limited. Based on the review, recommendations for future research were derived, which include fundamental validity testing, better representation of AI/AN individuals in federal or local food security reports, and consideration of cultural contexts when selecting methodological approaches. Advances in AI/AN food insecurity research could yield tangible benefits to ongoing initiatives aimed at increasing access to traditional foods, improving food environments on reservations and homelands, and supporting food sovereignty.
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spelling pubmed-95268492022-10-03 Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs Nikolaus, Cassandra J Johnson, Selisha Benally, Tia Maudrie, Tara Henderson, Austin Nelson, Katie Lane, Trevor Segrest, Valerie Ferguson, Gary L Buchwald, Dedra Blue Bird Jernigan, Valarie Sinclair, Ka`imi Adv Nutr Review Food insecurity, defined as insufficient access to nutritious foods, is a social determinant of health that may underpin health disparities in the US. American Indian and Alaska Native (AI/AN) individuals experience many health inequities that may be related to food insecurity, but no systematic analyses of the existing evidence have been published. Thus, the objective of this scoping review was to assess the literature on food insecurity among AI/AN individuals and communities, with a focus on the prevalence of food insecurity and its relations to sociodemographic, nutrition, and health characteristics. Systematic search and data extraction processes were used. Searches were conducted on PubMed as well as peer-reviewed journal and government websites. Of 3174 identified references, 34 publications describing 30 studies with predominantly AI/AN sample populations were included in the final narrative synthesis. Twenty-two studies (73%) were cross-sectional and the remaining 8 (27%) described interventions. The weighted average prevalence of food insecurity across the studies was 45.7%, although estimates varied from 16% to 80%. Most studies used some version of the USDA Food Security Survey Modules, although evidence supporting its validity in AI/AN respondents is limited. Based on the review, recommendations for future research were derived, which include fundamental validity testing, better representation of AI/AN individuals in federal or local food security reports, and consideration of cultural contexts when selecting methodological approaches. Advances in AI/AN food insecurity research could yield tangible benefits to ongoing initiatives aimed at increasing access to traditional foods, improving food environments on reservations and homelands, and supporting food sovereignty. Oxford University Press 2022-01-29 /pmc/articles/PMC9526849/ /pubmed/35092417 http://dx.doi.org/10.1093/advances/nmac008 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Review
Nikolaus, Cassandra J
Johnson, Selisha
Benally, Tia
Maudrie, Tara
Henderson, Austin
Nelson, Katie
Lane, Trevor
Segrest, Valerie
Ferguson, Gary L
Buchwald, Dedra
Blue Bird Jernigan, Valarie
Sinclair, Ka`imi
Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title_full Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title_fullStr Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title_full_unstemmed Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title_short Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
title_sort food insecurity among american indian and alaska native people: a scoping review to inform future research and policy needs
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526849/
https://www.ncbi.nlm.nih.gov/pubmed/35092417
http://dx.doi.org/10.1093/advances/nmac008
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