scholarly journals Food security and access to healthy foods in Indian country: Learning from the Food Distribution Program on Indian Reservations

2019 ◽  
Vol 19 (3) ◽  
Author(s):  
Nancy Pindus ◽  
Carol Hafford
2013 ◽  
Vol 16 (12) ◽  
pp. 2178-2187 ◽  
Author(s):  
Donna B Johnson ◽  
Emilee L Quinn ◽  
Mary Podrabsky ◽  
Nadia Beckwith-Stanley ◽  
Nadine Chan ◽  
...  

AbstractObjectiveThe present study measured the perceived impact and political and implementation feasibility of state-level policy strategies related to increasing access to healthy foods and limiting unhealthy foods.DesignPotential state-level policy strategies to improve access to healthy foods were identified through a review of evidence-based literature and policy recommendations. Respondents rated the perceived impact and political and implementation feasibility of each policy on a five-point scale using online surveys.SettingWashington State policy process.SubjectsForty-nine content experts (national researchers and subject experts), forty policy experts (state elected officials or their staff, gubernatorial or legislative policy analysts) and forty-five other stakeholders (state-level advocates, programme administrators, food producers).ResultsIn aggregate, respondents rated policy impact and implementation feasibility higher than political feasibility. Policy experts rated policy strategies as less politically feasible compared with content experts (P < 0·02) or other stakeholders (P < 0·001). Eight policy strategies were rated above the median for impact and political and implementation feasibility. These included policies related to nutrition standards in schools and child-care facilities, food distribution systems, urban planning projects, water availability, joint use agreements and breast-feeding supports.ConclusionsAlthough they may be perceived as potentially impactful, some policies will be more difficult to enact than others. Information about the potential feasibility of policies to improve access to healthy foods can be used to focus limited policy process resources on strategies with the highest potential for enactment, implementation and impact.


2021 ◽  
pp. 089011712110561
Author(s):  
Karen Strazza ◽  
Julia Jordan ◽  
Kate Ferriola-Bruckenstein ◽  
Heather Kane ◽  
John Whitehill ◽  
...  

Purpose This study describes how recipients of the Centers for Disease Control and Prevention funded Sodium Reduction in Communities Program (SRCP) worked with emergency food programs to improve access to healthy food to address chronic conditions. Design SRCP recipients partnered with emergency food programs to implement sodium reduction strategies including nutrition standards, procurement practices, environmental strategies, and behavioral economics approaches. Setting SRCP recipients and emergency food programs in Washington County and Benton County, Arkansas and King County, Washington. Subjects SRCP recipient staff, emergency food program staff, and key stakeholders. Measures We conducted semi-structured interviews with key stakeholders and systematic review of program documents. Analysis Data were analyzed using effects matrices for each recipient. Matrices were organized using select implementation science constructs and compared in a cross-case analysis. Results Despite limited resources, emergency food programs can implement sodium reduction interventions which may provide greater access to healthy foods and lead to reductions in health disparities. Emergency food programs successfully implemented sodium reduction interventions by building on the external and internal settings; selecting strategies that align with existing processes; implementing change incrementally and engaging staff, volunteers, and clients; and sustaining changes. Conclusion Findings contribute to understanding the ways in which emergency food programs and other organizations with limited resources have implemented public health nutrition interventions addressing food insecurity and improving access to healthy foods. These strategies may be transferable to other settings with limited resources.


2017 ◽  
Vol 32 (3) ◽  
Author(s):  
Karl L Larson ◽  
Megan Mullaney ◽  
Esther Mwangi ◽  
Deu Xiong ◽  
Frances Ziegler

Food deserts are identified by the United States Department of Agriculture as areas where asignificant proportion of the population lack access to quality food choices. The purpose of this study was toassess the availability of quality fruits, vegetables, dry good, and meats at corner store locations in a south-central Minnesota county designated a food desert. Corner stores (n=22) were audited for the presence of20 fresh fruits and vegetables, low-fat meats, and whole grain dry goods. Results indicate more than three-quarters of corner stores did not provide sufficient access to healthy foods, and were not provide sufficientaccess to quality food for residents in the county.


2016 ◽  
Vol 20 (14) ◽  
pp. 2608-2616 ◽  
Author(s):  
Christine A Vaughan ◽  
Deborah A Cohen ◽  
Madhumita Ghosh-Dastidar ◽  
Gerald P Hunter ◽  
Tamara Dubowitz

Abstract Objective To examine where residents in an area with limited access to healthy foods (an urban food desert) purchased healthier and less healthy foods. Design Food shopping receipts were collected over a one-week period in 2013. These were analysed to describe where residents shopped for food and what types of food they bought. Setting Two low-income, predominantly African-American neighbourhoods with limited access to healthy foods in Pittsburgh, PA, USA. Subjects Two hundred and ninety-three households in which the primary food shoppers were predominantly female (77·8 %) and non-Hispanic black (91·1 %) adults. Results Full-service supermarkets were by far the most common food retail outlet from which food receipts were returned and accounted for a much larger proportion (57·4 %) of food and beverage expenditures, both healthy and unhealthy, than other food retail outlets. Although patronized less frequently, convenience stores were notable purveyors of unhealthy foods. Conclusions Findings highlight the need to implement policies that can help to decrease unhealthy food purchases in full-service supermarkets and convenience stores and increase healthy food purchases in convenience stores.


2015 ◽  
Vol 19 (7) ◽  
pp. 1315-1326 ◽  
Author(s):  
Carmen Byker Shanks ◽  
Teresa Smith ◽  
Selena Ahmed ◽  
Holly Hunts

AbstractObjectiveTo assess the nutritional quality of food packages offered in the Food Distribution Program on Indian Reservations (FDPIR) using the Healthy Eating Index 2010 (HEI-2010).DesignData were collected from the list of the food products provided by the US Department of Agriculture’s Food and Nutrition Handbook 501 for FDPIR. Nutritional quality was measured through a cross-sectional analysis of five randomly selected food packages offered through FDPIR. HEI-2010 component and total scores were calculated for each food package. ANOVA and t tests assessed significant differences between food packages and HEI-2010 maximum scores, respectively.SettingThis study took place in the USA.SubjectsStudy units included food products offered through FDPIR.ResultsThe mean total HEI-2010 score for the combined FDPIR food packages was significantly lower than the total HEI-2010 maximum score of 100 (66·38 (sd 11·60); P<0·01). Mean scores for total fruit (3·52 (sd 0·73); P<0·05), total vegetables (2·58 (sd 0·15); P<0·001), greens and beans (0·92 (sd 1·00); P<0·001), dairy (5·12 (sd 0·63); P<0·001), total protein foods (4·14 (sd 0·56); P<0·05) and refined grains (3·04 (sd 2·90); P<0·001) were all significantly lower than the maximum values.ConclusionsThe FDPIR food package HEI-2010 score was notably higher than other federal food assistance and nutrition programmes. Study findings highlight opportunities for the FDPIR to modify its offerings to best support lifestyles towards prevention of diet-related chronic disease.


Author(s):  
Karen Emmerman

Food Empowerment Project (F.E.P.) is a vegan food justice nonprofit in northern California. We focus on making a more just and sustainable food system for everyone involved. Since injustice in the food system crosses the species barrier, we work to connect the dots between the exploitation of human and nonhuman animals. We focus our efforts on four main areas: ending the use of animals in the food system, improving access to healthy foods in Black, Brown, and low-income communities, exposing the worst forms of child labor (including slavery) in the chocolate industry, and advocating for farmworker rights. These seemingly disparate areas have much in common: they are interlocking forms of oppres­sion, marginalization, and domination in the food system. We recognize that the intersecting nature of oppression necessitates a nuanced response. For example, as an organization working on both farm­worker justice and food apartheid, we cannot advocate for lowering the price of food as this would negatively impact produce workers who already suffer grave systemic injustice. Instead, we advocate for equality of access and living wages for everyone.[1] In this piece, we focus on our approach to the lack of access to healthy foods, and specifically our community-based efforts in Vallejo, California.


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