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Food access, food security, and nutrition‐related health disparities have long been recognized as particular challenges for Native Americans living on tribal land. The U.S. Department of Agriculture (USDA) provides nutrition assistance to tribal communities through the Food Distribution Program on Indian Reservations (FDPIR). In 2016, we completed a study of the FDPIR program for USDA's Food and Nutrition Service. This was the first national update since 1990. We found that FDPIR continued to serve people of all ages. However, since 1990, participation by children decreased whereas participation by elders increased. Consistent with the 1990 study, we found that FDPIR households are a very low‐income population. Households reported significantly higher rates of food insecurity than national averages—34% experienced low food security, and about 22% experienced very low food security. Changing demographics call for continued attention to the diverse nutritional needs of young and elderly program participants in tribal communities. Although barriers to food access persist in Indian country, FDPIR and locally sourced food initiatives help to meet needs. Nutrition and wellness education addresses health disparities and fosters healthy lifestyles. Partnerships operating at multiple levels support food production and distribution, improve access to healthy foods, and encourage healthy diets. From a policy and practice perspective, the study findings offer insights for tribal communities and rural areas that have limited access to healthy food options and illustrate how nutrition assistance programs can coexist with local initiatives to provide practical approaches to ensure healthy and adequate nutritional support.

Making and selling methamphetamine is a business of personal ties. Henry H. Brownstein, Timothy M. Mulcahy, Bruce G. Taylor, Johannes Fernandes-Huessy, and Carol Hafford provide a nuanced understanding of meth markets, from mom-and-pop to import markets.

In this paper we examine whether features of the operation of retail methamphetamine markets affects communities in three domain areas (public safety, health, and economy). We use data from a national survey of law enforcement agencies (n= 1,367) with narcotics officers to examine the operational characteristics of methamphetamine markets. We found that the operational features of a market (the source of methamphetamine and the most common location for selling Downloaded from TAYLOR, BROWNSTEIN, MULCAHY, WOODS, FERNANDES-HUESSY, HAFFORD methamphetamine) can have a significant impact on the types of public safety, health, and economic problems that communities are experiencing. In particular, jurisdictions distinguished by largely semi-private markets (strip clubs and bars) are more likely to be characterized as localities that have a large public safety and health problem. Jurisdictions that are supplied by multiple local and international sources (compared to a single source) were more likely to be characterized as jurisdictions that have problems in the three domains.