Diet Quality among Yup’ik Eskimos Living in Rural Communities Is Low: The Center for Alaska Native Health Research Pilot Study

Bersamin, Andrea; Luick, Bret; Ruppert, Elizabeth S.; Stern, Judith S.; Zidenberg‐Cherr, Sheri

doi:10.1016/j.jada.2006.04.026

Cited by 72 publications

(76 citation statements)

References 24 publications

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“…A difference in the relative dependence on traditional and imported western foods by age is likely to account for the relationship. The observation that the diet of elders included more traditional foods confirms an earlier finding from the CANHR pilot study (9).…”

Section: Discussionsupporting

confidence: 86%

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Nutrient intakes are associated with adherence to a traditional diet among Yup`ik Eskimos living in remote Alaska Native communities: the CANHR Study

Bersamin

Zidenberg‐Cherr

Stern

et al. 2007

International Journal of Circumpolar Health

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104

119

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Objectives. To determine whether dietary westernization is associated with intake of select nutrients among Alaska Natives living in remote communities. To investigate participant characteristics associated with adherence to the traditional Alaska Native diet. Study Design. Cross-sectional survey. Methods. A 24-hour recall was collected from 241 men and 307 women aged 14-94 years living in seven remote communities of Western Alaska. Bivariate analyses and ANOVA were used to examine the relationship between energy from traditional foods (the primary variable of interest), participant characteristics and intake of select nutrients. Results. Traditional foods accounted for % of energy intake overall. This estimate varied by age, educational attainment, and geographic location. Participants in the highest quintile of traditional food intake consumed significantly more vitamin A, vitamin D, Vitamin E, Iron, and n-3 fatty acids than participants in the lowest quintile (p<0.00). Intake of vitamin C, calcium, and total dietary fiber decreased with increased consumption of traditional foods (p<0.001). Conclusions. The degree of dietary westernization contributes to nutrient intake, both positively and negatively, in a dose response manner. Participant characteristics, particularly age, must be addressed in the development of a nutrition education program since they are associated with distinct dietary intakes. (Int J Circumpolar Health 2007; 66(1):62-70)

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Section: Discussionsupporting

confidence: 86%

“…The study protocol has been described previously (8,9). Briefly, participants were recruited via word of mouth, flyers, and the locally popular VHF (very high frequency) radios.…”

Section: Methodsmentioning

confidence: 99%

Nutrient intakes are associated with adherence to a traditional diet among Yup`ik Eskimos living in remote Alaska Native communities: the CANHR Study

Bersamin

Zidenberg‐Cherr

Stern

et al. 2007

International Journal of Circumpolar Health

Self Cite

104

119

View full text Add to dashboard Cite

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“…How?Food security measured? How?Food security pillarQuantitative traditional food intake articlesBallew et al [3]The Alaska Traditional Diet Survey13 Remote villages statewideAlaska Native women (n=401) and men (n=253) aged 13–88 yearsYes – interviewer administered FFQ with portion sizes over the past 12 monthsNoFood access and food utilisationBartell et al [22]What People Eat: atka, Alaska, 1998–19991 Remote community in the Aleutians34 of the 80 residents in Atka of unknown agesYes – FFQ and a 24-h recallNoFood utilisationBersamin et al [23]The Center for Alaska Native Health Research Pilot Study3 Remote communities in SW AlaskaAlaska Native women (n=44) and men (n=48), aged 14–81 yearsYes – single 24-h recallNoFood utilisationBersamin et al [4]The Center for Alaska Native Health Research Study7 Remote communities in SW AlaskaAlaska Native women (n=307) and men (n=241), aged 14–94 yearsYes – single 24-h recallNoFood utilisationBersamin et al [43]The Center for Alaska Native Health Research Study7 Remote communities in SW AlaskaAlaska Native women (n=301) and men (n=230), aged 14–94 yearsYes – 24-h recall and a 3-day food from 54% of the participantsNoFood utilisationEliat-Adar et al [44]Genetics of Coronary Artery Disease in Alaska Natives (GOCADAN) Stud7 Remote villages in the Norton Sound regionAlaska Native women (n=677) and men (n=537), aged 18 years and olderYes – FFQ from previous year; 97 food items classified into 28 food groupsNoFood utilisationHeller and Scott [20]The Alaska Dietary Survey: 1956–196111 Rural villages in AlaskaAlaska Native women and men, children and adultsYes – diet records of 3–7 day duration; collected on a seasonal basisNoFood utilisationJohnson et al […”

Section: Resultsmentioning

confidence: 99%

A scoping review of traditional food security in Alaska

Walch

Loring

Johnson

et al. 2018

International Journal of Circumpolar Health

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Food insecurity is a public health concern. Food security includes the pillars of food access, availability and utilisation. For some indigenous peoples, this may also include traditional foods. To conduct a scoping review on traditional foods and food security in Alaska. Google Scholar and the High North Research Documents were used to search for relevant primary research using the following terms: “traditional foods”, “food security”, “access”, “availability”, “utilisation”, “Alaska”, “Alaska Native” and “indigenous”. Twenty four articles from Google Scholar and four articles from the High North Research Documents were selected. The articles revealed three types of research approaches, those that quantified traditional food intake (n=18), those that quantified food security (n=2), and qualitative articles that addressed at least one pillar of food security (n=8). Limited primary research is available on food security in Alaskan. Few studies directly measure food security while most provide a review of food security factors. Research investigating dietary intake of traditional foods is more prevalent, though many differences exist among participant age groups and geographical areas. Future research should include direct measurements of traditional food intake and food security to provide a more complete picture of traditional food security in Alaska.

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“…Negative experiences involved women experiencing racism, cultural insensitivity, and limited control over their care [72][73][74] . A study examining the attitude of family medicine residents towards providing healthcare to Indigenous peoples revealed that the majority were not educated on Canadian Indigenous history and, although willing, felt unprepared to work in Indigenous contexts 75 . Providing HCPs with education, which focuses on cultural responsiveness and HCPs' critical selfreflection, could assist in building supportive and empowering relationships with patients.…”

Section: Discussionmentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

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Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people's experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women's experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990( -March 2015 in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous peoples (n=918) and non-Indigenous peoples (n=125) who were mothers or pregnant women (n=814), healthcare providers or workers in a health-related field (n=132), and fathers, Elders, or other community members (n=97). Availability of healthcare resources, healthcare services' consideration of socio-economic or lifestyle barriers to health, and the impact of colonization on interactions with healthcare providers were main factors that impacted Indigenous women's maternal health experiences. Medical evacuation was often due to limited maternity care options available in remote communities, and was associated with emotional, physical, and financial stress. This review highlights the importance of consistent health policies and practices for maternal health in Canada and providing culturally safe and patient-centered maternity healthcare services within indigenous communities.

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Diet Quality among Yup’ik Eskimos Living in Rural Communities Is Low: The Center for Alaska Native Health Research Pilot Study

Cited by 72 publications

References 24 publications

Nutrient intakes are associated with adherence to a traditional diet among Yup`ik Eskimos living in remote Alaska Native communities: the CANHR Study

Nutrient intakes are associated with adherence to a traditional diet among Yup`ik Eskimos living in remote Alaska Native communities: the CANHR Study

A scoping review of traditional food security in Alaska

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

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