ArticlePublic health nutrition2019
Characterizing the local food environment and grocery-store decision making among a large American Indian community in the north-central USA: qualitative results from the Healthy Foods Healthy Families Feasibility Study.
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Conceptual Model of Rural Household Food Insecurity: A Qualitative Systematic Review and Content Analysis.Family & community healthPooled it
- Trial
- Cooking for Health: a healthy food budgeting, purchasing, and cooking skills randomized controlled trial to improve diet among American Indians with type 2 diabetes.BMC public health · 2021Trial
- Effect of a Home-Visiting Intervention to Reduce Early Childhood Obesity Among Native American Children: A Randomized Clinical Trial.JAMA pediatrics · 2021Trial
- Native American resilience to protect family nutrition during a pandemic: A qualitative analysis.PLOS global public health · 2026Article
- Beyond individual responsibility: Exploring lay understandings of the contribution of environments on personal trajectories of obesity.PloS one · 2024Article
- Adapting a cooking, food budgeting and nutrition intervention for a rural community of American Indians with type 2 diabetes in the North-Central United States.Health education research · 2023Article
- The Impact of a Grocery Store Closure in One Rural Highly Obese Appalachian Community on Shopping Behavior and Dietary Intake.International journal of environmental research and public health · 2022Article
- A Qualitative Study of Living in a Healthy Food Priority Area in One Seattle, WA, Neighborhood.International journal of environmental research and public health · 2021Article
- The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review.International journal of environmental research and public health · 2020Article
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Authors and funding
8 authors.
Funding
Abstract
objectivePerceptions of social-contextual food environments and associated factors that influence food purchases are understudied in American Indian (AI) communities. The purpose of the present study was to: (i) understand the perceived local food environment; (ii) investigate social-contextual factors that influence family food-purchasing choices; and (iii) identify diet intervention strategies.
designThis qualitative study consisted of focus groups with primary household shoppers and key-informant interviews with food retailers, local government food assistance programme directors and a dietitian. An inductive, constant comparison approach was used to identify major themes.
settingA large AI reservation community in the north-central USA.
participantsFour focus groups (n 31) and seven key-informant interviews were conducted in February and May 2016.
resultsPerceptions of both the higher cost of healthy foods and limited access to these foods influenced the types of foods participants purchased. Dependence on government assistance programmes and the timing of benefits also contributed to the types of foods purchased. Participants described purchasing foods based on the dietary needs and preferences of their children. Suggestions for improving the purchase and consumption of healthy foods included: culturally relevant and family-centred cooking classes and workshops focused on monthly food budgeting. Participants also emphasized the importance of involving the entire community in healthy eating initiatives.
conclusionsCost and access were the major perceived barriers to healthy eating in this large rural AI community. Recommended interventions included: (i) family-friendly and culturally relevant cooking classes; (ii) healthy food-budgeting skills training; and (iii) approaches that engage the entire community.
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