ArticleCurrent developments in nutrition2019
Diabetes and Obesity Associated with Poor Food Environments in American Indian Communities: the Tribal Health and Resilience in Vulnerable Environments (THRIVE) Study.
Article in Current developments in nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Prevalence of type 2 diabetes among global Indigenous adult populations: a systematic review.Diabetologia · 2026Pooled it
- Native and Indigenous Populations and Gastric Cancer: A Worldwide Review.International journal of environmental research and public health · 2022Pooled it
- Pilot study of a heart-healthy food box intervention for Native Americans with uncontrolled hypertension: methods and results from the Chickasaw Healthy Eating Environments Research Study.Health education research · 2024Trial
- Implementation and translation of evidence-based dietary strategies for type 2 diabetes in resource-limited settings: a scoping review based on the CFIR framework.Frontiers in public health · 2026Article
- Indigenous perspectives of a culturally tailored dietary intervention: Qualitative findings from the CHEERS study.Health education research · 2025Article
- Examining conceptions of hope to inform development of strength-based activities to prevent type 2 diabetes among Indigenous youth.BMC pediatrics · 2025Article
- Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities.Current diabetes reports · 2025Review
- Article
- Social Determinants Influencing Nutrition Behaviors and Cardiometabolic Health in Indigenous Populations: A Scoping Review of the Literature.Nutrients · 2024Article
- The cost-efficacy of a healthy food box for managing hypertension within a native American population: a group randomized controlled trial.Archives of public health = Archives belges de sante publique · 2024Article
- Diversity, Equity, and Inclusion, Child Health, and the Pediatric Subspecialty Workforce.Pediatrics · 2024Review
- Voices of those living with type 2 diabetes in Belize: barriers to care before and during the COVID-19 pandemic.International journal for equity in health · 2023Article
- Disproportionate impact of COVID-19 severity and mortality on hospitalized American Indian/Alaska Native patients.PNAS nexus · 2023Article
- Community engagement strategies to promote recruitment and participation in clinical research among rural communities: A narrative review.Journal of clinical and translational science · 2023Review
- Five recommendations for using large-scale publicly available data to advance health among American Indian peoples: the Adolescent Brain and Cognitive Development (ABCD) StudyNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023Review
- Article
- Associations Between Rurality, pre-pregnancy Health Status, and Macrosomia in American Indian/Alaska Native Populations.Maternal and child health journal · 2022Article
- Advancing Diabetes Prevention and Control in American Indians and Alaska Natives.Annual review of public health · 2022Review
- Journey to Promoting Structural Change for Chronic Disease Prevention: Examining the Processes for Developing Policy, Systems, and Environmental Supports in Native American Nations.Current developments in nutrition · 2022Article
- Holding no-one back: The Nutrition Equity Framework in theory and practice.Global food security · 2022Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundAmerican Indians (AIs) have significantly higher rates of diet-related chronic diseases than other racial/ethnic groups, and many live in environments with limited access to healthy food.
objectiveAs part of the Tribal Resilience in Vulnerable Environments (THRIVE) study, we examined the relations between the perceived food environment, utilization of food retailers, fruit and vegetable intake, and chronic diseases, including obesity, hypertension, and type 2 diabetes among AI adults.
methodsThrough a community-based participatory research partnership, we surveyed a cross-sectional sample of 513 AIs living within the Chickasaw Nation and the Choctaw Nation of Oklahoma.
resultsOnly 57% of participants reported that it was easy to purchase fruits and vegetables in their town, and fewer (35%) reported that available fruits and vegetables were of high quality. Additionally, over half (56%) reported traveling ≥20 miles round trip to shop for food. Few participants met the recommended daily intake for fruit (44%) or vegetables (25%). Obesity (55%), hypertension (49%), and diabetes (25%) were commonly reported. Obesity was significantly higher among participants who reported that the price of fruits and vegetables were cost-prohibitive (prevalence proportion ratio (PPR): 1.24; 95% CI: 1.02, 1.50) and those who shopped frequently for food at nontraditional food retailers, such as Dollar Stores (PPR: 1.35; 95% CI: 1.08, 1.69) and small markets (PPR: 1.38; 95% CI: 1.02, 1.86). Diabetes was significantly higher among participants who frequently shopped at convenience stores/gas stations (PPR: 2.26; 95% CI: 1.22, 4.19).
conclusionsOur study found that the use of nontraditional food retailers, including convenience stores, gas stations, and Dollar Stores, as a regular source of food was associated with obesity and diabetes. These results underscore the importance of interventions to improve rural Tribal food environments. Healthy retail interventions in nontraditional retail settings, such as those implemented through the THRIVE study, may contribute to reducing AI health disparities.
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