Evidence map›Paper›PMID 32366338›Full record

ArticlePublic health nutrition2021

Predictors of household food insecurity and relationship with obesity in First Nations communities in British Columbia, Manitoba, Alberta and Ontario.

Ashleigh Domingo, Jerry Spiegel, Martin Guhn, Hannah Wittman, Amy Ing, Tonio Sadik, Karen Fediuk, Constantine Tikhonov, Harold Schwartz, Hing Man Chan and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Nutrient adequacy and nutrient sources of adults among ninety-two First Nations communities across Canada.Canadian journal of public health = Revue canadienne de sante publique · 2021
    Article
  12. Associations of health status and diabetes among First Nations Peoples living on-reserve in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2021
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Ashleigh DomingoFaculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, Waterloo, ONN2L 3G1, Canada.
Jerry SpiegelFaculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, BCV6T 1Z3, Canada.
Martin GuhnFaculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, BCV6T 1Z3, Canada.
Hannah WittmanFaculty of Land and Food Systems, Centre for Sustainable Food Systems, University of British Columbia, Vancouver, BCV6T 1Z4, Canada.
Amy IngDépartement de Nutrition, Faculté de Médecine, Université de Montréal, Montréal, QCH3T 1A8, Canada.
Tonio SadikEnvironment, Assembly of First Nations, Ottawa, ONK1P 6L5, Canada.
Karen FediukFirst Nations Food, Nutrition and Environment Study, University of Ottawa, Ottawa, ON, Canada.
Constantine TikhonovEnvironmental Public Health Division, First Nations and Inuit Health Branch, Indigenous Services Canada, Ottawa, ON, Canada.
Harold SchwartzEnvironmental Public Health Division, First Nations and Inuit Health Branch, Indigenous Services Canada, Ottawa, ON, Canada.
Hing Man ChanDepartment of Biology, University of Ottawa, Ottawa, ONK1N 6N5, Canada.
Malek BatalDépartement de Nutrition, Faculté de Médecine, Université de Montréal, Montréal, QCH3T 1A8, Canada.
University of British Columbia · CAUniversity of Ottawa · CAInuit Tapiriit Kanatami · CAUniversité de Montréal · CAUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo further understandings of household food insecurity in First Nations communities in Canada and its relationship with obesity.

designAnalysis of a cross-sectional dataset from the First Nations Food, Nutrition and Environment Study representative of First Nations communities south of the 60th parallel. Multivariate logistic regression was used to assess associations between food insecurity and sociodemographic factors, as well as the odds of obesity among food-insecure households adjusting for sociodemographic characteristics.

settingWestern and Central Canada.

participantsFirst Nations peoples aged ≥19 years.

resultsForty-six percent of First Nations households experienced food insecurity. Food insecurity was highest for respondents who received social assistance; had ≤10 years of education; were female; had children in the household; were 19-30 years old; resided in Alberta; and had no year-round road access into the community. Rates of obesity were highest for respondents residing in marginally food-insecure households (female 56·6 %; male 54·6 %). In gender-specific analyses, the odds of obesity were highest among marginally food-insecure households in comparison with food-secure households, for both female (OR 1·57) and male (OR 1·57) respondents, adjusting for sociodemographic variables. For males only, those in severely food-insecure (compared with food-secure) households had lower odds of obesity after adjusting for confounding (OR 0·56).

conclusionsThe interrelated challenges of food insecurity and obesity in First Nations communities emphasise the need for Indigenous-led, culturally appropriate and food sovereign approaches to food security and nutrition in support of holistic wellness and prevention of chronic disease.

Indexed as

Food InsecurityFood SupplyAdultAlbertaBritish ColumbiaChildCross-Sectional StudiesFemaleHumansMaleManitobaObesityOntarioSocioeconomic FactorsYoung AdultFirst Nations communitiesHousehold food insecurityIndigenous healthObesity

Identifiers

PMID32366338
PMCPMC8025097
OpenAlexW3023001749

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.