First Nations households living on-reserve experience food insecurity: prevalence and predictors among ninety-two First Nations communities across Canada

被引:39
作者
Batal, Malek [1 ,2 ,3 ]
Chan, Hing Man [4 ,5 ]
Fediuk, Karen [5 ]
Ing, Amy [1 ]
Berti, Peter R. [6 ]
Mercille, Genevieve [1 ,2 ,3 ]
Sadik, Tonio [7 ]
Johnson-Down, Louise [1 ]
机构
[1] Univ Montreal, Fac Med, Dept Nutr, Pavillon Liliane Stewart,CP 6128 Succ Ctr Ville, Montreal, PQ H3T 1A8, Canada
[2] Univ Montreal, Ctr Rech Sante Publ, 7101 Ave Parc, Montreal, PQ H3N 1X7, Canada
[3] CIUSS Ctr sud de ile de Montreal CReSP, 7101 Ave Parc, Montreal, PQ H3N 1X7, Canada
[4] Univ Ottawa, Dept Biol, 30 Marie Curie, Ottawa, ON K1N 6N5, Canada
[5] Univ Ottawa, Nations Food Nutr & Environm Study 1, 30 Marie Curie, Ottawa, ON K1N 6N5, Canada
[6] HealthBridge Fdn Canada, 1 Nicholas St,Suite 1004, Ottawa, ON K1N 7B7, Canada
[7] Assembly First Nations, 55 Metcalfe St,Suite 1600, Ottawa, ON K1P 6L5, Canada
来源
CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE | 2021年 / 112卷 / SUPPL 1期
基金
加拿大健康研究院;
关键词
Indigenous; First Nations; Food security; Food insecurity; Food sovereignty; Traditional food; SECURITY; BARRIERS; ONTARIO;
D O I
10.17269/s41997-021-00491-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To describe the prevalence of food insecurity in First Nations households across Canada while identifying barriers and enablers to traditional food (TF) consumption. Methods The First Nations Food, Nutrition and Environment Study is a cross-Canada participatory study of on-reserve First Nations from 2008 to 2018. The Household Food Security Survey Module was used to capture income-related challenges experienced by First Nations households. Households were classified as food secure, or marginally, moderately, or severely food insecure. Barriers and enablers to TF access and use were identified describing the Indigenous experience. Results Almost half of on-reserve First Nations households were food insecure and the prevalence was higher than that for non-Indigenous households in Canada. On-reserve food insecurity prevalence was higher in western regions of Canada. First Nations households with children experienced greater food insecurity than those without children. More adults experienced severe food insecurity than children. Most adults would like to have more TF in their diet but state that factors such as financial and household constraints, industrial activities, government regulations, climate change, and fear of contamination impede greater access. Food costs were substantially higher in remote First Nations communities, but remoteness was not associated with food security in multivariable analysis. Conclusion Existing systems have been unsuccessful in curbing the food insecurity in First Nations households. Improving food security hinges on achieving Indigenous Food Sovereignty, the key to long-term conservation and stewardship of the land and the co-management of these by Indigenous Peoples. Studies investigating the feasibility of increasing TF from an Indigenous perspective are required.
引用
收藏
页码:52 / 63
页数:12
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