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Food Environments around American Indian Reservations: A Mixed Methods Study

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  • Gwen M Chodur
  • Ye Shen
  • Stephen Kodish
  • Vanessa M Oddo
  • Daniel A Antiporta
  • Brittany Jock
  • Jessica C Jones-Smith

Abstract

Objectives: To describe the food environments experienced by American Indians living on tribal lands in California. Methods: Geocoded statewide food business data were used to define and categorize existing food vendors into healthy, unhealthy, and intermediate composite categories. Distance to and density of each of the composite food vendor categories for tribal lands and nontribal lands were compared using multivariate linear regression. Quantitative results were concurrently triangulated with qualitative data from in-depth interviews with tribal members (n = 24). Results: After adjusting for census tract-level urbanicity and per capita income, results indicate there were significantly fewer healthy food outlets per square mile for tribal areas compared to non-tribal areas. Density of unhealthy outlets was not significantly different for tribal versus non-tribal areas. Tribal members perceived their food environment negatively and reported barriers to the acquisition of healthy food. Conclusions: Urbanicity and per capita income do not completely account for disparities in food environments among American Indians tribal lands compared to nontribal lands. This disparity in access to healthy food may present a barrier to acting on the intention to consume healthy food.

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  • Gwen M Chodur & Ye Shen & Stephen Kodish & Vanessa M Oddo & Daniel A Antiporta & Brittany Jock & Jessica C Jones-Smith, 2016. "Food Environments around American Indian Reservations: A Mixed Methods Study," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0161132
    DOI: 10.1371/journal.pone.0161132
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    Cited by:

    1. Tiff-Annie Kenny & Matthew Little & Tad Lemieux & P. Joshua Griffin & Sonia D. Wesche & Yoshitaka Ota & Malek Batal & Hing Man Chan & Melanie Lemire, 2020. "The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review," IJERPH, MDPI, vol. 17(23), pages 1-49, November.
    2. Jennifer Sowerwine & Megan Mucioki & Daniel Sarna-Wojcicki & Lisa Hillman, 2019. "Reframing food security by and for Native American communities: a case study among tribes in the Klamath River basin of Oregon and California," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(3), pages 579-607, June.

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