Marla Pardilla1, Divya Prasad1, Sonali Suratkar1, Joel Gittelsohn1. 1. Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205-2179, USA.
Abstract
OBJECTIVE: To assess levels of and identify factors associated with food insecurity on the Navajo Nation. DESIGN: A cross-sectional study was conducted utilizing the ten-item Radimer/Cornell food insecurity instrument. Sociodemographic, psychosocial and anthropometric data were collected. SETTING: Navajo Nation, USA. SUBJECTS: Two hundred and seventy-six members of the Navajo Nation were randomly selected at food stores and other community locations. RESULTS: Of the sample, 76·7% had some level of food insecurity. Less education (mean years of schooling: P = 0·0001; non-completion of higher education: P = 0·0003), lower full-time employment rates (P = 0·01), and lower material style of life (P = 0·0001), food knowledge (P = 0·001) and healthy eating self-efficacy (P < 0·0001) scores were all positively associated with food insecurity. Perceived expensiveness (P < 0·0001) and perceived inconvenience (P = 0·0001) of healthy choices were also positively associated with food insecurity. CONCLUSIONS: Food insecurity rates on the Navajo Nation are the highest reported to date in the USA and are likely attributable to the extremely high rates of poverty and unemployment. Reducing food insecurity on the Navajo Nation will require increasing the availability of affordable healthy foods, addressing poverty and unemployment, and providing nutrition programmes to increase demand.
OBJECTIVE: To assess levels of and identify factors associated with food insecurity on the Navajo Nation. DESIGN: A cross-sectional study was conducted utilizing the ten-item Radimer/Cornell food insecurity instrument. Sociodemographic, psychosocial and anthropometric data were collected. SETTING: Navajo Nation, USA. SUBJECTS: Two hundred and seventy-six members of the Navajo Nation were randomly selected at food stores and other community locations. RESULTS: Of the sample, 76·7% had some level of food insecurity. Less education (mean years of schooling: P = 0·0001; non-completion of higher education: P = 0·0003), lower full-time employment rates (P = 0·01), and lower material style of life (P = 0·0001), food knowledge (P = 0·001) and healthy eating self-efficacy (P < 0·0001) scores were all positively associated with food insecurity. Perceived expensiveness (P < 0·0001) and perceived inconvenience (P = 0·0001) of healthy choices were also positively associated with food insecurity. CONCLUSIONS: Food insecurity rates on the Navajo Nation are the highest reported to date in the USA and are likely attributable to the extremely high rates of poverty and unemployment. Reducing food insecurity on the Navajo Nation will require increasing the availability of affordable healthy foods, addressing poverty and unemployment, and providing nutrition programmes to increase demand.
Authors: Erik S Anderson; Daniel A Dworkis; Triveni DeFries; Eleanor Emery; Chandima Deegala; Kimberly Mohs Journal: Am J Public Health Date: 2018-12-20 Impact factor: 9.308
Authors: Valarie Blue Bird Jernigan; Marianna S Wetherill; Jordan Hearod; Tvli Jacob; Alicia L Salvatore; Tamela Cannady; Mandy Grammar; Joy Standridge; Jill Fox; Jennifer Spiegel; AnDina Wiley; Carolyn Noonan; Dedra Buchwald Journal: Am J Public Health Date: 2017-01-19 Impact factor: 9.308
Authors: Michael A Sundberg; Abigail C Warren; Joan VanWassenhove-Paetzold; Carmen George; Danya S Carroll; Leandra Jewel Becenti; Akeemi Martinez; Burrell Jones; Karen Bachman-Carter; Mae-Gilene Begay; Taylor Wilmot; Henrietta Sandoval-Soland; Onagh MacKenzie; Lindsey Hamilton; Memarie Tsosie; Caitlyn K Bradburn; Emilie Ellis; Jamy Malone; Julia Pon; Ashley Fitch; Sara M Selig; Gail Gall; Sonya S Shin Journal: Public Health Nutr Date: 2020-05-13 Impact factor: 4.022
Authors: Gabriela M Vedovato; Pamela J Surkan; Jessica Jones-Smith; Elizabeth Anderson Steeves; Eunkyung Han; Angela Cb Trude; Anna Y Kharmats; Joel Gittelsohn Journal: Public Health Nutr Date: 2015-10-06 Impact factor: 4.022
Authors: India J Ornelas; Katie Osterbauer; Lisa Woo; Sonia K Bishop; Desiree Deschenie; Shirley A A Beresford; Kevin Lombard Journal: J Community Health Date: 2018-12
Authors: Leandra J Jones; Joan VanWassenhove-Paetzold; Kymie Thomas; Carolyn Bancroft; E Quinn Ziatyk; Lydia Soo-Hyun Kim; Ariel Shirley; Abigail C Warren; Lindsey Hamilton; Carmen V George; Mae-Gilene Begay; Taylor Wilmot; Memarie Tsosie; Emilie Ellis; Sara M Selig; Gail Gall; Sonya S Shin Journal: Curr Dev Nutr Date: 2020-07-21