High levels of household food insecurity on the Navajo Nation
High levels of household food insecurity on the Navajo Nation
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DOI：
10.1017/s1368980012005630
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发表时间：
2014-01-01
影响因子：
3.2
通讯作者：
Gittelsohn, Joel
中科院分区：
文献类型：
--
作者：
Pardilla, Marla;Prasad, Divya;Gittelsohn, Joel
目的评估Navajo Nation.Design的食品不安全水平，并确定与食品不安全相关的因素，采用10项拉迪默/Cornell食品不安全工具进行了横断面研究。社会人口学，心理社会和人体测量数据收集。设置纳瓦霍民族，美国。主题纳瓦霍民族的276名成员被随机选择在食品店和其他社区location.Results的样本，767%有一定程度的粮食不安全。受教育程度较低（平均受教育年限：P = 00001;未完成高等教育：P = 00003），全职就业率较低（P = 001），物质生活方式较低（P = 00001），食品知识（P = 0001）和健康饮食自我效能（P <00001）得分均与食品不安全呈正相关。感知昂贵（P <00001）和感知不便（P = 00001）的健康choices也呈正相关的粮食security.Conclusions纳瓦霍民族的粮食不安全率是迄今为止在美国报道的最高，可能是由于极高的贫困率和失业率。减少纳瓦霍民族的粮食不安全将需要增加负担得起的健康食品的供应，解决贫困和失业问题，并提供营养方案以增加需求。
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, 767 % had some level of food insecurity. Less education (mean years of schooling: P = 00001; non-completion of higher education: P = 00003), lower full-time employment rates (P = 001), and lower material style of life (P = 00001), food knowledge (P = 0001) and healthy eating self-efficacy (P < 00001) scores were all positively associated with food insecurity. Perceived expensiveness (P < 00001) and perceived inconvenience (P = 00001) 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.