Socio-environmental determinants of grocery sales and community nutrition in transition in Nunavut, Canada

加拿大努纳武特地区食品杂货销售和社区营养转型的社会环境决定因素

• 批准号: 10402807
• 负责人: Sappho Zoe Gilbert
• 金额: $ 3.08万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-15 至 2023-05-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10402807
• 关键词: Alaska; American; Animals; Applications Grants; Arctic Regions; Automobile Driving; Canada; Chronic; Chronic Disease; Climate; Collaborations; Communication; Communities; Consumption; Country; Dangerousness; Data; Data Set; Databases; Development; Diet; Diet and Nutrition; Dietary Component; Dietary Practices; Doctor of Philosophy; Environmental Epidemiology; Environmental Hazards; Environmental Health; Epidemiology; Face; Food; Food Policy; Funding; Future; Goals; Government; Greenland; Growth; Harvest; Health; Health Food; Health Policy; Indigenous; Inuits; Linear Regressions; Link; Literature; Mentors; Meta-Analysis; Methodology; Micronutrients; Modeling; Modification; Monitor; National Institute of Environmental Health Sciences; Non-Insulin-Dependent Diabetes Mellitus; Northwest Territories; Nunavut; Nutrient; Nutrition Policy; Nutritional; Obesity; Outcome; Overweight; Perception; Policies; Population; Population Sizes; Poverty; Privatization; Process; Proteins; Proxy; Public Policy; Research; Research Personnel; Safety; Sales; Seasons; Shapes; Ships; Social Change; Social Environment; Societies; Standardization; Strategic Planning; Structure; System; Techniques; Territoriality; Thinness; Time; Training; Translations; Weather; Work; Yukon Territory; arctic environment; base; built environment; career; climate change; community health study; cost effective; data to knowledge; density; design; dietary; energy density; environmental change; experience; falls; fly; food environment; food security; hazard; innovation; insight; instructor; member; multidisciplinary; nutrition; skills; social; social epidemiology; trend

PROJECT SUMMARY/ABSTRACT In the Canadian Arctic territory of Nunavut, the Inuit majority consumes a mixed diet composed of traditional, harvested ("country") food and store-bought foods. Country food is nutrient-rich and remains a substantial dietary component; store-bought food is typically more energy dense and highly processed while also growing in its dietary dominance over country food. In recent years, overweight, obesity, and associated chronic conditions have been on the rise in the territory. This shift is fueled by built (advent and growth of food retailers) and natural (harvesting hazard-related) environmental dynamics. As harvesting trail safety is jeopardized by climate change and environmental hazards, country food procurement can become difficult. In a prior qualitative study, the applicant discovered that, in these leaner times of decreased country food harvest, community members seek sustenance elsewhere—very often at the grocery stores. The body of evidence associating such retail food environments to diet-related health outcomes is expanding. Investigating grocery sales allows for rigorous, cost-effective, and time-efficient monitoring of store-bought contributions to population diet, nutrition, and health. Using grocery retailer-donated data from 21 stores across Nunavut, this research will, for the first time in the circumpolar north, explore store-bought components of the local diet. The aims are to: (1) examine nutritional and dietary pattern trends across Inuit-defined seasons and community population size quintiles (a proxy for degree of traditional subsistence activity) to better understand the nutrition transition, and (2) model the unsafety of nearby harvesting trails as a predictor of more total grocery and/or animal protein purchases. This project is grounded in long-standing partnerships with community and territorial government entities in the health, food security, nutrition, and public policy arenas in Nunavut, and represents a multisectoral academic, public, and private (the North West Company food retailer) collaboration in pursuit of shared analytic objectives. Through the detailed training plan structured around the applicant’s research aims and career goals, a multidisciplinary sponsorship team will support her development as an independent academic researcher. The training goals include (1) developing and integrating advanced methodological techniques in social and environmental epidemiology, (2) enhancing skills in the design, conduct, and communication of community health studies with policy impacts, and (3) gaining further experience with sustainable and effective approaches to community-partnered research. Altogether, the training and research plans will prepare the applicant for a career as a leading socio-environmental and Arctic epidemiological researcher, instructor, and mentor. By the successful conclusion of this F31, she will have built an unrivaled 7-year database combining environmental, social, and nutritional data for Nunavut. This will pave the way for continued, impactful work as a postdoctoral researcher pioneering studies at the interface of built and natural environmental drivers of Arctic community nutrition and health in transition.

项目摘要/摘要 在加拿大北极北极地区，因纽特人多数派的混合饮食由传统的饮食组成 收获（“乡村”）食品和商店购买的食品。乡村食品营养丰富，仍然很大 饮食成分；商店购买的食物通常更具能量密度和高度加工，同时也在增长 在饮食中对乡村食品的统治地位。近年来，超重，肥胖和相关的慢性 该领土上的条件一直在上升。这种转变是通过建造的（食物的出现和增长来推动的 零售商）和自然（收获危险相关的）环境动态。由于收获步道的安全为 由于气候变化和环境危害，乡村食品采购可能会变得困难。在 一项先前的定性研究，适用的研究发现，在这些减少的乡村食品收获时期， 社区成员在其他地方寻求寄托 - 经常在杂货店。证据主体 将这种零售食品环境与与饮食相关的健康结果相关联正在扩大。调查杂货店 销售允许对商店购买的捐款进行严格，具有成本效益和时间效率的监控 人口饮食，营养和健康。使用来自Nunavut的21家商店的杂货零售商的数据，此 研究将首次在北极北部探索当地饮食的商店购买的组成部分。这 目的是：（1）跨因素定义的季节和社区的营养和饮食模式趋势 人口大小的五分之一（传统生存活动程度的代理）可以更好地了解营养 过渡和（2）模拟不安 动物蛋白购买。该项目基于与社区和领土的长期合作伙伴关系 Nunavut的健康，粮食安全，营养和公共政策领域的政府实体，代表 一项多部门学院，公立和私人（西北公司食品零售商）合作 共享的分析目标。通过围绕申请人的研究目的制定的详细培训计划 和职业目标，一个多学科的赞助团队将支持她作为独立的发展 学术研究员。培训目标包括（1）开发和整合先进的方法论 社会和环境流行病学的技术，（2）增强设计，行为和 与政策影响的社区健康研究的交流，以及（3）获得进一步的经验 可持续有效的社区合作研究方法。总共培训和研究 计划将使申请人成为领先的社会环境和北极流行病学的职业生涯 研究人员，讲师和心理。通过成功结论F31，她将建立一个无与伦比的 7年数据库结合了Nunavut的环境，社会和营养数据。这将为 在建筑和自然的界面上，作为博士后研究员开创性研究的持续，有影响力的工作 过渡中北极社区营养和健康的环境驱动力。