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

项目总结/摘要 在加拿大北极地区的努纳武特，因纽特人大多数人的饮食是由传统的， 收获的（“国家”）食物和商店购买的食物。乡村食物营养丰富， 饮食成分;商店购买的食物通常是更高的能量密度和高度加工，同时也增长 在饮食上对乡村食物的统治地位。近年来，超重、肥胖和相关的慢性 本港的情况有上升的趋势。这种转变是由食物的出现和增长推动的 零售商）和自然（收获危害相关）环境动态。由于收获路径安全是 由于气候变化和环境危害，国家粮食采购可能变得困难。在 申请人在先前的定性研究中发现，在这些国家粮食收成减少的贫瘠时期， 社区成员在其他地方寻找食物，通常是在杂货店。的大量证据 将这样的零售食品环境与饮食相关的健康结果相关联正在扩大。调查杂货店 销售允许严格的，具有成本效益和时间效率的监控商店购买的贡献， 人口饮食、营养和健康。使用来自努纳武特21家商店的杂货零售商捐赠的数据， 这项研究将首次在环北极地区探索当地饮食中商店购买的成分。的 目的是：（1）检查因纽特人定义的季节和社区的营养和饮食模式趋势 人口规模五分位数（传统生计活动程度的替代指标），以更好地了解营养状况 过渡，以及（2）将附近收获路径的不安全性建模为更多总杂货的预测器，和/或 购买动物蛋白。该项目建立在与社区和地区的长期伙伴关系基础上， 在努纳武特的卫生、粮食安全、营养和公共政策领域的政府实体， 一个多部门的学术，公共和私人（西北公司食品零售商）合作，以追求 共同的分析目标。通过围绕申请人的研究目标构建的详细培训计划 和职业目标，一个多学科的赞助团队将支持她作为一个独立的发展， 学术研究者培训目标包括：（1）开发和整合先进的方法论 技术在社会和环境流行病学，（2）提高技能的设计，进行， 传播社区卫生研究与政策影响，（3）获得更多的经验， 以可持续和有效的方式开展社区合作研究。总之，培训和研究 计划将准备申请人的职业生涯作为一个领先的社会环境和北极流行病学 研究员、讲师和导师。通过成功结束这F31，她将建立一个无与伦比的 7-年数据库结合环境，社会和营养数据的努纳武特。这将为 作为一名博士后研究员，在建筑与自然的界面上开创性地开展了持续、有影响力的工作。 北极社区营养和健康转型的环境驱动因素。

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.