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 在加拿大北极地区努纳武特，大多数因纽特人食用由传统的、 收获的(“国家”)食品和商店购买的食品。乡村食品营养丰富，仍然是重要的 饮食成分；商店购买的食物通常能量密度更高，加工程度更高，同时也在不断增长 在饮食上凌驾于乡村食物之上。近年来，超重、肥胖和与之相关的慢性 香港的情况一直在上升。这种转变是由粮食的出现和增长推动的 (零售商)和自然(与危险有关的)环境动态。因为采摘小径的安全是 由于受到气候变化和环境危害的危害，国家粮食采购可能会变得困难。在……里面 在先前的定性研究中，申请人发现，在乡村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。证据的主体 将这种零售食品环境与饮食相关的健康结果联系起来的情况正在扩大。调查杂货店 销售允许对商店购买的贡献进行严格、经济高效且省时的监控 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 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。这个 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(代表传统生存活动程度)，以更好地了解营养 过渡，以及(2)将附近收割道的不安全作为预测更多杂货和/或总杂货的预测因素 购买动物蛋白。该项目的基础是与社区和地区的长期合作伙伴关系 努纳武特卫生、粮食安全、营养和公共政策领域的政府实体，并代表 多部门学术、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。通过围绕申请者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 学术研究人员。培训目标包括：(1)发展和整合先进的方法 社会和环境流行病学技术，(2)提高设计、实施和 社区卫生研究与政策影响的沟通，以及(3)获得进一步的经验 以可持续和有效的方式开展社区合作研究。总而言之，培训和研究 计划将为申请人的职业生涯做好准备，成为领先的社会环境和北极流行病学专家 研究人员、讲师和导师。到这辆F31圆满结束时，她将打造一辆无与伦比的 结合努纳武特的环境、社会和营养数据的7年数据库。这将为以下工作铺平道路 作为博士后研究员，在建筑和自然的界面上开创研究先河的持续、有影响力的工作 转型中北极社区营养和健康的环境驱动因素。