Neqkiuryaraq - The Art of Preparing Food

摘要 阿拉斯加的育空-Kuskokwim（YK）三角洲是58个阿拉斯加土著部落的家园， 比美国平均寿命少10年。饮食相关疾病的差异，如 由于癌症、心脏病和糖尿病导致预期寿命下降;结构性 这些与饮食有关的健康差距背后的问题。尽管该地区在文化上与 健康的本土食品，传统的生活方式已经变得更加困难。食品零售商库存 不健康的、货架稳定的食品，而易腐食品，如农产品，稀缺且负担不起。 粮食不安全导致饥饿、饮食质量差和健康差距。 这个项目，Neqkiuryaraq或准备食物的艺术，是一个食物系统结构性干预 关于YK Delta通过多部门伙伴关系、社区参与的方法， 我们将利用传统知识，使粮食系统本地化，并改善获得营养食品的机会。 结构性干预措施将促进传统粮食的收获和分配， 向面临粮食不安全的社区出售健康食品，如农产品。 改善获得营养丰富、文化上可接受的食物的机会将加强粮食安全， 饥饿，改善健康。我们将通过测量参与者的食物来评估这些影响 安全性、饮食质量以及血压和血糖等临床参数。改进 营养将保护人们免受慢性健康状况，如心脏病，糖尿病， 癌建立一个地方粮食系统，将传统知识、促进健康和 文化上可接受的食物，并雇用社区成员将推动YK三角洲走向 粮食主权，并为面临粮食不安全的其他农村社区提供一个范例。

ABSTRACT The Yukon-Kuskokwim (YK) Delta of Alaska is home to 58 Alaska Native Tribes who experience a life expectancy 10 years less than the U.S. average. Disparities in diet-related diseases, such as cancer, heart disease, and diabetes contribute to this decreased life expectancy; structural issues underlie these diet-related health disparities. Although the region is culturally tied to healthy Native foods, a traditional lifestyle has become more difficult. Food retailers stock unhealthy, shelf-stable food, while perishable foods, like produce, are scarce and unaffordable. Food insecurity results in hunger, poor diet quality, and health disparities. This project, Neqkiuryaraq or The Art of Preparing Food, is a food system structural intervention for the YK Delta. Through multi-sectoral partnerships, community-engaged approaches, and traditional knowledge, we will localize the food system and improve access to nutritious foods. Structural interventions will promote the harvesting and distribution of traditional foods and healthy market foods, like produce, to communities experiencing food insecurity. Improved access to nutritious, culturally acceptable foods will bolster food security, reduce hunger, and improve health. We will assess these effects by measuring participant food security, diet quality, and clinical parameters such as blood pressure and blood sugar. Improved nutrition will protect people against chronic health conditions like heart disease, diabetes, and cancer. Building a local food system that integrates traditional knowledge, promotes healthy and culturally acceptable foods, and employs community members will move the YK Delta towards food sovereignty and provide an exemplar for other rural communities facing food insecurity.