Linking farmers to community stores to increase consumption of local produce: a case study of the Navajo Nation

Setala, A; Gittelsohn, Joel; Speakman, Kristen; Oski, Jane; Martin, Tammy; Moore, Regina; Tohannie, Marcella; Bleich, Sara N.

doi:10.1017/s1368980011000334

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…Our findings were consistent with those from other studies (8,9) that documented perceived barriers to selling to schools and other institutions to be the small amount paid by institutions, the quantities demanded by institutions (ie, either too small or too large), and costly insurance premiums. Our findings extend the current literature by identifying additional perceived barriers: 1) misalignment of crop harvesting with the academic school year and 2) lack of knowledge about how to sell to local schools and other institutions.…”

Section: Discussionsupporting

confidence: 92%

Farmers’ Perceptions of Local Food Procurement, Mississippi, 2013

et al. 2014

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We sought to understand the experiences and perceptions of food producers regarding food procurement programs for local institutions. A total of 72 (45%) Mississippi fruit and vegetable growers completed a mailed survey, and of those that reported selling to local businesses and institutions (54%), few were selling to schools (13%). The primary motivations to sell to institutions were to increase profits (67%) and to improve nutrition within their communities (57%), while the most commonly reported barrier was a lack of knowledge about how to sell to institutions (39%). Farm to institution programs must develop evidence-based practices designed to address barriers to producers’ participation in local institutional food procurement programs.

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Section: Discussionsupporting

confidence: 92%

Farmers’ Perceptions of Local Food Procurement, Mississippi, 2013

et al. 2014

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“…Access to healthy foods, especially fresh fruits and vegetables, are impeded by low income, geographical isolation, and the paucity of inexpensive vendors on reservation land, resulting in food deserts for many AI/AN nations [47], [48], [49]. Sustained, wide-scale, traditional agriculture has been challenged by limited water access, pest control, and regulatory requirements for commercial production [50]. Recently, there has also been a proliferation of fast-food restaurants near AI/AN communities, which is likely linked to increased consumption of unhealthy foods [51].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations

2014

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BackgroundAmerican Indians and Alaska Native (AI/AN) populations experience significant health disparities compared to non-Hispanic white populations. Cardiovascular disease and related risk factors are increasingly recognized as growing indicators of global health disparities. However, comparative reports on disparities among this constellation of diseases for AI/AN populations have not been systematically reviewed.ObjectivesWe performed a literature review on the prevalence of diabetes, metabolic syndrome, dyslipidemia, obesity, hypertension, and cardiovascular disease; and associated morbidity and mortality among AI/AN.Data sourcesA total of 203 articles were reviewed, of which 31 met study criteria for inclusion. Searches were performed on PUBMED, MEDLINE, the CDC MMWR, and the Indian Health Services.Study eligibility criteriaPublished literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included.Study appraisal and synthesis methodsWe abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included.ResultsRates of obesity, diabetes, cardiovascular disease, and metabolic syndrome are clearly higher for AI/AN populations. Hypertension and hyperlipidemia differences are more equivocal. Our analysis also revealed that there are likely regional and gender differences in the degree of disparities observed.LimitationsStudies using BRFSS telephone surveys administered in English may underestimate disparities. Many AI/AN do not have telephones and/or speak English. Regional variability makes national surveys difficult to interpret. Finally, studies using self-reported data may not be accurate.Conclusions and implications of key findingsProfound health disparities in cardiovascular diseases and associated risk factors for AI/AN populations persist, perhaps due to low socioeconomic status and access to quality healthcare. Successful programs will address social determinants and increase healthcare access. Community-based outreach to bring health services to the most vulnerable may also be very helpful in this effort.Systematic review registration numberN/A

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“…Subsistence farming is common on the reservation and has a strong agricultural, historical tradition [40,41,42]. Tribal community members are known to utilize multiple crop plots that have been passed down through many generations [42].…”

Section: Introductionmentioning

confidence: 99%

Metal(loid)s in Cucurbita pepo in a Uranium Mining Impacted Area in Northwestern New Mexico, USA

Samuel-Nakamura

Hodge

Sokolow

et al. 2019

IJERPH

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More than 500 unreclaimed mines and associated waste sites exist on the Navajo Nation reservation as a result of uranium (U) mining from the 1940s through the 1980s. For this study, the impact of U-mine waste on a common, locally grown crop food was examined. The goal of this site-specific study was to determine metal(loid) concentration levels of arsenic (As), cadmium (Cd), cesium (Cs), molybdenum (Mo), lead (Pb), thorium (Th), U, vanadium (V) and selenium (Se) in Cucurbita pepo Linnaeus (squash), irrigation water, and soil using inductively coupled plasma-mass spectrometry. The concentrations of metal(loid)s were greatest in roots > leaves > edible fruit (p < 0.05), respectively. There were significant differences between metal(loid)s in squash crop plot usage (<5 years versus >30 years) for V (p = 0.001), As (p < 0.001), U (p = 0.002), Cs (p = 0.012), Th (p = 0.040), Mo (p = 0.047), and Cd (p = 0.042). Lead and Cd crop irrigation water concentrations exceeded the United States Environmental Protection Agency (USEPA) Maximum Contaminant Levels for drinking water for those metals. Edible squash concentration levels were 0.116 mg/kg of As, 0.248 mg/kg of Pb, 0.020 mg/kg of Cd, and 0.006 mg/kg of U. Calculated human ingestion of edible squash did not exceed Provisional Tolerable Weekly Intake or Tolerable Upper Limit levels from intake based solely on squash consumption. There does not appear to be a food-ingestion risk from metal(loid)s solely from consumption of squash. Safer access and emphasis on consuming regulated water was highlighted. Food intake recommendations were provided. Continued monitoring, surveillance, and further research are recommended.

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Linking farmers to community stores to increase consumption of local produce: a case study of the Navajo Nation

Cited by 10 publications

References 12 publications

Farmers’ Perceptions of Local Food Procurement, Mississippi, 2013

Farmers’ Perceptions of Local Food Procurement, Mississippi, 2013

Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations

Metal(loid)s in Cucurbita pepo in a Uranium Mining Impacted Area in Northwestern New Mexico, USA

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