Social Determinants of American Indian Nutritional Health

Donald Warne, Siobhan Wescott

Research output: Contribution to journalArticle

Abstract

The American Indian (AI) population suffers from significant health disparities, including nutrition-related chronic diseases (diabetes, cancer, and heart disease). Several risk factors for disease and social determinants of health have unique histories in the AI population, including historical trauma, boarding schools, adverse childhood experiences, poverty, federal food programs, and food deserts. To effectively address these disparities, a multipronged approach in collaboration with stakeholders is needed to address the upstream social determinants of health and to increase access to healthier foods. Promising practices and strategies can be considered in several focus areas, including 1) improving existing food programs, 2) promoting breastfeeding and early childhood nutrition, 3) promoting food sovereignty and access to traditional foods, 4) expanding locally cultivated foods, and 5) taxing unhealthy foods and subsidizing healthier options. As these strategies are implemented, it is vital that they are studied, evaluated, and reported to expand tribally specific evidence-based practices.

Original languageEnglish (US)
Pages (from-to)12-18
Number of pages7
JournalCurrent Developments in Nutrition
Volume3
DOIs
StatePublished - Feb 13 2019

Fingerprint

North American Indians
American Indians
food and nutrition programs
childhood
nutrition
Food
traditional foods
breast feeding
Health
heart diseases
poverty
chronic diseases
stakeholders
diabetes
risk factors
Social Determinants of Health
history
neoplasms
Evidence-Based Practice
Poverty

Keywords

  • American Indian
  • health disparities
  • historical trauma
  • nutrition
  • social determinants

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science
  • Nutrition and Dietetics

Cite this

Social Determinants of American Indian Nutritional Health. / Warne, Donald; Wescott, Siobhan.

In: Current Developments in Nutrition, Vol. 3, 13.02.2019, p. 12-18.

Research output: Contribution to journalArticle

@article{d1b3ca1cd6a843e4957cfae560897d4b,
title = "Social Determinants of American Indian Nutritional Health",
abstract = "The American Indian (AI) population suffers from significant health disparities, including nutrition-related chronic diseases (diabetes, cancer, and heart disease). Several risk factors for disease and social determinants of health have unique histories in the AI population, including historical trauma, boarding schools, adverse childhood experiences, poverty, federal food programs, and food deserts. To effectively address these disparities, a multipronged approach in collaboration with stakeholders is needed to address the upstream social determinants of health and to increase access to healthier foods. Promising practices and strategies can be considered in several focus areas, including 1) improving existing food programs, 2) promoting breastfeeding and early childhood nutrition, 3) promoting food sovereignty and access to traditional foods, 4) expanding locally cultivated foods, and 5) taxing unhealthy foods and subsidizing healthier options. As these strategies are implemented, it is vital that they are studied, evaluated, and reported to expand tribally specific evidence-based practices.",
keywords = "American Indian, health disparities, historical trauma, nutrition, social determinants",
author = "Donald Warne and Siobhan Wescott",
year = "2019",
month = "2",
day = "13",
doi = "10.1093/cdn/nzz054",
language = "English (US)",
volume = "3",
pages = "12--18",
journal = "Current Developments in Nutrition",
issn = "2475-2991",
publisher = "Oxford University Press",

}

TY - JOUR

T1 - Social Determinants of American Indian Nutritional Health

AU - Warne, Donald

AU - Wescott, Siobhan

PY - 2019/2/13

Y1 - 2019/2/13

N2 - The American Indian (AI) population suffers from significant health disparities, including nutrition-related chronic diseases (diabetes, cancer, and heart disease). Several risk factors for disease and social determinants of health have unique histories in the AI population, including historical trauma, boarding schools, adverse childhood experiences, poverty, federal food programs, and food deserts. To effectively address these disparities, a multipronged approach in collaboration with stakeholders is needed to address the upstream social determinants of health and to increase access to healthier foods. Promising practices and strategies can be considered in several focus areas, including 1) improving existing food programs, 2) promoting breastfeeding and early childhood nutrition, 3) promoting food sovereignty and access to traditional foods, 4) expanding locally cultivated foods, and 5) taxing unhealthy foods and subsidizing healthier options. As these strategies are implemented, it is vital that they are studied, evaluated, and reported to expand tribally specific evidence-based practices.

AB - The American Indian (AI) population suffers from significant health disparities, including nutrition-related chronic diseases (diabetes, cancer, and heart disease). Several risk factors for disease and social determinants of health have unique histories in the AI population, including historical trauma, boarding schools, adverse childhood experiences, poverty, federal food programs, and food deserts. To effectively address these disparities, a multipronged approach in collaboration with stakeholders is needed to address the upstream social determinants of health and to increase access to healthier foods. Promising practices and strategies can be considered in several focus areas, including 1) improving existing food programs, 2) promoting breastfeeding and early childhood nutrition, 3) promoting food sovereignty and access to traditional foods, 4) expanding locally cultivated foods, and 5) taxing unhealthy foods and subsidizing healthier options. As these strategies are implemented, it is vital that they are studied, evaluated, and reported to expand tribally specific evidence-based practices.

KW - American Indian

KW - health disparities

KW - historical trauma

KW - nutrition

KW - social determinants

UR - http://www.scopus.com/inward/record.url?scp=85074890555&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074890555&partnerID=8YFLogxK

U2 - 10.1093/cdn/nzz054

DO - 10.1093/cdn/nzz054

M3 - Article

C2 - 31453425

AN - SCOPUS:85074890555

VL - 3

SP - 12

EP - 18

JO - Current Developments in Nutrition

JF - Current Developments in Nutrition

SN - 2475-2991

ER -