Articlegold2019

Social Determinants of American Indian Nutritional Health

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Indigenous Health, Education, and Rights Food Security and Health in Diverse Populations Indigenous Health and Education

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.

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References

1998Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults 1990Child abuse: Adolescent records vs. adult recall 2003Childhood Abuse, Neglect, and Household Dysfunction and the Risk of Illicit Drug Use: The Adverse Childhood Experiences Study 1998The American Indian Holocaust: Healing Historical Unresolved Grief 2004Conceptualizing and Measuring Historical Trauma Among American Indian People 2015Associations Between Adverse Childhood Experiences, High-Risk Behaviors, and Morbidity in Adulthood 1998The American Indian Holocaust: healing historical unresolved grief.2009A community-based treatment for Native American historical trauma: Prospects for evidence-based practice.

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2021Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan 2020The Retail Food Environment, Store Foods, and Diet and Health among Indigenous Populations: a Scoping Review 2024Social Determinants of Health Among American Indians and Alaska Natives and Tribal Communities: Comparison with Other Major Racial and Ethnic Groups in the United States, 1990–2022 2020Understanding Historical Trauma for the Holistic Care of Indigenous Populations: A Scoping Review

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