Developing Planning and Policy Strategies to Improve Access to Healthy Foods Within North Carolina Tribal Communities
American Indian children endure disproportionately high obesity rates, yet few academic institutions have cultivated sustainable relationships with American Indian communities committed to improving food access. This project will: (1) apply community-based participatory research methodologies to build partnerships with the North Carolina Commission of Indian Affairs and North Carolina tribal communities to gain an understanding of how environmental and policy factors influence access to healthy foods; (2) examine existing data sources to identify and map the type and location of food outlets within tribal communities; (3) assess agreement among the existing food outlet data sources and validate existing data using field-based observations; and (4) conduct legal and policy analyses of regulations and rules relating to healthy food access in order to guide solution-oriented strategies and develop a toolkit for improving access to healthy foods within each of the tribal communities.
To characterize retail food environments and identify areas with limited retail access, researchers, government programs, and community advocates have primarily used secondary retail food outlet data sources. This systematic review examines the evidence for validity reported for secondary retail food outlet data sources for characterizing retail food environments. A literature … More
This study compared the results of direct, on-site observations of a wide range of food outlets in multiple American Indian communities in North Carolina, without a list guiding the field observation, to several secondary data sources. Researchers identified 699 food outlets during primary on-site data collection. The match rate for … More
This paper describes how the American Indian Healthy Eating Project evolved through five phases: 1) starting the conversation; 2) conducting multidisciplinary formative research; 3) strengthening partnerships and tailoring policy options; 4) disseminating community-generated ideas; and 5) accelerating action while fostering sustainability. The article discusses each phase’s essential steps, outcomes derived, … More
Frequently used in the American Indian community, a Talking Circle is a method used by a group to discuss a topic in an egalitarian and non-confrontational manner. This article documents the development and implementation of a modified Talking Circle as a research tool to engage tribal leaders in an American … More