Water Is K’é: Learning from the Navajo Community to Promote Early Child Health

Drinking water instead of sugary drinks is key to reducing health disparities. Since beverage habits are shaped by complex personal, community, and environmental factors, community input is critical to design any intervention promoting water. The research team worked with community partners to design a program to promote healthy beverage habits among young Navajo children. The More

A Comprehensive Demographic Profile of the U.S. Evicted Population

Millions of American renter households every year are threatened with eviction, an event associated with severe negative impacts on health and economic well-being. Yet we know little about the characteristics of individuals living in these households. Here, we link 38 million eviction court cases to US Census Bureau data to show that 7.6 million people, More

Teacher and Caregiver Perspectives on Water Is K’é: An Early Child Education Program to Promote Healthy Beverages among Navajo Children

The Water is K’é program was developed to increase water consumption and decrease consumption of sugar-sweetened beverages for young children and caregivers. The pilot program was successfully delivered by three Family and Child Education (FACE) programs on the Navajo Nation using a culturally centered curriculum between 2020 to 2022. The purpose of this research was More

Impacts of Increased Cash-Value Benefit on Inter Tribal Council of Arizona WIC Participants’ Program Utilization and Weight Outcomes

Systematic evaluations based on objective measures and longitudinal data are needed to demonstrate long-term impacts of the WIC fruit and vegetable cash value benefit (CVB) increases instituted in March 2021, especially among populations disproportionately impacted by the COVID-19 pandemic and experiencing high rates of food insecurity and barriers to WIC participation. This study will assess More

A Scoping Review of the Use of Indigenous Food Sovereignty Principles for Intervention and Future Directions

Indigenous food sovereignty (IFS) represents a community-led movement with potential to reduce health inequities, but no scoping review of the impact of taking an IFS approach on intervention research has been conducted. This review sought to: 1) describe intervention studies that employ IFS principles, and 2) describe the impact of studies using IFS principles on More

Long-term impact of home-visiting on SSB intake & early childhood obesity, and effects of emergency COVID-19 water equity efforts on the Navajo Nation

This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also examines point of use water More

Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review

In the U.S., strong ethnic/racial, socioeconomic, demographic, and geographic breastfeeding inequities persist, and African American and Hispanic women are less likely to meet their breastfeeding goals compared to White women. This systematic review was designed to answer the question: What is the impact of breastfeeding interventions targeting ethnic/racial minority women in the U.S. on improving More

Effect of a Home-Visiting Intervention to Reduce Early Childhood Obesity Among Native American Children

The objective of this study was to assess the impact of a brief home-visiting approach, Family Spirit Nurture (FSN), on sugar-sweetened beverage (SSB) consumption, responsive parenting and infant feeding practices, and optimal growth through 12 months post partum. This study was a 1:1 randomized clinical trial comparing FSN with an injury prevention education control condition More

Identifying strategies to improve American Indian women’s participation in the federal Nutrition Program for Women, Infants, and Children

This project aims to develop solutions that will increase participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program among Native American communities. Native Americans experience high rates of food insecurity and have higher mortality rates due to diet-related chronic diseases compared to other ethnicities. The WIC program has a strong More

Expanding and evaluating a community-based intervention to increase healthy beverage consumption by Navajo preschool children

Diet-related disparities among indigenous youth are driven, in part, by excess sugar-sweetened beverage consumption and limited access to drinking water. Water is K’é targets environmental change at early childhood education (ECE) sites and community-wide systems change to promote a Diné culture of health. ECE sites will select and implement site-based and community-level changes to address More