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 primary and secondary data differed by type of food outlet observed, with the highest match rates found for grocery stores (97%), general merchandise stores (96%), and restaurants (91%). Secondary data from ReferenceUSA and local health departments provided a relatively accurate identification of the local food environment in American Indian communities. However, secondary data sources over- and under-counted the food outlets and were particularly problematic for identifying convenience stores and specialty markets.
Evidence for Validity of Five Secondary Data Sources for Enumerating Retail Food Outlets in Seven American Indian Communities in North Carolina
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 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
Engaging Tribal Leaders in an American Indian Healthy Eating Project Through Modified Talking Circles
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
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 … More