A5052345113- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Indigenous Studies and Ecology
- Indigenous Health, Education, and Rights
- Community Health and Development
- Nutritional Studies and Diet
- Health Policy Implementation Science
- Urban Agriculture and Sustainability
- Child Nutrition and Feeding Issues
- Health Sciences Research and Education
- Obesity and Health Practices
- Homelessness and Social Issues
- Diabetes Management and Education
- Health disparities and outcomes
- Cardiovascular Health and Risk Factors
- Smoking Behavior and Cessation
- Nutrition, Health and Food Behavior
- Sodium Intake and Health
- Primary Care and Health Outcomes
- Service-Learning and Community Engagement
- Health Literacy and Information Accessibility
- Participatory Visual Research Methods
- Urban Transport and Accessibility
- Global Health Workforce Issues
Oklahoma State University Center for Health Sciences
2019-2025
Oklahoma State University
2019-2024
Oklahoma State University Oklahoma City
2021-2024
National Academies of Sciences, Engineering, and Medicine
2024
Johns Hopkins University
2024
Oklahoma State University at Tulsa
2022
Institute for Urban Indigenous Health
2021
University of Oklahoma Health Sciences Center
2011-2019
University of Oklahoma
2014-2018
University of Tulsa
2018
OBJECTIVE We hypothesized that people with type 2 diabetes in an online self-management program, compared usual-care control subjects, would 1) demonstrate reduced A1C at 6 and 18 months, 2) have fewer symptoms, 3) increased exercise, 4) improved self-efficacy patient activation. In addition, participants randomized to listserve reinforcement better 18-month outcomes than receiving no reinforcement. RESEARCH DESIGN AND METHODS A total of 761 were the program e-mail reinforcement, or subjects...
The food insecurity faced by many Native American communities has numerous implications for the health and welfare of families. To identify address upstream causes in a rural California reservation, we conducted community assessment using Tool Health Resilience Vulnerable Environments (THRIVE). Guided community-based participatory research orientation, THRIVE tool was adapted digital storytelling implemented series focus groups. As result assessment, members identified racial injustice...
Food insecurity increases the risk for obesity, diabetes, hypertension, and cancer—conditions highly prevalent among American Indians Alaska Natives (AI/ANs). Using Current Population Survey Security Supplement, we analyzed food trends of AI/ANs compared to other racial ethnic groups in United States from 2000 2010. From 2010, 25% remained consistently insecure were twice as likely be whites. Urban more experience than rural AI/ANs. Our findings highlight need national tribal policies that...
Equity remains poorly conceptualised in current nutrition frameworks and policy approaches. We draw on existing literatures to present a novel Nutrition Framework (NEF) that can be used identify priorities for research action. The framework illustrates how social political processes structure the food, health care environments most important nutrition. Central are of unfairness, injustice exclusion as engine inequity across place, time generations, ultimately influencing both nutritional...
Abstract Background In recent years public health research has shifted to more strengths or asset-based approaches but there is little understanding of what this concept means Indigenous researchers. Therefore our purpose was define an strengths-based approach and well-being research. Methods Using Group Concept Mapping, researchers ( N = 27) participated in three-phases. Phase 1: Participants provided 218 unique responses the focus prompt “Indigenous Strengths-Based Health Wellness...
We assessed changes in cardiovascular disease-related health outcomes and risk factors among American Indians Alaska Natives by age gender.We used cross-sectional data from the 1995 to 1996 2005 2006 Behavioral Risk Factor Surveillance System. The respondents were 2548 Indian Native women men aged 18 years or older 1995-1996 11 104 2005-2006. analyzed prevalence of type 2 diabetes, obesity, hypertension, cigarette smoking, sedentary behavior, low vegetable fruit intake.From 2005-2006,...
To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma.We surveyed a cross-sectional sample of 513 AI adults to assess domains (i.e., quality quantity) obesity, diabetes, hypertension.Among AIs surveyed, 56% reported inadequate quantity 62% quality. The unadjusted prevalence diabetes (28.4% vs 18.4%), obesity (60.0% 48.3%), hypertension (54.1% 41.6%) was higher participants with than those adequate quantity. These...
Food insecurity, defined as a lack of stable access to sufficient and nutritious food, is global public health priority due its relationships with diminished mental physical human health. Indigenous communities experience disproportionality high rates food insecurity byproduct settler-colonial activities, which included forced relocation rural reservation lands degradation traditional subsistence patterns. Many have worked revitalize their local systems by pursuing sovereignty, regularly...
Settler colonialism disrupted traditional Indigenous foodways and practices created high rates of diet-related disease among peoples. Food sovereignty, the rights peoples to determine their own food systems, is a culturally centered movement rooted in knowledge. This approach directly intervenes upon systems-level barriers health, making it an important strategy for health equity. While sovereignty initiatives can be found within many communities, conceptual linkages between have not been...
Health disparities among Native Americans persist despite efforts to translate evidence-based programs from research practice. Few evidence-based, theory-driven prevention and management interventions have been successfully translated within American communities. The use of community-based participatory (CBPR) has shown promise in this process. This article provides an overview the CBPR with communities discusses translation Stanford Chronic Disease Self-Management Program, using a approach,...
We studied community-based participatory research in American Indian/Alaska Native communities. have presented a case study describing community–clinic–academic partnership with the goal of building tribal capacity and infrastructure to conduct health disparities research. The 2-year intensive training was guided by framework an evidence- curriculum, adapted implemented practice-based data collection activities seminars address issues specific sovereign nations. initiative highlighted...
American Indians (AIs) have significantly higher rates of diet-related chronic diseases than other racial/ethnic groups, and many live in environments with limited access to healthy food.
### Summary box The UN Food Systems Summit is expected to launch bold new actions, solutions and strategies deliver progress on all 17 sustainable development goals (SDGs), each of which requires a transformation in the way world produces, consumes thinks about food. However, summit preparations have started controversially, with claims corporate capture by prominent civil society groups,1 who, alongside current two former Special Rapporteurs Right Food,2 also noted insufficient attention...
Establishing healthy eating habits during childhood is critical to prevent chronic diseases that develop in adulthood. Tribally owned Early Childhood and Education (ECE) programs signify fundamental influence obesity disparities. A strategy improve diet the use of school gardens; however, few studies have used rigorous methods assess health outcomes. The purpose this manuscript describe results from six-month Food Resource Equity for Sustainable Health (FRESH) study among Native American...
Previous research in American Indian and Alaska Native (AI/AN) communities has documented high prevalence of food insecurity. Yet many AI/AN scholars have expressed concerns that the dominant societal conceptions security are not reflective teachings, priorities, values communities. Food initiatives often focus on access to and, at times, nutrition but little consideration is given cultural foods, spirituality carried through whether was stewarded a way promotes well-being just for humans...
To assess a healthy retail intervention in Tribal convenience stores Oklahoma.
Type 2 diabetes disproportionately affects American Indians and Alaska Natives (AI/ANs). In the larger population, patient self-management has become an increasing focus of health care system to help reduce impact diabetes. However, little is known about programs designed for AI/ANs. This study reports on feasibility implementing Stanford Internet Diabetes Self-Management Workshop within AI/AN population using a participatory research approach. continuation studies assist in meeting needs...