To assess levels of and identify factors associated with food insecurity on the Navajo Nation.A cross-sectional study was conducted utilizing ten-item Radimer/Cornell instrument. Sociodemographic, psychosocial anthropometric data were collected.Navajo Nation, USA.Two hundred seventy-six members Nation randomly selected at stores other community locations.Of sample, 76·7% had some level insecurity. Less education (mean years schooling: P = 0·0001; non-completion higher education: 0·0003),...

Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, an urgent need exists to identify evidence-based strategies for prevention treatment. Multi-level, multi-component (MLMC) interventions needed, but there significant knowledge gaps on how deliver these types of low-income rural AI communities. OPREVENT2 is a MLMC intervention targeting adults living six reservations New Mexico Wisconsin. Aiming prevent reduce obesity by working at multiple...

Abstract Objectives To characterize dietary intake for Navajo adults, to identify foods a nutritional intervention programme and develop culturally appropriate quantitative FFQ (QFFQ) evaluating the impact of programme. Design A cross-sectional study was conducted using 24 h recalls. Setting Nation, USA. Subjects Seventy-nine (forty men, thirty-nine women) aged 18–71 years completed Results The median daily energy 11 585 kJ (2769 kcal) men 8519 (2036 women. greatest contributors were fried...

Navajo men who were underground miners have excess risk of lung cancer. To further characterize the long-term consequences uranium mining in this high-risk population, we examined cancer incidence among residing New Mexico and Arizona from 1969 to 1993 conducted a population-based case-control study estimate for miners. Uranium contributed substantially over 25-year period following end Nation. Sixty-three (67%) 94-incident cancers occurred former The relative history was 28.6 (95%...

The relationship between dietary patterns and chronic disease is underexplored in indigenous populations. We assessed diets of 424 American Indian (AI) adults living 5 rural AI communities. identified four food patterns. Increased prevalence for cardiovascular was highly associated with the consumption unhealthy snacks high fat–food (OR 3.6, CI = 1.06, 12.3; OR 6.0, 1.63, 22.1), respectively. Moreover, food-consumption pattern appeared to be different by community setting (p < .05)....

Obesity prevalence is high in Native American (NA) adults, and there a critical need to establish implement evidence-based social, behavioral, policy interventions that are theoretically informed. The use of multilevel, multicomponent (MLMC) has been shown be an effective strategy for comprehensive health behavior change; however, little guidance available the literature facilitate implementation this underserved understudied population. To decrease obesity related comorbidities NA MLMC...

Native American populations experience highly disproportionate rates of poor maternal-child health outcomes. The WIC program aims to safeguard by providing greater access nutritious foods, but for reasons not well understood, participation in many tribally-administered programs has declined a extent compared the national average decline over last decade. This study examine influences on from systems perspective two programs. In-depth interviews were conducted with WIC-eligible individuals,...

OPREVENT2 was a multilevel, multicomponent (MLMC) adult obesity prevention that sought to improve access and demand for healthier food physical activity opportunities in six Native American communities the Southwest Midwest. worked with worksites, stores, schools (grades 2-6), through social media mailings, local community action committee (CAC), each of three intervention communities, implemented phases. We conducted process evaluation assess implementation component terms reach, dose...

The purpose of this study was to understand what factors influenced work-family balance and related health behaviors among a sample rural North American Indian women. We interviewed 89 women through both in-depth interviews focus groups across four tribal communities in the Southwest Upper Midwest between July 2010 August 2011. Interviews were transcribed, coded, analyzed for emerging themes work- family demands placed on resources available cope with those demands. Three prominent emerged:...

This article reveals women caregivers' perceptions and coping strategies to improve households' food physical activity habits. Results emerged from the pre-intervention formative research phase of a multi-site, multi-level obesity prevention pilot intervention on American Indian (AI) reservations. Using purposive sampling, 250 adults children participated in qualitative research. reveal that having local institutional support was key structural facilitator. 'Family connectedness' as...

American Indian (AI) have the highest rates of diet-related chronic diseases in country. Yet, relation between dietary patterns and this population has not been well explored. We aimed to characterize common among adults from 6 AI communities (N = 580) assess their with BMI, percentage body fat, waist-to-hip ratio, hypertension, self-reported type 2 diabetes cardiovascular disease. conducted a baseline assessment an obesity prevention study 580). Dietary intake data were collected using...

Abstract Objective: To evaluate the impact of a multi-level, multi-component (MLMC) adult obesity intervention on beverage intake in Native American adults living five geographically and culturally diverse tribal communities. Design: A 14-month, community-randomised, MLMC design was utilised, with three communities randomised to Intervention two Comparison. FFQ were administered pre- post-interventions, difference-in-differences (DiD) analysis used assess intake. Setting: The took place...

Abstract Purpose Physical activity may be a protective factor against the disproportionate rates of chronic diseases faced by American Indians. Nevertheless, few studies report any cultural adoptions made to capture physical behaviors among this hard‐to‐reach population. Existing reporting prevalence Indians are often aggregated and tend obscure regional, local, tribal‐level variations. This study examines inactivity levels, along with associated factors, rural dwelling Indian adults from 2...

The OPREVENT2 obesity prevention trial was a multilevel multicomponent (MLMC) intervention implemented in rural Native American communities the Midwest and Southwest U.S. Intervention components were delivered through local food stores, worksites, schools, community action coalitions, by social media. Due to complex nature of MLMC trials, it is useful assess participants’ exposure each component order impact. In this paper, we present detailed methodology for evaluating participant...

Background Prevalence of obesity is disproportionately high among American Indians (AIs) and associated with increased prevalence diabetes, hypertension, cardiovascular disease. Increasing physical activity (PA) weight loss maintenance a healthy body weight. Objective The objective this study was to decrease promote healthier bodyweights using multi‐level, multi‐institutional intervention designed increase knowledge, build self‐efficacy, influence intentions for improved behavior change at...

This cross-sectional analysis of the baseline evaluation sample Obesity Prevention and Evaluation InterVention Effectiveness in Native Americans 2 (OPREVENT2) study included 601 American adults ages 18-75 living rural reservation communities Midwest Southwest United States. Participants completed a self-report questionnaire for individual family history hypertension, heart disease, diabetes obestiy. Body mass index (BMI), percent body fat, blood pressure were measured by trained research...

Obesity and diet‐related chronic diseases are at epidemic levels in American Indian (AI) populations. We conducted a 14 month intervention (Navajo Healthy Stores (NHS)) to change the food environment parts of Navajo Nation (NN), partnership with NN Special Diabetes Program. worked large small stores 7 randomly selected areas NN, matched 6 comparison areas. NHS involved encouraging stock healthier foods, point purchase promotions (shelf labels, posters, giveaway items) interactive sessions),...

Little is known about the multilevel determinants of dietary intake among Native American (NA) adults across multiple tribal communities. Thus, we aimed to identify household and individual-level factors associated with daily consumption fruits, vegetables (FV), fiber NA adults. A random sample 601 from 6 communities was included in baseline assessment OPREVENT2 trial. semi-quantitative Block Food Frequency Questionnaire used estimate intakes FV fiber. An interviewer-administered...

We review the project design, implementation experiences, and study findings from obesity prevention trials (OPTs) in Native American communities to identify future directions for chronic disease prevention. use a case methodology highlight three OPTs themes across studies. included OPTs: Navajo Healthy Stores (NHS), OPREVENT1, OPREVENT2. NHS was food-store based environmental intervention, while OPREVENT1 OPREVENT2 were multi-level, multi-component interventions with store, school,...