Abstract

Food insecurity, defined as a lack of stable access to sufficient and nutritious food, is a global public health priority due to its relationships with diminished mental and physical human health. Indigenous communities experience disproportionality high rates of food insecurity as a byproduct of settler-colonial activities, which included forced relocation to rural reservation lands and degradation of traditional subsistence patterns. Many Indigenous communities have worked to revitalize their local food systems by pursuing food sovereignty, regularly expressed as the right and responsibility of people to have access to healthy and culturally appropriate foods, while defining their own food systems. Food sovereignty is a promising approach for improving health. However, limited literature is available that identifies the diverse practices of food sovereignty or strategies communities can implement to strengthen their food sovereignty efforts. This article reviews the scientific literature and highlights key indicators that may support community capacity building for food sovereignty and health. The seven indicators are: (1) access to resources, (2) production, (3) trade, (4) food consumption, (5) policy, (6) community involvement, and (7) culture. A total of 25 sub-indicators are outlined to allow communities to understand how an indicator is operationalized as well as explore their own community's progress within each indicator. It is not expected that every indicator and their subcategories will apply fully to any given Indigenous community, and the application of these indicators must be adapted for each community's local context, however the indicators may provide support for building and assessing efforts to create more sustainable Indigenous food systems.

Highlights

  • IntroductionIndigenous Food Sovereignty for Health those who were food insecure, even after adjustment for age, gender, study site, education, and income (Jernigan et al, 2017)

  • Indigenous communities are disproportionately impacted by food insecurity, defined by the US Department of Agriculture (USDA) as the lack of access to enough food to ensure a healthy and active life (Coleman-Jensen et al, 2020)

  • This review aims to develop an improved understanding of the diversity of practices related to Indigenous food sovereignty and its potential to improve Indigenous community health

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Summary

Introduction

Indigenous Food Sovereignty for Health those who were food insecure, even after adjustment for age, gender, study site, education, and income (Jernigan et al, 2017) Food assistance programs such as the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and Food Distribution Program on Indian Reservations, were developed to assist people with food insecurity by providing them additional resources to purchase fruits, vegetables, and other healthy foods. Households that experience more acute food insecurity, characterized by disrupted eating patterns and reduced food intake, are unlikely to receive enough food from these programs to become food secure (United States Department of Agriculture, 2006) These programs do not adequately address the root causes of food insecurity and may not be highly utilized in Indigenous communities (Jernigan et al, 2017). These findings were consistent even among individuals who lived in communities where there was access to fresh foods, suggesting other additional barriers may hinder program usage (McLaury et al, 2016; Kelli et al, 2017)

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