Dietary Characteristics of Eastern James Bay Cree Women

Food use and nutrient intake were studies with Cree women of Wemindji and Eastmain, Quebec. During summer 1994 and winter 1995, 24-hour recalls and food frequency questionnaires were collected from 219 women of three age groups (20-40; 41-60; >60 years). While reported energy intakes were somewhat low, 94% of the women exceeded 2/3 of the recommended nutrient intake (RNI) for protein, and 80% exceeded 2/3 of the RNI for iron. However, 44% of the women reported calcium intakes of less than 1/2 the RNI. Mean total fat intake reported by young and middle adults was greater than 30% of total energy. Primary sources of fat were market food, indicating that education efforts targeting fat intake should emphasize market food choices. Species and amounts of traditional food consumed varied by season. The percentage of elders who consumed traditional food was significantly higher (p<0.001, Chi² = 29, Mantel-Haenzel) than those of traditional food users in the middle and young age groups. Dietary data for the James Bay Cree, which were lacking prior to this research, are important resources for those working in health and wellness with this population group and other aboriginal groups that use traditional food.On a étudié l'utilisation de la nourriture et l'apport nutritif chez des femmes cris de Wemindji et de Eastmain au Québec. Durant l'été de 1994 et l'hiver de 1995, on a recueilli des rappels de 24 heures sur les aliments et des questionnaires portant sur la fréquence de consommation de certains aliments auprès de 219 femmes appartenant à trois groupes d'âge (20 à 40, 41 à 60 et > 60 ans). Alors que les apports en énergie mentionnés étaient plutôt bas, 94 p. cent des femmes dépassaient les deux tiers de l'apport nutritionnel recommandé (ANR) en protéines, et 80 p. cent dépassaient les deux tiers de l'ANR en fer. Cependant, 44 p. cent des femmes ont déclaré des apports de calcium inférieurs à la moitié de l'ANR. La moyenne de l'apport total en gras rapporté par les jeunes adultes et les adultes d'âge moyen était supérieure à 30 p. cent de l'énergie totale. Les principales sources de gras étaient les aliments provenant du marché, ce qui révèle que les efforts en vue d'éduquer les consommateurs sur l'apport en gras devraient insister sur les choix qui s'offrent dans les aliments disponibles au marché. Les espèces et les quantités d'aliments traditionnels consommés variaient avec les saisons. Le pourcentage d'anciens qui consommaient la nourriture traditionnelle était sensiblement supérieur (p < 0,001, chi² = 29, Mantel-Haenszel) à celui des utilisateurs d'aliments traditionnels situés dans le groupe des jeunes adultes et celui des adultes d'âge moyen. Les données alimentaires pour les Cris de la Baie James, inexistantes avant ces recherches, constituent d'importantes ressources pour les personnes travaillant en santé et mieux-être avec ce groupe de population et d'autres groupes autochtones qui utilisent des aliments traditionnels

Exploring food choice as social practice : appreciating the context of family feeding in Kahnawake, Québec, Canada

De nous jours, les modèles se référant aux comportements individuels représentent la pensée dominante pour comprendre les choix alimentaires dans le domaine de la nutrition en santé publique. Ces modèles conceptualisent les choix alimentaires comme un comportement de consommation décidé de façon rationnelle par des individus, en réponse aux multiples déterminants personnels et environnementaux. Même si ces modèles sont utiles pour décrire les déterminants des comportements individuels d’alimentation, ils ne peuvent expliquer les choix alimentaires en tant que processus social façonné en fonction des individus et des lieux, dans des contextes diversifiés. Cette thèse élabore le Cadre Conceptuel sur la Pratique des Choix Alimentaires afin d’explorer les choix alimentaires comme phénomène social. En utilisant le concept de pratique sociale, les choix alimentaires des individus symbolisent une relation récursive entre la structure sociale et l’agence. Ce cadre conceptuel nous donne un moyen d’identifier les choix alimentaires comme des activités sociales modelées sur la vie de tous les jours et la constituant. Il offre des concepts pour identifier la manière dont les structures sociales renforcent les activités routinières menant aux choix alimentaires. La structure sociale est examinée en utilisant les règles et les ressources de Giddens et est opérationnalisée de la façon suivante : systèmes de significations partagées, normes sociales, ressources matérielles et ressources d'autorité qui permettent ou empêchent les choix alimentaires désirés. Les résultats empiriques de deux études présentées dans cette thèse appuient la proposition que les choix alimentaires sont des pratiques sociales. La première étude examine les pratiques de choix alimentaires au sein des familles. Nous avons identifié les choix alimentaires comme cinq activités routinières distinctes intégrées dans la vie familiale de tous les jours à partir d’analyses réalisées sur les activités d’alimentation habituelles de 20 familles avec de jeunes enfants. Notre seconde étude a élaboré les règles et les ressources des pratiques alimentaires à partir des familles de l’étude. Ensuite, nous avons analysé la façon dont les règles et les ressources pouvaient expliquer les pratiques de choix alimentaires qui sont renforcées ou limitées au sein des familles lors de la routine spécifique à la préparation des repas et de la collation. Les ressources matérielles et d'autorité suffisantes ont permis d’expliquer les pratiques de choix alimentaires qui étaient facilitées, alors que les défis pouvaient être compris comme etant reliés à des ressources limitées. Les règles pouvaient empêcher ou faciliter les pratiques de choix alimentaires par l’entremise de normes ou de significations associées à la préparation de repas. Les données empiriques provenant de cette thèse appuient les choix alimentaires comme étant des activités routinières qui sont structurées socialement et qui caractérisent les familles. Selon la théorie de la structuration de Giddens, les pratiques routinières qui persistent dans le temps forment les institutions sociales. Ainsi, les pratiques routinières de choix alimentaires façonnent les styles d’habitudes alimentaires familiales et contribuent par ailleurs à la constitution des familles elles-mêmes. Cette compréhension identifie de nouvelles directions concernant la façon dont les choix alimentaires sont conceptualisés en santé publique. Les programmes de promotion de la santé destinés à améliorer la nutrition sont des stratégies clés pour prévenir les maladies chroniques et pour améliorer la santé populationnelle. Les choix alimentaires peuvent être abordés comme des activités partagées qui décrivent des groupes sociaux et qui sont socialement structurés par des règles et des ressources présentes dans les contextes de pratiques de choix alimentaires.Models of individual-behaviour currently represent the dominant understanding of food choice in public health nutrition. This model frames food choice as a dietary intake behaviour rationally decided by individuals in response to multiple personal and environmental determinants. While useful in describing determinants of individual dietary behaviours, the model cannot explain food choice as a social process shaped in relation to people and places associated with diverse contexts. This thesis presents the Food Choice Practice Framework to explore food choices as social phenomena. Using the concept of social practice, food choice is proposed as an interplay of social structure and agency. The framework provides a means for identifying food choices as activities patterned among, and constituting, day to day life. It furnishes concepts to identify how social structures reinforce routinized food choice activities. Social structure is examined using Giddens' notions of rules and resources and operationalized as: shared systems of meanings, social norms, material resources, and authoritative resources that enable or constrain desired food choices. The empirical work from two studies supports the proposition that food choices are social practices. The first study in the thesis examines food choice practices in families. We identified food choices as five distinct routinized activities integrated among the usual feeding activities of 20 families with young children. The second study elaborated the rules and resources of food choice practices from the study families. We then analyzed how rules and resources could explain both enabled and constrained food choice practices experienced by families in the specific routine of creating regular meals and snacks. Adequate allocative and authoritative resources helped explain enabled routine food choice practices, while challenges could be understood as coming about through limited resources. Rules could constrain or enable food choice practices through sanctioning norms and meanings associated with creating meals. The empirical work supports understanding food choices as routinized activities that are socially structured and which characterize families. According to Giddens' structuration theory routinized practices that endure through time form social institutions. Therefore routinized food choice practices shape characteristic styles of eating patterns in families, as well as contribute to the constitution of families themselves. This understanding identifies new directions for the way food choice is conceptualized in public health. Health Promotion programs designed to improve nutrition are key strategies for the prevention of chronic disease and improvement of population health. Food choices can be approached as shared activities that describe social groups, and explained as socially structured by rules and resources present in the contexts of food choice practice

“It’s Always a Part of You”: The Connection Between Sacred Spaces and Indigenous/Aboriginal Health

Since colonization, Indigenous/Aboriginal Peoples (IAP) have fought for their inherent rights to follow their ways of life on their traditional territories. One continuing battle is the protection of sacred spaces. Sacred spaces are places recognized by IAP as deeply spiritually and powerful. Relationships to sacred spaces sustain spiritual connections integral to our concepts of holistic health/well-being and are vital for cultural integrity. Though all of the natural world is sacred to IAP, the particular cultural and spiritual significance of sacred spaces and impact on health merits attention. Drawing from qualitative research, this article investigates IAP’s perspectives and experiences regarding the connection between Indigenous/Aboriginal and sacred spaces, and we conclude that the desecration of sacred spaces has negative impacts on IAP’s health

Dietary Characteristics of Eastern James Bay Cree Women

ABSTRACT. Food use and nutrient intake were studied with Cree women of Wemindji and Eastmain, Quebec. During summer 1994 and winter 1995, 24-hour recalls and food frequency questionnaires were collected from 219 women of three age groups (20 –40; 41 –60;>60 years). While reported energy intakes were somewhat low, 94 % of the women exceeded 2/3 of the recommended nutrient intake (RNI) for protein, and 80 % exceeded 2/3 of the RNI for iron. However, 44 % of the women reported calcium intakes of less than 1/2 the RNI. Mean total fat intake reported by young and middle adults was greater than 30 % of total energy. Primary sources of fat were market food, indicating that education efforts targeting fat intake should emphasize market food choices. Species and amounts of traditional food consumed varied by season. The percentage of elders who consumed traditional food was significantly higher (p < 0.001, χ2 = 29, Mantel-Haenzel) than those of traditional food users in the middle and younger age groups. Dietary data for the James Bay Cree, which were lacking prior to this research, are important resources for those working in health and wellness with this population group and other aboriginal groups that use traditional food. Key words: Eastern James Bay Cree, nutrient intake, food use, traditional food, Subarctic, indigenous people RÉSUMÉ. On a étudié l’utilisation de la nourriture et l’apport nutritif chez des femmes cris de Wemindji et de Eastmain au Québec. Durant l’été de 1994 et l’hiver de 1995, on a recueilli des rappels de 24 heures sur les aliments et des questionnaires portant su

Understanding how Indigenous culturally-based interventions can improve participants’ health in Canada

There is increasing recognition that culturally-based diabetes prevention programs can facilitate the adoption and maintenance of healthy behaviours in the communities in which they are implemented. The Kahnawake School Diabetes Prevention Project (KSDPP) is a health promotion, community-based participatory research project aiming to reduce the incidence of Type 2 diabetes in the community of Kahnawake (Mohawk territory, Canada), with a large range of interventions integrating a Haudenosaunee perspective of health. Building on a qualitative, naturalistic and interpretative inquiry, this study aimed to assess the outcomes of a suite of culturally-based interventions on participants’ life and experience of health. Data were collected through semi-structured qualitative interviews of 1 key informant and 17 adult, female Kahnawake community members who participated in KSDPP’s suite of interventions from 2007 to 2010. Grounded theory was chosen as an analytical strategy. A theoretical framework that covered the experiences of all study participants was developed from the grounded theory analysis. KSDPP’s suite of interventions provided opportunities for participants to experience five different change processes: (i) Learning traditional cooking and healthy eating; (ii) Learning physical activity; (iii) Learning mind focusing and breathing techniques; (iv) Learning cultural traditions and spirituality; (v) Socializing and interacting with other participants during activities. These processes improved participants’ health in four aspects: mental, physical, spiritual and social. Results of this study show how culturally-based health promotion can bring about healthy changes addressing the mental, physical, spiritual and social dimensions of a holistic concept of health, relevant to the Indigenous perspective of well-being

Aboriginal Food Security in Northern Canada: An Assessment of the State of Knowledge

As the world’s population increases, as global markets become more interconnected, and as the effects of climate change become clearer, the issue of food insecurity is gaining traction at local, national, and international levels. The recent global economic crisis and increased food prices have drawn attention to the urgent situation of the world’s 870 million chronically undernourished people who face the number one worldwide risk to health: hunger and malnutrition. Although about 75% of the world’s undernourished people live in low-income, rural regions of developing countries, hunger is also an issue in Canada. In 2011, 1.6 million Canadian households, or slightly more than 12%, experienced some level of food insecurity. About one in eight households are affected, including 3.9 million individuals. Of these, 1.1 million are children. Food insecurity presents a particularly serious and growing challenge in Canada’s northern and remote Aboriginal communities (see Figure 1). Evidence from a variety of sources concludes that food insecurity among northern Aboriginal peoples is a problem that requires urgent attention to address and mitigate the serious impacts it has on health and well-being. Results from the 2007–2008 International Polar Year Inuit Health Survey indicate that Nunavut has the highest documented rate of food insecurity for any Indigenous population living in a developed country. According to estimates from the 2011 Canadian Community Health Survey (CCHS), off-reserve Aboriginal households across Canada experience food insecurity at a rate that is more than double that of all Canadian households (27%). Recent data indicate that Canadian households with children have a higher prevalence of food insecurity than households without children, and preliminary evidence indicates that more women than men are affected

Modes of eating and phased routinisation: Insect-based food practices in the Netherlands

Sociological research on sustainable consumption has seen widespread application of theories of practice (‘practice theories’) as a means of transcending the limitations of epistemologically individualistic ‘behaviour change’ approaches. While in many ways the central insights of practice theories vis-a-vis consumption are now well established, this article argues that the approach holds further insights for sociological analysis of food consumption in general, and of novel foods in particular. Based on empirical research with consumers of a range of insect-based convenience foods in the Netherlands, this article introduces two practice-theoretic concepts – ‘modes of eating’ and ‘phased routinisation’ – which contribute to sociological theorisations of how food practices are established, maintained, interdepend and change. Beyond its theoretical contribution, the article substantively extends research literatures on the introduction, uptake and normalisation of insect-based and other novel foods

'You give us rangoli, we give you talk': using an art-based activity to elicit data from a seldom heard group

<p>Abstract</p> <p>Background</p> <p>The exclusion from health research of groups most affected by poor health is an issue not only of poor science, but also of ethics and social justice. Even if exclusion is inadvertent and unplanned, policy makers will be uninformed by the data and experiences of these groups. The effect on the allocation of resources is likely to be an exacerbation of health inequalities.</p> <p>Discussion</p> <p>We subject to critical analysis the notion that certain groups, by virtue of sharing a particular identity, are inaccessible to researchers - a phenomenon often problematically referred to as 'hard to reach'. We use the term 'seldom heard' to move the emphasis from a perceived innate characteristic of these groups to a consideration of the methods we choose as researchers. Drawing on a study exploring the intersections of faith, culture, health and food, we describe a process of recruitment, data collection and analysis in which we sought to overcome barriers to participation. As we were interested in the voices of South Asian women, many of whom are largely invisible in public life, we adopted an approach to data collection which was culturally in tune with the women's lives and values. A collaborative activity mirroring food preparation provided a focus for talk and created an environment conducive to data collection. We discuss the importance of what we term 'shoe leather research' which involves visiting the local area, meeting potential gatekeepers, and attending public events in order to develop our profile as researchers in the community. We examine issues of ethics, data quality, management and analysis which were raised by our choice of method.</p> <p>Summary</p> <p>In order to work towards a more theoretical understanding of how material, social and cultural factors are connected and influence each other in ways that have effects on health, researchers must attend to the quality of the data they collect to generate finely grained and contextually relevant findings. This in turn will inform the design of culturally sensitive health care services. To achieve this, researchers need to consider methods of recruitment; the makeup of the research team; issues of gender, faith and culture; and data quality, management and analysis.</p

An agenda for integrated system-wide interdisciplinary agri-food research

© 2017 The Author(s)This paper outlines the development of an integrated interdisciplinary approach to agri-food research, designed to address the ‘grand challenge’ of global food security. Rather than meeting this challenge by working in separate domains or via single-disciplinary perspectives, we chart the development of a system-wide approach to the food supply chain. In this approach, social and environmental questions are simultaneously addressed. Firstly, we provide a holistic model of the agri-food system, which depicts the processes involved, the principal inputs and outputs, the actors and the external influences, emphasising the system’s interactions, feedbacks and complexities. Secondly, we show how this model necessitates a research programme that includes the study of land-use, crop production and protection, food processing, storage and distribution, retailing and consumption, nutrition and public health. Acknowledging the methodological and epistemological challenges involved in developing this approach, we propose two specific ways forward. Firstly, we propose a method for analysing and modelling agri-food systems in their totality, which enables the complexity to be reduced to essential components of the whole system to allow tractable quantitative analysis using LCA and related methods. This initial analysis allows for more detailed quantification of total system resource efficiency, environmental impact and waste. Secondly, we propose a method to analyse the ethical, legal and political tensions that characterise such systems via the use of deliberative fora. We conclude by proposing an agenda for agri-food research which combines these two approaches into a rational programme for identifying, testing and implementing the new agri-technologies and agri-food policies, advocating the critical application of nexus thinking to meet the global food security challenge

Exploring parkrun as a social context for collective health practices:running with and against the moral imperatives of health responsibilisation

This is the peer reviewed version of the following article: WILTSHIRE, G., FULLAGER, S. and STEVINSON, C., 2018. Exploring parkrun as a social context for collective health practices: running with and against the moral imperatives of health responsibilisation.. Sociology of Health and Illness, 40(1), pp. 3–17., which has been published in final form at https://doi.org/10.1111/1467-9566.12622. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.Critiques of public health policies to reduce physical inactivity have led to calls for practice-led research and the need to reduce the individualising effects of health promotion discourse. This paper examines how parkrun – an increasingly popular, regular, community-based 5km running event – comes to be understood as a ‘health practice’ that allows individuals to enact contemporary desires for better health in a collective social context. Taking a reflexive analytical approach, we use interview data from a geographically diverse sample of previously inactive parkrun participants (N=19) to explore two themes. First, we argue that parkrun offers a space for ‘collective bodywork’ whereby participants simultaneously enact personal body projects while also experience a sense of being “all in this together” which works to ameliorate certain individualising effects of health responsibilisation. Second, we examine how parkrun figures as a health practice that makes available the subject position of the ‘parkrunner’. In doing so, parkrun enables newly active participants to negotiate discourses of embodied risk to reconcile the otherwise paradoxical experience of being an ‘unfit-runner’. Findings contribute to sociological understandings of health and illness through new insights into the relation between health practices and emerging physical cultures, such as parkrun