Abstract
Objective
To describe a community-based obesity-prevention initiative that promoted cultural
connectedness and traditional food revitalization and gained insight into youth participants’
perspectives on the program through a photovoice methodology.
Methods
Photovoice methods were used with fourth- and fifth-grade youths (aged 9–11 years)
in the US Southwest who had participated in the Feast for the Future program. A total of 44 youths from 3 communities met for 8–9 sessions; they took
photos of current food environments and traditional food systems, and discussed them
as well as Feast for the Future and hopes for the future, and then prepared a final presentation. Photovoice sessions
were recorded, transcribed verbatim, then open coded using Atlas.ti.
Results
Five common themes emerged: traditional food is farmed or gardened, traditional foods
are healthy, Feast for the Future supported positive connections to culture, hope for more farming or gardening for
future generations, and store or less nutrient-dense food is unhealthy.
Conclusions and Implications
Photovoice can be an effective way to engage Indigenous youths in conversations about
their culture and food environments. The findings suggest that attention to revitalizing
traditional food systems and supporting cultural connectedness may be an effective
approach to obesity prevention in tribal communities, although future research would
be needed to assess the impact of the intervention on obesity rates.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessSNEB Member Login
SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.Subscribe:
Subscribe to Journal of Nutrition Education and BehaviorAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Prevalence of diabetes in U.S. youth in 2009: the SEARCH for diabetes in youth study.Diabetes Care. 2014; 37: 402-408
- Summary health statistics for U.S. adults: national health interview survey, 2011.Vital Health Stat 10. 2012; 256: 1-218
- Obesity and overweight in American Indian and Alaska native children, 2006–2015.Am J Public Health. 2017; 107: 1502-1507
- Prevalence and trends in lifetime obesity in the U.S., 1988–2014.Am J Prev Med. 2017; 53: 567-575
- Measuring access to healthful, affordable food in American Indian and Alaska native tribal areas.US Department of Agriculture, Economic Research Service, Washington, DC2014https://www.ers.usda.gov/publications/pub-details/?pubid=43908Date accessed: October 18, 2017
- Best practices for the prevention and management of diabetes and obesity-related chronic disease among indigenous peoples in Canada: a review.Can J Diabetes. 2016; 40: 216-225
- Food insecurity among American Indians and Alaska natives: a national profile using the current population survey-food security supplement.J Hunger Environ Nutr. 2017; 12: 1-10
- Food insecurity is associated with increased risk of obesity in California women.J Nutr. 2003; 133: 1070-1074
- Recent findings concerning childhood food insecurity.Curr Opin Clin Nutr Metab Care. 2009; 12: 310-316
- Use of concept mapping to explore the influence of food security on food buying practices.J Acad Nutr Diet. 2012; 112: 711-717
- Talking about hunger in a land of plenty.J Am Diet Assoc. 2006; 106: 804-807
- Community engagement for culturally appropriate obesity prevention in Hispanic mother–child dyads.J Transcult Nurs. 2014; 25: 373-382
- Pathways: a culturally appropriate obesity-prevention program for American Indian schoolchildren.Am J Clin Nutr. 1999; 69: 796S-802S
- A systematic review of literature on culturally adapted obesity prevention interventions for African American youth.J Sch Nurs. 2016; 32: 32-46
- Photovoice: concept, methodology, and use for participatory needs assessment.Health Educ Behav. 1997; 24: 369-387
- Envisioning eye care from a rural perspective: a photovoice project from India.Int Q Commun Health Educ. 2017; 272684X17736153
- Informing new or improved vector control tools for reducing the malaria burden in Tanzania: a qualitative exploration of perceptions of mosquitoes and methods for their control among the residents of Dar es Salaam.Malar J. 2017; 16: 410
- An intervention strategy for improving residential environment and positive mental health among public housing tenants: rationale, design and methods of Flash on my neighborhood.BMC Public Health. 2017; 17: 737
- Photovoice for healthy relationships: community-based participatory HIV prevention in a rural American Indian community.Am Indian Alsk Native Ment Health Res Online. 2012; 19: 102-123
- A CBPR approach to finding community strengths and challenges to prevent youth suicide and substance abuse.J Transcult Nurs. 2018; 29: 64-73
- Focus Groups: A Practical Guide for Applied Research.Sage Publications, Inc, 2014
- Interrater reliability: the kappa statistic.Biochem Med. 2012; 22: 276-282
- Decolonizing Methodologies: Research and Indigenous Peoples.2nd ed. Zed Books, London2012
- Research on indigenous elders: from positivistic to decolonizing methodologies.Gerontologist. 2014; 54: 117-126
- The search for emerging decolonizing methodologies in qualitative research: further strategies for liberatory and democratic inquiry.Qual Inq. 2008; 14: 784-805
- Evaluating an indigenous health curriculum for diabetes prevention: engaging the community through talking circles and knowledge translation of results.Fam Pract. 2018; 35: 80-87
- OPREVENT2: design of a multi-institutional intervention for obesity control and prevention for American Indian adults.BMC Public Health. 2017; 17: 105
- Improving health in at-risk youth through Photovoice.J Child Health Care Commun. 2017; 21: 463-475
Article info
Publication history
Published online: January 13, 2020
Accepted:
November 18,
2019
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2019 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.