Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease
This cross-sectional study assessed how traditional eating relates to cultural and community factors. Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular dise...
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| Veröffentlicht in: | PloS one 2022-09, Vol.17 (9), p.e0275445-e0275445 |
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| creator | Sanders, Mark A Oppezzo, Marily Skan, Jordan Benowitz, Neal L Schnellbaecher, Matthew Prochaska, Judith J |
| description | This cross-sectional study assessed how traditional eating relates to cultural and community factors. Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the "traditional foods index", was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample's traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p |
| doi_str_mv | 10.1371/journal.pone.0275445 |
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Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the "traditional foods index", was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample's traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p<0.05); by women (22%±16%) than men (19%±16%, p < .05); and by residents of smaller communities (22%±17%) than the comparatively larger community of Nome (17%±14%, p<0.05). The traditional foods index was correlated with age (r = .26, p < .01), as well as the cultural variables of community connectedness (r = .19, p < .01), community standing (r = .15, p < .01), and traditional language comprehension (r = .19, p < .01). In a multivariate regression model, age, community connectedness, and community standing remained significantly associated with traditional diet. These findings may inform the design and evaluation of community-based, culturally-relevant dietary initiatives for heart health.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0275445</identifier><identifier>PMID: 36178914</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Age ; Alaska Natives ; Analysis ; Biology and Life Sciences ; Blood pressure ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - prevention & control ; Cholesterol ; Clinical trials ; Cross-Sectional Studies ; Culture ; Demography ; Diagnosis ; Diet ; Disease susceptibility ; Earth Sciences ; Eating ; Female ; Food ; Food consumption ; Food habits ; Health aspects ; Health care ; Health risks ; Humans ; Hypertension ; Language ; Male ; Medicine and Health Sciences ; Middle Aged ; Native peoples ; Nutrition research ; Obesity ; People and places ; Population ; Public health ; Regression models ; Risk factors ; Risk taking ; Salmon ; Social Sciences ; Traditional foods ; Womens health</subject><ispartof>PloS one, 2022-09, Vol.17 (9), p.e0275445-e0275445</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Sanders et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the "traditional foods index", was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample's traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p<0.05); by women (22%±16%) than men (19%±16%, p < .05); and by residents of smaller communities (22%±17%) than the comparatively larger community of Nome (17%±14%, p<0.05). The traditional foods index was correlated with age (r = .26, p < .01), as well as the cultural variables of community connectedness (r = .19, p < .01), community standing (r = .15, p < .01), and traditional language comprehension (r = .19, p < .01). In a multivariate regression model, age, community connectedness, and community standing remained significantly associated with traditional diet. These findings may inform the design and evaluation of community-based, culturally-relevant dietary initiatives for heart health.]]></description><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Alaska Natives</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cholesterol</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Culture</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Diet</subject><subject>Disease susceptibility</subject><subject>Earth Sciences</subject><subject>Eating</subject><subject>Female</subject><subject>Food</subject><subject>Food consumption</subject><subject>Food habits</subject><subject>Health 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanders, Mark A</au><au>Oppezzo, Marily</au><au>Skan, Jordan</au><au>Benowitz, Neal L</au><au>Schnellbaecher, Matthew</au><au>Prochaska, Judith J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-09-30</date><risdate>2022</risdate><volume>17</volume><issue>9</issue><spage>e0275445</spage><epage>e0275445</epage><pages>e0275445-e0275445</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[This cross-sectional study assessed how traditional eating relates to cultural and community factors. Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the "traditional foods index", was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample's traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p<0.05); by women (22%±16%) than men (19%±16%, p < .05); and by residents of smaller communities (22%±17%) than the comparatively larger community of Nome (17%±14%, p<0.05). The traditional foods index was correlated with age (r = .26, p < .01), as well as the cultural variables of community connectedness (r = .19, p < .01), community standing (r = .15, p < .01), and traditional language comprehension (r = .19, p < .01). In a multivariate regression model, age, community connectedness, and community standing remained significantly associated with traditional diet. These findings may inform the design and evaluation of community-based, culturally-relevant dietary initiatives for heart health.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36178914</pmid><doi>10.1371/journal.pone.0275445</doi><tpages>e0275445</tpages><orcidid>https://orcid.org/0000-0001-8079-221X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Adults Age Alaska Natives Analysis Biology and Life Sciences Blood pressure Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - prevention & control Cholesterol Clinical trials Cross-Sectional Studies Culture Demography Diagnosis Diet Disease susceptibility Earth Sciences Eating Female Food Food consumption Food habits Health aspects Health care Health risks Humans Hypertension Language Male Medicine and Health Sciences Middle Aged Native peoples Nutrition research Obesity People and places Population Public health Regression models Risk factors Risk taking Salmon Social Sciences Traditional foods Womens health |
| title | Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
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