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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Online Access: | http://dx.doi.org/10.1371/journal.pone.0275445 https://dx.plos.org/10.1371/journal.pone.0275445 |
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crplos:10.1371/journal.pone.0275445 2024-05-19T07:44:21+00:00 Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease Sanders, Mark A. Oppezzo, Marily Skan, Jordan Benowitz, Neal L. Schnellbaecher, Matthew Prochaska, Judith J. Mockridge, James National Heart, Lung, and Blood Institute 2022 http://dx.doi.org/10.1371/journal.pone.0275445 https://dx.plos.org/10.1371/journal.pone.0275445 en eng Public Library of Science (PLoS) http://creativecommons.org/licenses/by/4.0/ PLOS ONE volume 17, issue 9, page e0275445 ISSN 1932-6203 journal-article 2022 crplos https://doi.org/10.1371/journal.pone.0275445 2024-05-01T07:01:43Z 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. Article in Journal/Newspaper Nome Alaska PLOS PLOS ONE 17 9 e0275445 |
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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. |
author2 |
Mockridge, James National Heart, Lung, and Blood Institute |
format |
Article in Journal/Newspaper |
author |
Sanders, Mark A. Oppezzo, Marily Skan, Jordan Benowitz, Neal L. Schnellbaecher, Matthew Prochaska, Judith J. |
spellingShingle |
Sanders, Mark A. Oppezzo, Marily Skan, Jordan Benowitz, Neal L. Schnellbaecher, Matthew Prochaska, Judith J. Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
author_facet |
Sanders, Mark A. Oppezzo, Marily Skan, Jordan Benowitz, Neal L. Schnellbaecher, Matthew Prochaska, Judith J. |
author_sort |
Sanders, Mark A. |
title |
Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
title_short |
Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
title_full |
Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
title_fullStr |
Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
title_full_unstemmed |
Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease |
title_sort |
demographic and cultural correlates of traditional eating among alaska native adults at risk for cardiovascular disease |
publisher |
Public Library of Science (PLoS) |
publishDate |
2022 |
url |
http://dx.doi.org/10.1371/journal.pone.0275445 https://dx.plos.org/10.1371/journal.pone.0275445 |
genre |
Nome Alaska |
genre_facet |
Nome Alaska |
op_source |
PLOS ONE volume 17, issue 9, page e0275445 ISSN 1932-6203 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1371/journal.pone.0275445 |
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PLOS ONE |
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17 |
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9 |
container_start_page |
e0275445 |
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1799484129879785472 |