Prevalence and perceptions of food insecurity and coping strategies in Fort Albany First Nation, Ontario

• Main Author: Skinner, Kelly
• Format: Doctoral or Postdoctoral Thesis
• Language: English
• Published: University of Waterloo 2013
• Subjects: food security; remote; First Nations; coping strategies; Health Studies and Gerontology; Canada; Fort Albany; inuit
• Online Access: http://hdl.handle.net/10012/7561

Background: Food insecurity has been described as an urgent and pervasive public health issue for Aboriginal people (First Nations [FN], Métis, and Inuit) in Canada. However, national health surveys have generally excluded a large portion of the Aboriginal population (FN living on-reserve and Inuit), resulting in limited data on food insecurity in these individuals and communities. In addition, scales for measuring food insecurity have not been validated in Canadian Aboriginal populations. Food security challenges faced by Aboriginal people living in remote communities are unique and few studies have examined the perceptions of and coping strategies for food insecurity in this population. Objectives: The overall objective of this research was to explore various aspects of food insecurity (prevalence, perceptions, and coping strategies) in the remote, on-reserve First Nations community of Fort Albany, Ontario. This thesis consisted of five studies conducted in Fort Albany. The objectives for Study I were to quantitatively measure the prevalence of food insecurity using the Household Food Security Survey Module (HFSSM) and to use two qualitative interview questions to evaluate the relevance of the HFSSM. Study II used qualitative interview questions to examine the perceptions of and coping strategies for food insecurity. Studies III and IV investigated two programs in Fort Albany that had the potential to affect food security: the school snack program and a greenhouse project. Study III assessed the impact of the school snack program on student food intake. Study IV was a descriptive case study of the context and implementation of a community greenhouse project. Study V involved the development and formative evaluation of supplemental questions for the HFSSM intended to be relevant for measuring food security in First Nations households. Methods: One adult from each household in the community was invited to complete the 18-item HFSSM, demographic questions, and an interview with questions on the relevance of the ...