Food choice considerations among American Indians living in rural Oklahoma: The THRIVE study

Appetite
Marianna WetherillValarie Blue Bird Jernigan

Abstract

In rural American Indian (AI) communities, access to affordable, healthy foods is often limited. Understanding AI food choice considerations when selecting foods, such as sensory appeal, cost, or health, is an important yet understudied topic for eliminating persistent AI health disparities. In partnership with the Chickasaw Nation and Choctaw Nation of Oklahoma, we administered a modified version of the Food Choice Values (FCV) Questionnaire to a cross-sectional sample of 83 AI patrons shopping at tribally-owned convenience stores ≥3 times per week. The FCV Questionnaire uses 25 items to assess eight FCV subscales related to buying and eating food, including sensory appeal; safety; accessibility; convenience; health/weight control; organic; tradition; and comfort. We compared mean scores for each FCV subscale by demographic groups using t-tests and ANOVA. We used confirmatory factor analysis (CFA) to examine how well the data from this population fit FCV subscale constructs. We then used cluster analysis, MANOVA, and discriminant analysis to characterize distinct segments of the population based on patterns of FCV endorsement. Appeal, safety, and access FCVs were most strongly endorsed across the sample. Prioritization of FCVs...Continue Reading

Citations

Nov 30, 2018·American Journal of Public Health·Valarie Blue Bird JerniganCarolyn Noonan
Jun 4, 2018·Prevention Science : the Official Journal of the Society for Prevention Research·Valarie Blue Bird JerniganDedra Buchwald
Dec 3, 2020·International Journal of Environmental Research and Public Health·Tiff-Annie KennyMelanie Lemire
May 1, 2021·Nutrients·Sarah J EustisJames R Hébert
Aug 5, 2021·Current Developments in Nutrition·Tara L MaudrieJoel Gittelsohn

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